Average Medicaid Physical Therapy Payments in Pottstown, PA: $25.52
Avg. Paid
$25.52
Range
$0.02 – $149.81
Total Claims
53,510
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 Pottstown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Owen J Roberts School District
901 Ridge Rd |
$8.09 | 12,476 | 4,018 |
|
Matthew L Musket
351 W Schuylkill Rd Ste G-15A |
$0.05 | 6,734 | 2,781 |
|
Pottsgrove School District
1301 Kauffman Rd |
$30.87 | 6,563 | 2,294 |
|
Alyssa Marie Feairheller
1300 N Charlotte St |
$26.95 | 4,663 | 1,002 |
|
Pottstown School District
230 Beech St |
$53.81 | 4,648 | 1,745 |
|
Novita Cindy Baldeo
1300 N Charlotte St Ste 14A |
$18.53 | 3,538 | 1,073 |
|
Krishna Khamar
1603 E High St |
$29.44 | 2,755 | 651 |
|
Robert White
1300 N Charlotte St |
$15.76 | 2,595 | 608 |
|
Michelle Pereni
72 N Roland St |
$149.81 | 2,552 | 931 |
|
Leeat Adlersberg
351 W Schuylkill Rd Ste G-15A |
$0.02 | 2,456 | 1,156 |
|
Candice Leah Troilo
351 W Schuylkill Rd Ste G-15A |
$45.01 | 1,631 | 780 |
|
Anthony D Kreft
1561 Medical Dr |
$3.83 | 1,037 | 526 |
|
Cesar Augusto Avila
351 W Schuylkill Rd Ste G-15A |
$0.53 | 906 | 483 |
|
Francis Patrick Filippelli
10 Glocker Way |
$18.80 | 387 | 94 |
|
Danielle Konowal
1603 E High St |
$29.09 | 209 | 73 |
|
Tracy R Lapreziosa
965 Malvern Dr |
$133.37 | 173 | 75 |
|
Elizabeth Dinenna
1561 Medical Dr |
$4.70 | 168 | 93 |
|
Nicole Torlincasi
10 Glocker Way |
$33.76 | 19 | 13 |
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 Pottstown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Pottstown, PA is $25.52 per claim, based on 53,510 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 Pottstown, PA?
There are 18 Medicaid providers offering Physical Therapy related services in Pottstown, PA according to public payment data.
What is the price range for Physical Therapy in Pottstown, PA?
Medicaid reimbursement for Physical Therapy in Pottstown, PA ranges from $0.02 to $149.81 per claim, with an average of $25.52. 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 Pottstown, PA
Office Visit
Avg $39.94
96,350 claims
Home Health Visit
Avg $94.65
40,094 claims
Speech Therapy
Avg $25.18
38,459 claims
Ambulance Transport
Avg $55.29
37,007 claims
Emergency Room Visit
Avg $110.51
33,179 claims
Vaccines & Immunizations
Avg $5.02
20,875 claims
Dental Cleaning & Exam
Avg $12.40
16,066 claims
Blood Work & Lab Tests
Avg $7.59
13,844 claims