Average Medicaid Physical Therapy Payments in Simpsonville, SC: $68.40
Avg. Paid
$68.40
Range
$0.00 – $101.85
Total Claims
45,573
Providers
41
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 Simpsonville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Angela Nicole Boyd
11 Martele Ct |
$86.40 | 15,842 | 4,840 |
|
Lily Sara Waitsman
1400 W Georgia Rd Ste 400 |
$64.76 | 5,776 | 2,136 |
|
Stephanie Leigh Peterson
1029 Powderhorn Rd |
$70.67 | 4,747 | 1,320 |
|
Megan Novia Wingo
100 Horsepen Way |
$70.74 | 2,497 | 804 |
|
Christin Marie Ashley
2615 Woodruff Rd Ste 400 |
$51.95 | 1,682 | 644 |
|
Kristy Chun Rho
727 Se Main St Ste 200 |
$34.14 | 1,542 | 669 |
|
Clayton Boothe
719 Se Main St Ste B |
$42.80 | 1,503 | 414 |
|
Ann S Perkins
719B Se Main St |
$60.25 | 1,471 | 499 |
|
Holly Nichole Chittenden
727 Se Main St Ste 200 |
$54.86 | 1,404 | 479 |
|
Amy Elizabeth Broderick
727 Se Main St Ste 200 |
$65.81 | 1,396 | 443 |
|
Rachel Elizabeth Arthur
8 E Loden Dr |
$71.38 | 1,373 | 496 |
|
Savannah Leigh Jackson
222 Ladean Ct Ste E |
$80.42 | 824 | 234 |
|
Kennedy Reed Edgerton
727 Se Main St Ste 200 |
$26.12 | 780 | 198 |
|
Stephanie N Stewart
404 Harrison Bridge Rd Ste D |
$46.25 | 780 | 304 |
|
Megan Peters
345 Five Forks Rd |
$1.88 | 511 | 115 |
|
Rebekah Mae Horn
300 Scuffletown Rd |
$50.16 | 406 | 210 |
|
Logan Walsh
727 Se Main St Ste 200 |
$49.08 | 386 | 114 |
|
Kathleen M Beals
219 Gerald Dr |
$89.62 | 290 | 115 |
|
Samyukta Kappagantula
Plaza Ct, 11 Five Forks Rd Suite C |
$20.82 | 275 | 96 |
|
Stephanie Buffo Morgan
300 Scuffletown Rd |
$56.36 | 234 | 69 |
|
Alyssa Nicole Zeringue
727 Se Main St Ste 200 |
$49.88 | 233 | 87 |
|
Abigail Mcdonald Buss
727 Se Main St Ste 200 |
$54.76 | 179 | 84 |
|
Caroline Delaney
717 Ridgemoor Trl |
$101.85 | 153 | 44 |
|
Samuel James Murdock
727 Se Main St |
$34.91 | 153 | 68 |
|
Elizabeth Rose Bannio
719 Se Main St Ste B |
$29.22 | 149 | 38 |
|
Kennedy Allen
727 Se Main St Ste 200 |
$50.93 | 130 | 62 |
|
Hannah Marie Fox
727 Se Main St |
$70.23 | 116 | 49 |
|
Austin Kerwin Pack
727 Se Main St Ste 200 |
$43.82 | 91 | 30 |
|
Wendy S Friday
727 Se Main St |
$48.29 | 91 | 25 |
|
Christopher Rodney Knight
2615 Woodruff Rd Ste 400 |
$15.44 | 72 | 46 |
|
Michael Waters
35 Ray E Talley Ct |
$46.24 | 66 | 27 |
|
Prisma Health-Upstate
729 Se Main St |
$0.00 | 62 | 50 |
|
Janine Carla Dijan Sunga
655 Fairview Rd Ste F |
$65.23 | 61 | 25 |
|
Rae Ann Saulnier
727 Se Main St Ste 200 |
$44.73 | 60 | 24 |
|
Katelyn Elizabeth Burn
300 Scuffletown Rd |
$55.73 | 56 | 16 |
|
Wilson Lane Ten Pas
727 Se Main St Ste 200 |
$63.94 | 42 | 13 |
|
Jackson Byess
1409 W Georgia Rd |
$44.58 | 36 | 12 |
|
Kaysten Sorenson
1400 W Georgia Rd Ste 400 |
$56.01 | 31 | 14 |
|
Kristin Carolyne Moser
727 Se Main St |
$56.53 | 27 | 14 |
|
Duncan Evans
300 Scuffletown Rd |
$74.34 | 23 | 12 |
|
Andrew Royalty
727 Se Main St |
$55.92 | 23 | 14 |
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 Simpsonville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Simpsonville, SC is $68.40 per claim, based on 45,573 claims from 41 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 Simpsonville, SC?
There are 41 Medicaid providers offering Physical Therapy related services in Simpsonville, SC according to public payment data.
What is the price range for Physical Therapy in Simpsonville, SC?
Medicaid reimbursement for Physical Therapy in Simpsonville, SC ranges from $0.00 to $101.85 per claim, with an average of $68.40. 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 Simpsonville, SC
Office Visit
Avg $69.58
236,533 claims
Dental Cleaning & Exam
Avg $33.92
94,079 claims
Blood Work & Lab Tests
Avg $26.25
91,016 claims
Vaccines & Immunizations
Avg $22.23
54,059 claims
Emergency Room Visit
Avg $30.24
48,944 claims
Urinalysis & Urine Tests
Avg $13.73
44,936 claims
Speech Therapy
Avg $85.77
38,536 claims
Psychiatric Evaluation
Avg $146.64
29,814 claims