Average Medicaid Physical Therapy Payments in Prineville, OR: $22.29
Avg. Paid
$22.29
Range
$0.00 – $52.96
Total Claims
39,812
Providers
16
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 Prineville, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Warren Robert Ocano
1470 Ne 3Rd St |
$20.00 | 8,842 | 3,129 |
|
Jill M Bemis
124 Nw 2Nd St |
$27.55 | 8,272 | 3,854 |
|
Ryan Short
1251 Ne Elm St Ste 2A |
$22.38 | 6,043 | 2,417 |
|
Kelsee Sofich
1470 Ne 3Rd St |
$15.19 | 4,073 | 1,847 |
|
Heather M Klos
1590 Ne 3Rd St Ste B |
$19.40 | 3,407 | 1,304 |
|
Nicole Seal
1470 Ne 3Rd St |
$21.16 | 2,515 | 1,291 |
|
Carina Estella Kahl
1251 Ne Elm St Ste 2A |
$21.39 | 1,986 | 779 |
|
Teryn Wiens
1590 Ne 3Rd St Ste B |
$42.53 | 820 | 274 |
|
Sarah K Zamora
1590 Ne 3Rd St Ste B |
$28.09 | 813 | 323 |
|
Austin Harrison Fleming
1590 Ne 3Rd St Ste B |
$22.09 | 707 | 234 |
|
Sarah L Tonna
425 N Main St |
$38.54 | 598 | 249 |
|
Evan Ameluxen-Coleman
1590 Ne 3Rd St Ste B |
$27.24 | 578 | 184 |
|
St. Charles Health System, Inc.
384 Se Combs Flat Rd |
$0.00 | 471 | 195 |
|
Kenneth W Smith
1251 Ne Elm St |
$20.32 | 444 | 173 |
|
Breanna Regan
1470 Ne 3Rd St |
$0.00 | 195 | 92 |
|
Tamara M Weber
425 N Main St |
$52.96 | 48 | 24 |
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 Prineville, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Prineville, OR is $22.29 per claim, based on 39,812 claims from 16 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 Prineville, OR?
There are 16 Medicaid providers offering Physical Therapy related services in Prineville, OR according to public payment data.
What is the price range for Physical Therapy in Prineville, OR?
Medicaid reimbursement for Physical Therapy in Prineville, OR ranges from $0.00 to $52.96 per claim, with an average of $22.29. 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 Prineville, OR
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Avg $73.76
118,017 claims
Office Visit
Avg $31.36
58,342 claims
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Avg $1.58
40,313 claims
Emergency Room Visit
Avg $100.97
30,332 claims
Psychiatric Evaluation
Avg $121.61
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Avg $21.92
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Avg $96.00
9,886 claims
Behavioral & Mental Health Therapy
Avg $147.30
6,991 claims