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Based on public Medicaid payment data.

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
Andrew Royalty

727 Se Main St

$55.92 23 14
Duncan Evans

300 Scuffletown Rd

$74.34 23 12
Kristin Carolyne Moser

727 Se Main St

$56.53 27 14
Kaysten Sorenson

1400 W Georgia Rd Ste 400

$56.01 31 14
Jackson Byess

1409 W Georgia Rd

$44.58 36 12
Wilson Lane Ten Pas

727 Se Main St Ste 200

$63.94 42 13
Katelyn Elizabeth Burn

300 Scuffletown Rd

$55.73 56 16
Rae Ann Saulnier

727 Se Main St Ste 200

$44.73 60 24
Janine Carla Dijan Sunga

655 Fairview Rd Ste F

$65.23 61 25
Prisma Health-Upstate

729 Se Main St

$0.00 62 50
Michael Waters

35 Ray E Talley Ct

$46.24 66 27
Christopher Rodney Knight

2615 Woodruff Rd Ste 400

$15.44 72 46
Wendy S Friday

727 Se Main St

$48.29 91 25
Austin Kerwin Pack

727 Se Main St Ste 200

$43.82 91 30
Hannah Marie Fox

727 Se Main St

$70.23 116 49
Kennedy Allen

727 Se Main St Ste 200

$50.93 130 62
Elizabeth Rose Bannio

719 Se Main St Ste B

$29.22 149 38
Samuel James Murdock

727 Se Main St

$34.91 153 68
Caroline Delaney

717 Ridgemoor Trl

$101.85 153 44
Abigail Mcdonald Buss

727 Se Main St Ste 200

$54.76 179 84
Alyssa Nicole Zeringue

727 Se Main St Ste 200

$49.88 233 87
Stephanie Buffo Morgan

300 Scuffletown Rd

$56.36 234 69
Samyukta Kappagantula

Plaza Ct, 11 Five Forks Rd Suite C

$20.82 275 96
Kathleen M Beals

219 Gerald Dr

$89.62 290 115
Logan Walsh

727 Se Main St Ste 200

$49.08 386 114
Rebekah Mae Horn

300 Scuffletown Rd

$50.16 406 210
Megan Peters

345 Five Forks Rd

$1.88 511 115
Stephanie N Stewart

404 Harrison Bridge Rd Ste D

$46.25 780 304
Kennedy Reed Edgerton

727 Se Main St Ste 200

$26.12 780 198
Savannah Leigh Jackson

222 Ladean Ct Ste E

$80.42 824 234
Rachel Elizabeth Arthur

8 E Loden Dr

$71.38 1,373 496
Amy Elizabeth Broderick

727 Se Main St Ste 200

$65.81 1,396 443
Holly Nichole Chittenden

727 Se Main St Ste 200

$54.86 1,404 479
Ann S Perkins

719B Se Main St

$60.25 1,471 499
Clayton Boothe

719 Se Main St Ste B

$42.80 1,503 414
Kristy Chun Rho

727 Se Main St Ste 200

$34.14 1,542 669
Christin Marie Ashley

2615 Woodruff Rd Ste 400

$51.95 1,682 644
Megan Novia Wingo

100 Horsepen Way

$70.74 2,497 804
Stephanie Leigh Peterson

1029 Powderhorn Rd

$70.67 4,747 1,320
Lily Sara Waitsman

1400 W Georgia Rd Ste 400

$64.76 5,776 2,136
Angela Nicole Boyd

11 Martele Ct

$86.40 15,842 4,840

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

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