Average Medicaid Physical Therapy Payments in Somerset, KY: $97.34
Avg. Paid
$97.34
Range
$8.14 – $373.98
Total Claims
524,540
Providers
52
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 Somerset, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lake Cumberland Reg Mhmr Board, Inc.
130 Southern School Rd |
$126.17 | 305,615 | 19,574 |
|
Brighter Futures Therapy Center, Llc
303 Second St |
$137.73 | 31,470 | 2,687 |
|
Lake Cumberland Regional Hospital Llc
305 Langdon Street |
$31.15 | 23,422 | 7,884 |
|
Jeffery Parmelee
175 Medpark Dr |
$27.28 | 17,327 | 6,420 |
|
Michael Coldiron
401 Bogle St Ste 206 |
$54.71 | 14,985 | 6,128 |
|
Chad C. Henderson
1056 S Highway 27 |
$16.88 | 11,615 | 5,289 |
|
Lake Cumberland Reg Mhmr Board, Inc.
130 Southern School Rd |
$169.71 | 11,409 | 682 |
|
Luke Allen Ebersole
1138 S Highway 27 |
$24.94 | 9,346 | 3,026 |
|
Adam Michael Prather
2835 South Highway Us 27 |
$16.31 | 7,599 | 1,953 |
|
Laura Pope
401 Bogle St Ste 206 |
$47.35 | 6,924 | 2,967 |
|
Pulaski County Board Of Education
501 E University Dr |
$10.04 | 6,631 | 3,829 |
|
Kayla D Barger
1138 S Highway 27 |
$24.24 | 6,354 | 2,354 |
|
Wade Allen Davis
604 Ogden St |
$13.90 | 6,281 | 3,361 |
|
Applied Behavioral Advancements, Llc
196 Observation Pointe Dr |
$122.45 | 6,011 | 703 |
|
Carlee Louisa Fayeth Wallen
2835 S Highway 27 Ste 286B |
$25.06 | 5,341 | 1,819 |
|
Brandon Goodpaster
2835 S Highway 27 Ste 338 |
$12.43 | 5,198 | 822 |
|
David D Escobar
117 Tradepark Dr |
$15.54 | 4,631 | 1,480 |
|
Somerset Independent School District
305 College St |
$16.35 | 4,404 | 2,051 |
|
Leah Denise Sizemore
401 Bogle St Ste 206 |
$59.69 | 4,325 | 1,537 |
|
Todd Andrew Bramble
110 Richie Ln |
$22.80 | 3,769 | 1,897 |
|
Cumberland Behavior Group, Llc
889 Hideaway Dr |
$122.15 | 3,185 | 296 |
|
Kira Pyles
200 Tower Cir |
$42.56 | 3,132 | 737 |
|
Jennifer Rene Lockard
401 Bogle St Ste 206 |
$59.65 | 3,066 | 1,294 |
|
John Marshall Shelley
1138 S Highway 27 |
$22.98 | 2,752 | 1,091 |
|
Sydney Shay Fourman
175 Medpark Dr |
$49.62 | 2,609 | 1,057 |
|
Hope King-Noftsger
353 Bogle Street |
$22.79 | 2,553 | 1,305 |
|
Kathryn Elizabeth Jones
303 Second St |
$20.05 | 2,428 | 604 |
|
Cynthia Jones
1006 Camelot Way |
$43.53 | 2,313 | 609 |
|
Megan M Angel
303 Second St |
$59.86 | 1,081 | 365 |
|
Kennedy Brianne Thomas
1138 S Highway 27 |
$32.95 | 1,044 | 403 |
|
Broadening Horizons, Inc.
176 Enterprise Dr |
$135.45 | 893 | 128 |
|
Sarah Elizabeth Moore
106 Gover St |
$27.60 | 876 | 252 |
|
Lori Ann Chinn
115 Tradepark Dr Ste A |
$8.14 | 836 | 266 |
|
Sarah Turpen
303 Second St |
$26.91 | 728 | 222 |
|
Kimberly Johnston Beasley
175 Medpark Dr Ste 1 |
$25.57 | 589 | 281 |
|
Noe Ayala
1138 S Highway 27 |
$35.42 | 506 | 175 |
|
Alicia Garland
555 Bourne Ave |
$44.73 | 471 | 207 |
|
Allyson Morgan
353 Bogle St |
$23.49 | 415 | 139 |
|
Wee Can Autism And Behavioral Consultation, Llc.
170 Prather Rd |
$67.23 | 338 | 36 |
|
Chelsea Thompson
67 Jacks Ln |
$43.14 | 330 | 92 |
|
Trena Schultz
175 Medpark Dr |
$23.66 | 301 | 90 |
|
Jonathan E Moore
117 Tradepark Dr |
$40.45 | 278 | 78 |
|
Anna O'Banion
2137 N Highway 1247 |
$32.31 | 259 | 105 |
|
Wecare Medical Homemakers, Llc D.B.A. Hope Of Ky
1112 S Hwy 27 |
$373.98 | 181 | 60 |
|
Josh Harris
110 Richie Ln |
$30.05 | 166 | 56 |
|
Laureen Schaser
175 Medpark Dr |
$20.29 | 160 | 77 |
|
Autumn-Dawn Marie Rowe
175 Medpark Dr |
$45.34 | 120 | 64 |
|
Kasey Leanne Collette
303 Second St |
$42.75 | 117 | 36 |
|
Mark A Jacobs
3810 S Highway 27 |
$15.12 | 53 | 26 |
|
Jessica Jane Gadberry
175 Medpark Dr |
$23.86 | 44 | 27 |
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 Somerset, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Somerset, KY is $97.34 per claim, based on 524,540 claims from 52 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 Somerset, KY?
There are 52 Medicaid providers offering Physical Therapy related services in Somerset, KY according to public payment data.
What is the price range for Physical Therapy in Somerset, KY?
Medicaid reimbursement for Physical Therapy in Somerset, KY ranges from $8.14 to $373.98 per claim, with an average of $97.34. 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 Somerset, KY
Office Visit
Avg $36.93
986,284 claims
Psychiatric Evaluation
Avg $59.24
948,676 claims
Blood Work & Lab Tests
Avg $9.54
630,941 claims
Substance Abuse Treatment
Avg $133.37
507,692 claims
Home Health Visit
Avg $177.24
473,664 claims
Case Management Services
Avg $300.90
265,532 claims
Dental Cleaning & Exam
Avg $37.41
229,101 claims
Emergency Room Visit
Avg $132.80
221,462 claims