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Based on public Medicaid payment data.

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
Lori Meece

175 Medpark Dr

$49.15 21 16
Timothy A Sparkman

3810 S Highway 27 Ste 1

$19.19 38 24
Jessica Jane Gadberry

175 Medpark Dr

$23.86 44 27
Mark A Jacobs

3810 S Highway 27

$15.12 53 26
Kasey Leanne Collette

303 Second St

$42.75 117 36
Autumn-Dawn Marie Rowe

175 Medpark Dr

$45.34 120 64
Laureen Schaser

175 Medpark Dr

$20.29 160 77
Josh Harris

110 Richie Ln

$30.05 166 56
Wecare Medical Homemakers, Llc D.B.A. Hope Of Ky

1112 S Hwy 27

$373.98 181 60
Anna O'Banion

2137 N Highway 1247

$32.31 259 105
Jonathan E Moore

117 Tradepark Dr

$40.45 278 78
Trena Schultz

175 Medpark Dr

$23.66 301 90
Chelsea Thompson

67 Jacks Ln

$43.14 330 92
Wee Can Autism And Behavioral Consultation, Llc.

170 Prather Rd

$67.23 338 36
Allyson Morgan

353 Bogle St

$23.49 415 139
Alicia Garland

555 Bourne Ave

$44.73 471 207
Noe Ayala

1138 S Highway 27

$35.42 506 175
Kimberly Johnston Beasley

175 Medpark Dr Ste 1

$25.57 589 281
Sarah Turpen

303 Second St

$26.91 728 222
Lori Ann Chinn

115 Tradepark Dr Ste A

$8.14 836 266
Sarah Elizabeth Moore

106 Gover St

$27.60 876 252
Broadening Horizons, Inc.

176 Enterprise Dr

$135.45 893 128
Kennedy Brianne Thomas

1138 S Highway 27

$32.95 1,044 403
Megan M Angel

303 Second St

$59.86 1,081 365
Cynthia Jones

1006 Camelot Way

$43.53 2,313 609
Kathryn Elizabeth Jones

303 Second St

$20.05 2,428 604
Hope King-Noftsger

353 Bogle Street

$22.79 2,553 1,305
Sydney Shay Fourman

175 Medpark Dr

$49.62 2,609 1,057
John Marshall Shelley

1138 S Highway 27

$22.98 2,752 1,091
Jennifer Rene Lockard

401 Bogle St Ste 206

$59.65 3,066 1,294
Kira Pyles

200 Tower Cir

$42.56 3,132 737
Cumberland Behavior Group, Llc

889 Hideaway Dr

$122.15 3,185 296
Todd Andrew Bramble

110 Richie Ln

$22.80 3,769 1,897
Leah Denise Sizemore

401 Bogle St Ste 206

$59.69 4,325 1,537
Somerset Independent School District

305 College St

$16.35 4,404 2,051
David D Escobar

117 Tradepark Dr

$15.54 4,631 1,480
Brandon Goodpaster

2835 S Highway 27 Ste 338

$12.43 5,198 822
Carlee Louisa Fayeth Wallen

2835 S Highway 27 Ste 286B

$25.06 5,341 1,819
Applied Behavioral Advancements, Llc

196 Observation Pointe Dr

$122.45 6,011 703
Wade Allen Davis

604 Ogden St

$13.90 6,281 3,361
Kayla D Barger

1138 S Highway 27

$24.24 6,354 2,354
Pulaski County Board Of Education

501 E University Dr

$10.04 6,631 3,829
Laura Pope

401 Bogle St Ste 206

$47.35 6,924 2,967
Adam Michael Prather

2835 South Highway Us 27

$16.31 7,599 1,953
Luke Allen Ebersole

1138 S Highway 27

$24.94 9,346 3,026
Lake Cumberland Reg Mhmr Board, Inc.

130 Southern School Rd

$169.71 11,409 682
Chad C. Henderson

1056 S Highway 27

$16.88 11,615 5,289
Michael Coldiron

401 Bogle St Ste 206

$54.71 14,985 6,128
Jeffery Parmelee

175 Medpark Dr

$27.28 17,327 6,420
Lake Cumberland Regional Hospital Llc

305 Langdon Street

$31.15 23,422 7,884

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

Other Procedures in Somerset, KY