Average Medicaid Physical Therapy Payments in Opelika, AL: $16.03
Avg. Paid
$16.03
Range
$0.02 – $44.63
Total Claims
17,449
Providers
14
Typical Payment Range
Typical Medicaid Physical Therapy payments fall between $19.59 and $59.02 per claim (median: $32.75). The top 10% of payments exceed $86.40.
Based on per-provider averages across all Medicaid claims in this category.
Physical therapy helps restore movement and function when someone is affected by injury, illness, or disability. Includes exercises, manual therapy, and modalities.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Physical Therapy in Opelika, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Rogers Downs
121 N 20Th St Ste 20B |
$7.59 | 6,937 | 877 |
|
Rebecca Lee Tapley
704 Avenue D |
$32.16 | 2,372 | 1,101 |
|
Sunil Kumar Sharma
101 24Th St |
$3.90 | 2,122 | 170 |
|
Keith Lyle Fuller
2214 Gateway Dr |
$0.02 | 1,334 | 132 |
|
Adam Craig Dooley
121 N 20Th St Ste 18 |
$33.34 | 1,013 | 309 |
|
Lindsay Ellis
2450 Village Professional Dr N |
$30.24 | 951 | 232 |
|
Elisa Miller Pesto
2450 Village Professional Dr N |
$20.89 | 608 | 309 |
|
Rehabworks Llc
2000 Pepperell Pkwy |
$44.63 | 505 | 201 |
|
Alexandra Thornton Watters
704 Avenue D |
$36.45 | 419 | 177 |
|
Kelly Maureen Riley
2450 Village Professional Dr N |
$33.40 | 414 | 250 |
|
The Orthopaedic Clinic, P.C.
121 North 20Th Street # 18 |
$10.46 | 360 | 110 |
|
Trenton J. Wilson
121 North 20Th St #18 |
$39.39 | 221 | 66 |
|
Megan Elizabeth Willis
2401 Village Professional Dr S |
$13.81 | 104 | 37 |
|
Julia Fichtner Krahm
3051 Frederick Rd Ste 4 |
$18.35 | 89 | 12 |
What to Expect: Physical Therapy
Physical therapy sessions typically last 30-60 minutes. Your first visit includes an evaluation where the therapist assesses your condition and creates a treatment plan. Sessions may include stretching, strengthening exercises, manual therapy, ultrasound, electrical stimulation, or heat/ice therapy. Most treatment plans involve 2-3 sessions per week for several weeks.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 97110 | Therapeutic exercises | $36.58 | 135,669,845 | 56,453 |
| 97530 | Therapeutic activities | $49.28 | 126,200,638 | 53,019 |
| 97140 | Manual therapy techniques | $19.55 | 45,357,985 | 26,587 |
| 97112 | Neuromuscular reeducation | $24.45 | 37,646,570 | 25,985 |
| 97535 | Self-care training | $72.94 | 21,914,840 | 7,790 |
| 97150 | Group therapeutic procedure | $58.98 | 10,916,093 | 6,468 |
| 97116 | Gait training therapy | $19.91 | 6,172,658 | 3,724 |
| 97161 | PT eval low complexity | $54.82 | 4,464,808 | 8,341 |
| 97162 | PT eval moderate complexity | $53.65 | 3,173,942 | 6,316 |
| 97124 | Therapeutic massage | $51.08 | 3,114,141 | 1,206 |
| 97113 | Aquatic therapy | $62.25 | 1,126,860 | 1,234 |
| 97165 | OT eval low complexity | $55.88 | 940,983 | 2,183 |
| 97164 | PT re-evaluation | $38.89 | 790,759 | 2,769 |
| 97163 | PT eval high complexity | $54.70 | 754,018 | 1,953 |
| 97166 | OT eval moderate complexity | $65.44 | 617,431 | 1,845 |
| 97167 | OT eval high complexity | $71.77 | 327,373 | 822 |
| 97168 | OT re-evaluation | $64.00 | 279,352 | 1,132 |
| 97542 | Wheelchair training | $30.27 | 252,292 | 394 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Physical Therapy cost in Opelika, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Opelika, AL is $16.03 per claim, based on 17,449 claims from 14 providers. Typical payments fall between $19.59 and $59.02. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Physical Therapy in Opelika, AL?
There are 14 Medicaid providers offering Physical Therapy related services in Opelika, AL according to public payment data.
What is the price range for Physical Therapy in Opelika, AL?
Medicaid reimbursement for Physical Therapy in Opelika, AL ranges from $0.02 to $44.63 per claim, with an average of $16.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Physical Therapy in Other Cities
Brooklyn, NY
Avg $36.50
12,339,597 claims · 1013 providers
New York, NY
Avg $39.29
5,089,280 claims · 527 providers
Phoenix, AZ
Avg $44.43
3,735,748 claims · 737 providers
Louisville, KY
Avg $91.42
3,677,814 claims · 454 providers
Miami, FL
Avg $41.78
3,470,277 claims · 402 providers
Bronx, NY
Avg $33.00
3,372,618 claims · 312 providers
Indianapolis, IN
Avg $33.23
2,875,864 claims · 404 providers
Las Vegas, NV
Avg $41.92
2,229,957 claims · 556 providers
Other Procedures in Opelika, AL
Office Visit
Avg $61.25
372,287 claims
Behavioral & Mental Health Therapy
Avg $70.49
344,786 claims
Psychiatric Evaluation
Avg $77.27
176,145 claims
Vaccines & Immunizations
Avg $25.32
153,927 claims
Case Management Services
Avg $65.21
153,762 claims
Non-Emergency Medical Transportation
Avg $16.32
81,342 claims
Emergency Room Visit
Avg $46.71
80,800 claims
Blood Work & Lab Tests
Avg $9.29
70,723 claims