Average Medicaid Physical Therapy Payments in Pittsburgh, PA: $57.35
Avg. Paid
$57.35
Range
$0.00 – $271.03
Total Claims
415,480
Providers
311
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 Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
School District Of Pittsburgh
341 S Bellefield Ave |
$28.52 | 51,764 | 20,026 |
|
Vadim Kipiller
1110 Greenfield Ave |
$6.71 | 27,916 | 12,217 |
|
Melissa Lee Buss
9365 Mcknight Rd |
$31.28 | 21,789 | 10,060 |
|
North Allegheny School District
200 Hillvue Ln |
$14.75 | 14,461 | 5,259 |
|
Pan Zhang
120 Lytton Ave |
$25.27 | 13,163 | 5,940 |
|
Core Network, Llc
1622 Locust St Fl 4 |
$25.80 | 7,379 | 2,492 |
|
Kevin Scott Dusenbury
5900 Corporate Dr Ste 200 |
$31.90 | 6,226 | 2,459 |
|
Brett Coby Hartman
4800 Friendship Ave |
$82.77 | 6,191 | 2,168 |
|
The Childrens Institute Of Pittsburgh
6301 Northumberland St |
$45.67 | 5,898 | 2,260 |
|
Kelsey N. O'Brien
1400 Locust St |
$111.94 | 5,803 | 2,039 |
|
Lindsay Ann Royal
508 Invicta Dr |
$127.74 | 5,602 | 1,881 |
|
Kate E Goldman
1417 Wightman St |
$130.16 | 5,167 | 1,668 |
|
Kahli Hale
1130 Perry Hwy Ste 120 |
$102.14 | 5,062 | 1,514 |
|
Beth A O'Brien
100 Hightower Blvd |
$124.52 | 4,934 | 1,706 |
|
Regina Argenziano
6301 Northumberland St |
$63.47 | 4,819 | 1,653 |
|
Fox Chapel Area School District
611 Field Club Road |
$16.90 | 4,368 | 1,610 |
|
Susan Waggoner
309 S Lang Ave |
$131.27 | 3,882 | 1,484 |
|
Michael L. Tepe
5739 One Half Walnut Street |
$16.02 | 3,724 | 773 |
|
Maggie Gillespie
1411 Porterfield St |
$129.33 | 3,464 | 1,226 |
|
Linee Marie Tourdot
9800B Mcknight Rd |
$131.00 | 3,286 | 1,193 |
|
Peggy Lynne Giesen
1401 Hamilton Rd |
$130.47 | 3,204 | 1,377 |
|
Jennifer Lynn Schreiner
5205 Ranchview Dr |
$133.45 | 3,113 | 1,114 |
|
Michael Paul Palamone
2140 Ardmore Blvd |
$30.46 | 3,096 | 651 |
|
Ann Katherine Rodgers
2020 Ardmore Blvd |
$127.48 | 3,086 | 1,086 |
|
Terra Horne
200 Lothrop St |
$81.76 | 3,014 | 955 |
|
Eric Marotta
400 Rodi Rd |
$17.23 | 2,999 | 1,158 |
|
Laura L Phillips
2000 Mary St |
$129.47 | 2,984 | 1,367 |
|
Laura Smith
6301 Northumberland St |
$27.03 | 2,882 | 1,103 |
|
Julie Elizabeth Sealy
2020 Ardmore Blvd Ste 295 |
$135.72 | 2,827 | 966 |
|
Sharilynn Ichimura
200 Lothrop St |
$128.06 | 2,774 | 1,067 |
|
Ronald M Ploucha
1927 E Carson St |
$17.25 | 2,678 | 611 |
|
Yocheved Lesnik
5909 Hobart St |
$83.40 | 2,670 | 654 |
|
Patrick Rainey
6301 Northumberland St |
$26.85 | 2,637 | 1,002 |
|
Abby Watson
2020 Ardmore Blvd |
$131.87 | 2,633 | 815 |
|
Lisa Franz
2310 Jane St |
$10.59 | 2,516 | 975 |
|
Douglas Bittel
305 Camp Hollow Rd Bldg B |
$29.19 | 2,472 | 1,033 |
|
Janine Marie Goyke
1732 Barr Ave |
$127.04 | 2,457 | 985 |
|
Mary C. Yoho
9800B Mcknight Rd |
$129.84 | 2,409 | 896 |
|
Andrea Nichole Mick
5500 Margaretta St Apt 105 |
$131.74 | 2,395 | 832 |
|
Penn Hills School District
309 Collins Dr |
$17.12 | 2,365 | 970 |
|
Nicole Lee Sciulli
1417 Wightman St |
$134.84 | 2,347 | 841 |
|
Erin Marie Mcnulty
537 Bellaire Ave |
$129.30 | 2,329 | 983 |
|
Jaime Lyn Ruffing
1417 Wightman St |
$131.54 | 2,267 | 902 |
|
Alexis Franks
100 Hightower Blvd |
$132.43 | 2,121 | 561 |
|
Michael R Lapiana
637 Washington Rd |
$31.78 | 2,119 | 817 |
|
Upper St. Clair School District
1820 Mclaughlin Run Rd |
$26.76 | 2,107 | 649 |
|
Paula Rhodes Glasser
2101 Greentree Rd |
$129.81 | 2,104 | 722 |
|
Anne Kisak
1405 Shady Ave |
$43.24 | 2,100 | 899 |
|
Daniel M Malkamaki
2585 Freeport Rd Ste 105 |
$78.29 | 2,085 | 1,044 |
|
Audra Sitterly
491 Cherry Ct |
$127.31 | 2,082 | 714 |
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 Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Pittsburgh, PA is $57.35 per claim, based on 415,480 claims from 311 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 Pittsburgh, PA?
There are 311 Medicaid providers offering Physical Therapy related services in Pittsburgh, PA according to public payment data.
What is the price range for Physical Therapy in Pittsburgh, PA?
Medicaid reimbursement for Physical Therapy in Pittsburgh, PA ranges from $0.00 to $271.03 per claim, with an average of $57.35. 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 Pittsburgh, PA
Blood Work & Lab Tests
Avg $12.74
5,898,610 claims
Office Visit
Avg $58.11
1,594,344 claims
Emergency Room Visit
Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
Culture & Microbiology Tests
Avg $5.35
530,883 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
404,951 claims
Case Management Services
Avg $133.79
331,503 claims