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Based on public Medicaid payment data.

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.

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