Average Medicaid Physical Therapy Payments in Pikeville, KY: $23.66
Avg. Paid
$23.66
Range
$6.10 – $34.43
Total Claims
158,566
Providers
17
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 Pikeville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pikeville Medical Center Inc
911 Bypass Rd |
$34.31 | 68,178 | 22,746 |
|
Jennifer Fipps
274 Cassidy Blvd Ste 2 |
$13.26 | 32,996 | 8,703 |
|
Ernest D Brewer
175 Weddington Branch Rd |
$20.55 | 21,659 | 6,125 |
|
Gregory Ted Hackney
153 Weddington Branch Rd |
$6.70 | 11,584 | 4,731 |
|
Schlonda Sue Brown
6800 Us Highway 23 S Ste 5 |
$21.19 | 6,211 | 1,871 |
|
Matthew Brian Tackett
6800 Us Highway 23 S |
$11.00 | 4,508 | 1,213 |
|
Brittany Linn Adkins
131 Summit Dr Ste 402 |
$34.43 | 3,437 | 794 |
|
John Little
175 Weddington Branch Rd |
$20.47 | 2,964 | 907 |
|
Amanda Nicole Laferty
911 Bypass Rd Bldg A |
$9.50 | 2,216 | 1,211 |
|
Eric Brandon Akers
451 Hambley Blvd. |
$10.57 | 1,384 | 1,316 |
|
Pikeville Independent School
128 2Nd St |
$14.30 | 1,366 | 588 |
|
Akers Family Chiropractic Inc Psc
171 Hibbard St |
$14.84 | 1,352 | 613 |
|
Steven M Harrison
50 Village St |
$23.98 | 406 | 142 |
|
Melissa Ann Brewer
123 Weddington Branch Rd |
$27.90 | 106 | 69 |
|
Jeffrey Niel Stanley
419 Town Mountain Rd Ste 108 |
$28.75 | 85 | 14 |
|
Colton Keith Bentley
50 Village St |
$6.10 | 82 | 34 |
|
Adam Clark Akers
171 Hibbard St |
$11.24 | 32 | 30 |
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 Pikeville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Pikeville, KY is $23.66 per claim, based on 158,566 claims from 17 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 Pikeville, KY?
There are 17 Medicaid providers offering Physical Therapy related services in Pikeville, KY according to public payment data.
What is the price range for Physical Therapy in Pikeville, KY?
Medicaid reimbursement for Physical Therapy in Pikeville, KY ranges from $6.10 to $34.43 per claim, with an average of $23.66. 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 Pikeville, KY
Office Visit
Avg $34.50
1,279,513 claims
Blood Work & Lab Tests
Avg $13.27
1,226,959 claims
Emergency Room Visit
Avg $104.28
349,778 claims
Psychiatric Evaluation
Avg $55.70
290,250 claims
X-Ray
Avg $36.48
249,058 claims
Substance Abuse Treatment
Avg $43.54
225,767 claims
Urinalysis & Urine Tests
Avg $4.44
169,795 claims
EKG / ECG (Electrocardiogram)
Avg $24.30
133,378 claims