Average Medicaid Physical Therapy Payments in Pineville, NC: $75.76
Avg. Paid
$75.76
Range
$0.00 – $90.95
Total Claims
28,279
Providers
18
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 Pineville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dana Moore Elliot
561 N Polk St |
$80.61 | 7,072 | 2,094 |
|
Mallory Barkes
11940 Carolina Place Pkwy Ste 200 |
$76.76 | 3,725 | 1,049 |
|
Jessica B Turchin
11940 Carolina Place Pkwy Ste 200 |
$70.82 | 3,331 | 977 |
|
Michelle K Yoder
561 N Polk St |
$87.15 | 3,186 | 1,107 |
|
Elizabeth Camp
561 N Polk St |
$84.75 | 2,396 | 707 |
|
Kati Berlin Kendrick
11940 Carolina Place Pkwy |
$73.83 | 2,142 | 653 |
|
Samantha Lynn Develli
11940 Carolina Place Pkwy |
$66.47 | 1,644 | 426 |
|
Scott Harvey
11940 Carolina Place Pkwy Ste 200 |
$67.54 | 1,183 | 374 |
|
Amy W Bumgarner
561 N Polk St |
$82.42 | 961 | 271 |
|
Brandon Steven Scott
561 N Polk St |
$74.89 | 936 | 294 |
|
Jeffery Allan Cayo
9101 Pineville Matthews Rd Ste D |
$21.94 | 622 | 230 |
|
Karen M Charlton
561 N Polk St |
$44.20 | 260 | 91 |
|
Lindsey Hull Clary
561 N Polk St |
$46.50 | 232 | 64 |
|
Austin Lee White
11940 Carolina Place Pkwy Ste 200 |
$90.95 | 216 | 60 |
|
Christina Crawford Kub
561 N Polk St |
$56.56 | 122 | 51 |
|
Meagan Elizabeth Peacock
561 N Polk St |
$74.89 | 113 | 39 |
|
Caroline Ward
11940 Carolina Pl Pkwy |
$0.00 | 80 | 38 |
|
Taylor Alger
9101 Pineville Matthews Rd Ste D |
$38.18 | 58 | 28 |
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 Pineville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Pineville, NC is $75.76 per claim, based on 28,279 claims from 18 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 Pineville, NC?
There are 18 Medicaid providers offering Physical Therapy related services in Pineville, NC according to public payment data.
What is the price range for Physical Therapy in Pineville, NC?
Medicaid reimbursement for Physical Therapy in Pineville, NC ranges from $0.00 to $90.95 per claim, with an average of $75.76. 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 Pineville, NC
Speech Therapy
Avg $61.36
14,351 claims
Office Visit
Avg $24.87
9,947 claims
Tooth Extraction
Avg $145.19
7,868 claims
Nursing Facility Care
Avg $23.09
6,071 claims
Dental Cleaning & Exam
Avg $35.15
3,190 claims
Psychiatric Evaluation
Avg $95.50
648 claims
Home Health Visit
Avg $57.90
645 claims
Blood Work & Lab Tests
Avg $0.23
508 claims