Average Medicaid Physical Therapy Payments in Sioux Falls, SD: $33.52
Avg. Paid
$33.52
Range
$4.38 – $163.51
Total Claims
119,201
Providers
32
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 Sioux Falls, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Avera Mckennan
6100 S Louise Ave Ste 1275 |
$24.20 | 41,033 | 14,314 |
|
Prairie Rehabilitation Services, Inc.
1720 S Cliff Ave |
$17.12 | 36,391 | 8,970 |
|
Anderson-Smith Speech Therapy, Llc
8011 S Cinnamon Ridge Pl |
$27.27 | 7,413 | 1,653 |
|
Darlene Kindt
3400 S Southeastern Ave |
$17.17 | 6,333 | 1,356 |
|
Functional Kids, Pllc
3000 E Jackson St |
$70.91 | 5,432 | 1,417 |
|
Carolyn Kippes
1600 W 22Nd St |
$163.51 | 3,851 | 880 |
|
The Speech Mom Llc
2109 S Faris Ave |
$33.86 | 3,115 | 1,161 |
|
Noelle Marie Mcgee
1600 W 22Nd St |
$140.62 | 2,363 | 525 |
|
Julie Johnson
1600 W 22Nd St |
$70.77 | 2,353 | 848 |
|
Sanford Medical Center
1305 W 18Th St |
$8.44 | 1,908 | 308 |
|
Erin N Schroeder
1600 W 22Nd St |
$99.95 | 1,524 | 417 |
|
Theratime Inc
2115 S Pendar Ln |
$23.79 | 1,292 | 346 |
|
Goodcare Athome Rehab, Llc
1000 N West Ave Ste 210 |
$13.82 | 903 | 193 |
|
Sanford Medical Center
1420 W 22Ndst Ste 104 |
$35.92 | 749 | 285 |
|
Nicole R.G. Knight
2501 W 26Th St |
$54.07 | 632 | 223 |
|
Goodcare Llc
1000 N West Ave Ste 210 |
$28.92 | 584 | 176 |
|
G2G Pt Llc
7013 W 56Th St Unit 6 |
$65.88 | 544 | 223 |
|
Natalie Azzarito
2571 S Westlake Dr Ste 200 |
$22.42 | 518 | 294 |
|
Tiny Tots Pt, Inc.
6100 W 41St St Ste 102 |
$67.77 | 425 | 108 |
|
Charles A Broberg
1600 W 22Nd St |
$61.91 | 284 | 105 |
|
Misty Marie Folkestad
1321 W 22Nd St |
$71.78 | 270 | 110 |
|
Nicole Fluth
5625 S Southeastern Ave |
$31.61 | 229 | 116 |
|
Jared William Daniel
1210 W 18Th St Ste G01 |
$35.53 | 174 | 62 |
|
Seth Schmoll
1210 W 18Th St Ste G01 |
$100.65 | 157 | 41 |
|
Ricky Kooima
1200 S 7Th Ave |
$18.18 | 154 | 37 |
|
Sanford Clinic
1600 W 22Nd St |
$19.85 | 138 | 113 |
|
Haripriya Santhanam
4405 E 26Th St |
$30.62 | 123 | 49 |
|
Children'S Care Hospital And School
1020 W 18Th St |
$4.38 | 111 | 68 |
|
Dustin Evans
2501 W 26Th St |
$35.60 | 91 | 24 |
|
Amanda Christine Jacobsma
201 E 38Th St |
$44.44 | 60 | 28 |
|
Angela R. Gulbranson Od, Pc
6205 S Minnesota Ave |
$36.09 | 26 | 12 |
|
Sarah M Thu
1600 W 22Nd St |
$65.82 | 21 | 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 Sioux Falls, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Sioux Falls, SD is $33.52 per claim, based on 119,201 claims from 32 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 Sioux Falls, SD?
There are 32 Medicaid providers offering Physical Therapy related services in Sioux Falls, SD according to public payment data.
What is the price range for Physical Therapy in Sioux Falls, SD?
Medicaid reimbursement for Physical Therapy in Sioux Falls, SD ranges from $4.38 to $163.51 per claim, with an average of $33.52. 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 Sioux Falls, SD
Office Visit
Avg $50.32
948,639 claims
Blood Work & Lab Tests
Avg $10.61
501,187 claims
Vaccines & Immunizations
Avg $11.07
358,214 claims
Psychiatric Evaluation
Avg $63.31
349,102 claims
X-Ray
Avg $9.88
280,494 claims
Emergency Room Visit
Avg $92.67
213,799 claims
Personal Care Services
Avg $119.40
213,761 claims
Speech Therapy
Avg $21.62
173,302 claims