Average Medicaid Physical Therapy Payments in Seneca, SC: $56.01
Avg. Paid
$56.01
Range
$13.12 – $80.82
Total Claims
29,948
Providers
18
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 Seneca, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julie Lynn Hauberg
12023 N Radio Station Rd # A |
$15.83 | 40 | 12 |
|
Kaelan Kowalick
12023 N Radio Station Rd Ste A |
$73.27 | 42 | 17 |
|
Leanna Elizabeth Purvis
12023 N Radio Station Rd # A |
$31.91 | 44 | 24 |
|
Shelly Lain Barber
245 Stone Pond Way |
$71.63 | 71 | 24 |
|
Mallory M Prosser
10239 Clemson Blvd Ste 340 |
$31.90 | 102 | 29 |
|
Andrea Babinski
11091 N Radio Station Rd Ste A |
$15.67 | 111 | 24 |
|
Clinton Jeff Clark
12023 N Radio Station Rd |
$55.58 | 127 | 41 |
|
Glenn Fleenor
12023 N Radio Station Rd Ste A |
$36.72 | 133 | 63 |
|
Carlene Martin
10626 Clemson Blvd |
$53.24 | 145 | 52 |
|
Nathaniel Bradley Adams
10879 Clemson Blvd |
$39.93 | 287 | 91 |
|
Kurt Fluhler
12023 N Radio Station Rd Ste A |
$51.43 | 413 | 169 |
|
Amie Kaye Derrick White
114 Keowee School Rd Unit C |
$55.60 | 1,062 | 354 |
|
Nelson Vazquez
10626 Clemson Blvd |
$80.79 | 1,228 | 450 |
|
Christan Lee Hayes
12023 N Radio Station Rd Ste A |
$55.39 | 1,266 | 411 |
|
Roneesha Donina Vedette Mcdowell
10626 Clemson Blvd |
$13.12 | 1,673 | 200 |
|
Cynthia Burnett Adams
205 Wakefield Dr |
$80.32 | 3,580 | 1,344 |
|
Darlene Marie Mcnulty
914 Bypass 123 |
$80.82 | 6,059 | 2,184 |
|
Prisma Health-Upstate
298 Memorial Dr |
$42.93 | 13,565 | 5,682 |
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 Seneca, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Seneca, SC is $56.01 per claim, based on 29,948 claims from 18 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 Seneca, SC?
There are 18 Medicaid providers offering Physical Therapy related services in Seneca, SC according to public payment data.
What is the price range for Physical Therapy in Seneca, SC?
Medicaid reimbursement for Physical Therapy in Seneca, SC ranges from $13.12 to $80.82 per claim, with an average of $56.01. 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
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Avg $62.95
222,843 claims
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Avg $29.37
213,493 claims
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Avg $33.61
103,725 claims
Emergency Room Visit
Avg $37.18
92,374 claims
Urinalysis & Urine Tests
Avg $13.57
69,575 claims
Vaccines & Immunizations
Avg $12.96
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X-Ray
Avg $19.03
44,746 claims
Durable Medical Equipment (DME)
Avg $21.68
31,632 claims