Average Medicaid Physical Therapy Payments in Raleigh, NC: $58.54
Avg. Paid
$58.54
Range
$0.00 – $98.78
Total Claims
340,680
Providers
185
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 Raleigh, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Joshua Conti
1300 Corporation Pkwy |
$28.74 | 37,614 | 9,768 |
|
Susan Michele Powell
2315 Myron Dr |
$87.66 | 22,549 | 5,787 |
|
Shannon Elizabeth Flynn
1611 Jones Franklin Rd |
$86.51 | 11,639 | 1,458 |
|
Lauren Sharpless
7283 Sandy Creek Dr |
$79.37 | 11,396 | 2,766 |
|
Tiffany Rachelle Goins
4201 Lake Boone Trail |
$66.19 | 11,332 | 3,495 |
|
Jennifer Hudson
4104 Lambeth Dr |
$71.82 | 11,257 | 3,411 |
|
Obinna Chika Ezeamurunamma
3808 Tritonville Way |
$0.92 | 8,270 | 450 |
|
Leslie Beth Hathaway
5209 Neuse Tavern Ct |
$87.41 | 7,436 | 2,027 |
|
Meghan Hedglin Soderblom
6105 Eaglesfield Dr |
$93.88 | 7,373 | 1,486 |
|
Cindy Lou Outman
4201 Lake Boone Trail |
$62.69 | 6,838 | 2,294 |
|
Jay A Moore
3001 Spring Forest Rd |
$4.68 | 6,676 | 655 |
|
Elizabeth Ann Bevelacqua
4201 Lake Boone Trail |
$62.13 | 6,509 | 1,489 |
|
Rachel Miller Hatchell
7401 Rolling Dale Ct |
$78.55 | 6,489 | 1,880 |
|
Leah Wojciechowski Wiltgen
4909 Waters Edge Dr Ste 100 |
$80.43 | 6,466 | 1,950 |
|
Brian Michael Gentry
4201 Lake Boone Trail |
$66.20 | 6,296 | 1,760 |
|
Jennifer Lee Mock
11030 Raven Ridge Rd |
$65.37 | 5,289 | 1,649 |
|
Zulema Ferrin
4924 Holland Church Rd |
$94.25 | 4,492 | 1,191 |
|
Gabrielle Mougey Mccarthy
4201 Lake Boone Trl Ste 4 |
$57.86 | 4,283 | 1,409 |
|
Lauren Kimberly Ford
4201 Lake Boone Trl Ste 4 |
$60.99 | 4,257 | 1,206 |
|
Lesa Lynn Brown
3001 Spring Forest Rd |
$87.03 | 4,170 | 1,138 |
|
Megan Venable
4201 Lake Boone Trl Ste 4 |
$56.29 | 4,092 | 1,140 |
|
Amanda Erin Billow
4201 Lake Boone Trl |
$62.50 | 3,984 | 1,220 |
|
Ciara Henderson
7901 Strickland Rd Ste 101 |
$76.66 | 3,703 | 1,128 |
|
Mitchell Griffin Fornecker
11030 Raven Ridge Rd Ste 101 |
$63.10 | 3,690 | 1,155 |
|
Joleen Antonia Andrews
3504 Diamond Springs Dr |
$4.50 | 3,515 | 1,137 |
|
Cortney E Marotto
1300 Corporation Pkwy Ste B |
$78.06 | 3,436 | 1,131 |
|
Lindsey Moore
11030 Raven Ridge Rd |
$67.53 | 3,314 | 1,099 |
|
Austen Joseph Zente
4201 Lake Boone Trl Ste 4 |
$64.66 | 3,311 | 989 |
|
Mary Nixon
4201 Lake Boone Trl |
$68.76 | 3,308 | 916 |
|
Erin Michelle Rosner
4201 Lake Boone Trl |
$53.06 | 3,140 | 1,063 |
|
Courtney Faye Belt
11081 Forest Pines Dr Ste 112 |
$0.00 | 3,127 | 1,136 |
|
Lauren Clark
5209 Neuse Tavern Ct |
$95.54 | 2,997 | 783 |
|
Kara Evans
4510 Duraleigh Rd |
$3.76 | 2,779 | 531 |
|
John Paul Quinn
2310 Bale St Ste 100 |
$45.87 | 2,703 | 774 |
|
Jessica Mills Holmes
11030 Raven Ridge Rd Ste 101 |
$67.40 | 2,626 | 860 |
|
Kirsten Mcbride
4201 Lake Boone Trl |
$55.63 | 2,532 | 721 |
|
Ashlyn Hill Tolbert
4201 Lake Boone Trl Ste 4 |
$58.65 | 2,446 | 889 |
|
Megan Mackinlay Reed
1321 Ujamaa Dr |
$68.81 | 2,429 | 499 |
|
Allison Johnson
120 Haringey Dr |
$93.58 | 2,335 | 545 |
|
Betsy Joy Bennett Murphy
1520 Sunday Dr |
$64.07 | 2,323 | 761 |
|
Michelle Marie Eiben
4201 Lake Boone Trail |
$89.13 | 2,290 | 744 |
|
Erin Afshar
11030 Raven Ridge Rd |
$68.27 | 2,281 | 741 |
|
Hayley Anna Dale Wimberley
2800 Kidd Rd |
$0.00 | 2,211 | 255 |
|
Mark Leonard Ansbrow
3320 Executive Dr |
$32.02 | 2,170 | 433 |
|
Dawn Marie Rohlik
7209 Creedmoor Rd |
$82.47 | 2,160 | 573 |
|
Alison Black
2722 Hidden Waters Cir |
$82.62 | 2,102 | 643 |
|
Tiffany Little Ashburn
2800 Kidd Rd |
$0.00 | 2,094 | 321 |
|
Cynthia A Wolfe
11030 Raven Ridge Rd |
$52.58 | 2,030 | 708 |
|
Rachelle Newland
8601 Six Forks Road |
$45.98 | 1,928 | 400 |
|
Colleen Reilly Kane
3803B Computer Dr Ste 200 |
$90.26 | 1,857 | 453 |
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 Raleigh, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Raleigh, NC is $58.54 per claim, based on 340,680 claims from 185 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 Raleigh, NC?
There are 185 Medicaid providers offering Physical Therapy related services in Raleigh, NC according to public payment data.
What is the price range for Physical Therapy in Raleigh, NC?
Medicaid reimbursement for Physical Therapy in Raleigh, NC ranges from $0.00 to $98.78 per claim, with an average of $58.54. 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 Raleigh, NC
Blood Work & Lab Tests
Avg $14.74
2,273,950 claims
Office Visit
Avg $59.24
1,603,097 claims
Emergency Room Visit
Avg $139.82
911,865 claims
Dental Cleaning & Exam
Avg $29.35
889,864 claims
Psychiatric Evaluation
Avg $74.92
754,370 claims
Substance Abuse Treatment
Avg $63.03
671,403 claims
Vaccines & Immunizations
Avg $16.76
580,140 claims
Speech Therapy
Avg $62.41
512,881 claims