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 |
|---|---|---|---|
|
Monica Cook
3509 Haworth Dr Ste 222 |
$77.41 | 12 | 12 |
|
Alexandra Denise Bentley
3024 New Bern Ave |
$42.28 | 14 | 14 |
|
Rebecca Elizabeth Fillipo
4909 Green Rd |
$16.20 | 17 | 12 |
|
Alan Levinson
5920 Sandy Forks Rd Ste 200 |
$40.18 | 20 | 13 |
|
Hameera Joyce Brooks
4109 Wake Forest Rd Ste 200 |
$22.31 | 20 | 12 |
|
John Albert Skowron
5920 Sandy Forks Rd Ste 200 |
$20.52 | 22 | 13 |
|
Patrick J O'Brien
3000 New Bern Ave |
$41.29 | 23 | 12 |
|
Cailen Jane Easdale
4924 Holland Church Rd |
$84.05 | 23 | 12 |
|
Ashley Mccue
8410 Louisburg Rd Ste 130 |
$13.05 | 24 | 13 |
|
Rachel Sellinger Nixon
4201 Lake Boone Trl |
$67.38 | 26 | 12 |
|
Victoria Love Clements
3801 Wake Forest Rd Ste 230 |
$0.00 | 27 | 12 |
|
Pamela Bowden Brisson
11200 Governor Manly Way Ste 305 |
$22.60 | 35 | 12 |
|
Martin Gonzalez
11009 Ingleside Pl Ste 102 |
$25.31 | 35 | 14 |
|
Claire Tero
4909 Waters Edge Dr |
$67.11 | 36 | 15 |
|
Emma Elizabeth Mccarthy
4201 Lake Boone Trl Ste 4 |
$45.63 | 36 | 12 |
|
Kelly Jo Hall Comer
3001 Spring Forest Rd |
$0.59 | 37 | 13 |
|
Joshua A Flores-Vitti
3001 Edwards Mill Rd Ste 200 |
$19.30 | 37 | 12 |
|
Sara Lynn Campbell
3801 Wake Forest Rd Ste 230 |
$17.62 | 39 | 13 |
|
Angela Stratakes
3200 Blue Ridge Rd |
$67.78 | 40 | 12 |
|
Kathleen Klekamp Gunner
5241 Wildmarsh Dr |
$77.01 | 44 | 12 |
|
Meghan Hardman Meredith
1009 Wade Ave Apt 541 |
$73.78 | 49 | 12 |
|
Helen Alexandra Bonner
Hey Clinic Pa |
$23.08 | 54 | 25 |
|
Jillian P Schofield
3320 Executive Dr |
$28.79 | 58 | 24 |
|
Carolina Rehabworks, Inc.
555 Fayetteville St Ste 201 |
$0.00 | 61 | 14 |
|
Lisa M Fiander
6105 Eaglesfield Dr |
$82.59 | 62 | 14 |
|
Kristine Diane Olivotti
8305 Falls Of Neuse Rd |
$20.04 | 64 | 25 |
|
Pediatric Therapy Associates
4201 Lake Boone Trail |
$0.00 | 65 | 60 |
|
Geraldine Kokott Highsmith
4201 Lake Boone Trail |
$62.58 | 70 | 40 |
|
Allison Gallagher
6150 Falls Of Neuse Rd |
$17.81 | 71 | 24 |
|
Melissa Hodges
4924 Holland Church Rd |
$86.07 | 74 | 52 |
|
Jahnee Lee-Chambers
11550 Common Oaks Dr Ste 100 |
$15.59 | 75 | 29 |
|
Kelli Bayer
110 Horizon Dr Ste 310 |
$0.00 | 76 | 14 |
|
Allison Stockwell
4909 Waters Edge Drive |
$81.52 | 81 | 14 |
|
Ashley Owen Frazier
3803 Computer Dr |
$93.43 | 81 | 28 |
|
Savanna Mae Ciaccio
10010 Falls Of Neuse Rd |
$35.33 | 85 | 36 |
|
Katie Fletcher
120 Haringey Dr |
$69.84 | 85 | 40 |
|
James A Gallegro
3100 Duraleigh Rd Ste 100 |
$15.04 | 92 | 37 |
|
Kearstyn Leigh Smith
3803B Computer Dr Unit 200 |
$90.41 | 98 | 27 |
|
Carly Nassereh Ettefagh
3803B Computer Dr Ste 200 |
$84.33 | 98 | 25 |
|
Alicia Marie Tabbutt
5411 Reunion Pt |
$0.00 | 98 | 26 |
|
Jamie S Throndset
8608 Carriage Tour Ln |
$7.29 | 99 | 51 |
|
Ramesh Babu Konduru
10640 Durant Rd Ste 101 |
$0.00 | 104 | 14 |
|
Courtney Lynn Race
4201 Lake Boone Trl |
$57.48 | 106 | 43 |
|
Kevin Glen Saldanha
7501 Lead Mine Rd |
$19.47 | 125 | 57 |
|
Kristen Kratovil
8402 Six Forks Rd Ste 101 |
$77.03 | 129 | 37 |
|
Jennifer Patetta
3100 Duraleigh Rd Ste 100 |
$17.41 | 133 | 75 |
|
Donna Carole Greene
8007 Gilano Dr |
$72.62 | 136 | 54 |
|
Emelia R Langston
7209 Creedmoor Rd |
$93.72 | 145 | 37 |
|
Mariah Rose Cybator
3320 Wake Forest Rd |
$31.04 | 147 | 84 |
|
Samantha Grimes Brown
3100 Duraleigh Rd |
$13.51 | 158 | 83 |
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