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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Pinehurst, NC: $22.39

Avg. Paid

$22.39

Range

$0.00 – $94.84

Total Claims

34,083

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 Pinehurst, NC

Provider Avg. Paid Claims Patients
Lori L Meltzer

5 First Village Dr

$31.71 29 13
Mckenley Landris Byrd

5 First Village Dr

$20.55 34 12
Samantha D Patterson

300 Blake Blvd

$0.00 47 13
Robert A Bibey

5 Firstvillage Drive

$29.78 56 29
Kelsey Renee Fischer

170 Memorial Dr

$17.95 73 41
Mary Jessup Wilkison

255 Sugar Pine Dr

$94.84 139 36
Kevin Thomas Slater

5 First Village Drive

$31.48 152 52
Kurt Patrick Wohlrab

5 First Village Dr

$38.26 153 51
Kimberly B Kelley

5 First Village Dr

$23.90 191 69
Zachary Lilly

5 First Village Dr

$31.46 310 140
Henry L Harvey

10 Parker Lane

$26.34 467 240
Alita Borkar

289 Olmsted Blvd Ste 7

$51.44 524 174
Katherine Mehry Tahamtan

5 First Village Dr

$31.35 1,172 500
Kelly Denise Tolentino

5 First Village Dr

$17.45 1,835 765
Mcpc-12, Llc

145 Applecross Rd

$21.98 2,065 969
Alison Morin

5 First Village Dr

$32.04 12,055 3,880
Firsthealth Of The Carolinas, Inc.

155 Memorial Dr

$12.23 14,781 6,103

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 Pinehurst, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Pinehurst, NC is $22.39 per claim, based on 34,083 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 Pinehurst, NC?

There are 17 Medicaid providers offering Physical Therapy related services in Pinehurst, NC according to public payment data.

What is the price range for Physical Therapy in Pinehurst, NC?

Medicaid reimbursement for Physical Therapy in Pinehurst, NC ranges from $0.00 to $94.84 per claim, with an average of $22.39. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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