Average Medicaid Physical Therapy Payments in Sandusky, OH: $26.02
Avg. Paid
$26.02
Range
$0.12 – $80.25
Total Claims
94,042
Providers
22
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 Sandusky, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northern Ohio Medical Specialists Llc
3004 Hayes Ave |
$21.71 | 49 | 31 |
|
Gregg D Winnestaffer
3703 Columbus Ave |
$6.16 | 52 | 37 |
|
Noah Winslow
2500 W Strub Rd Ste 150 |
$16.62 | 125 | 70 |
|
Amanda Johnson
167 E Washington Row |
$67.17 | 166 | 53 |
|
Sherif Shawky Zaky
703 Tyler St Ste 352 |
$35.65 | 184 | 40 |
|
Nichole Dauch-Redding
2500 W Strub Rd Ste 150 |
$21.87 | 329 | 124 |
|
Academy Of Arts And Sciences
328 E. Monroe Street |
$25.20 | 427 | 139 |
|
Connor Mapus
2500 W Strub Rd Ste 150 |
$17.92 | 589 | 173 |
|
Pamela Jo Evans
2500 W Strub Rd Ste 150 |
$15.28 | 622 | 257 |
|
Justin Kelley
1401 Bone Creek Dr |
$80.25 | 677 | 145 |
|
Thomas Blanton
2500 W Strub Rd |
$22.11 | 873 | 395 |
|
Cody Stephen Crockett
1401 Bone Creek Dr |
$63.42 | 921 | 216 |
|
Jeremy Thomas Blackston
2500 W Strub Rd Ste 150 |
$15.08 | 1,130 | 473 |
|
Matthew Gundlach
2500 W Strub Rd Ste 150 |
$20.40 | 1,217 | 524 |
|
Thomas A Olexa
1401 Bone Creek Dr |
$63.88 | 1,470 | 319 |
|
David B Ott
2500 W Strub Rd Ste 150 |
$13.30 | 1,660 | 665 |
|
Christine Pleasnick
2500 W Strub Rd Ste 150 |
$17.63 | 1,688 | 572 |
|
Perkins Local School District
1210 E Bogart Rd |
$12.68 | 4,644 | 1,866 |
|
Robert J Vaschak
2500 W Strub Rd |
$0.12 | 14,020 | 1,497 |
|
Sandusky City School District
407 Decatur St |
$13.32 | 15,442 | 5,258 |
|
Beverly J Weyer
1401 Bone Creek Dr |
$13.45 | 21,410 | 5,484 |
|
Firelands Regional Medical Center
1111 Hayes Ave |
$57.48 | 26,347 | 8,318 |
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 Sandusky, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Sandusky, OH is $26.02 per claim, based on 94,042 claims from 22 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 Sandusky, OH?
There are 22 Medicaid providers offering Physical Therapy related services in Sandusky, OH according to public payment data.
What is the price range for Physical Therapy in Sandusky, OH?
Medicaid reimbursement for Physical Therapy in Sandusky, OH ranges from $0.12 to $80.25 per claim, with an average of $26.02. 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 Sandusky, OH
Office Visit
Avg $42.41
466,031 claims
Home Health Visit
Avg $43.27
438,677 claims
Blood Work & Lab Tests
Avg $5.88
227,097 claims
Emergency Room Visit
Avg $84.02
175,771 claims
Psychiatric Evaluation
Avg $78.08
130,688 claims
Vaccines & Immunizations
Avg $6.81
94,659 claims
Dental Cleaning & Exam
Avg $20.10
94,171 claims
Behavioral & Mental Health Therapy
Avg $66.12
81,638 claims