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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Somerset, PA: $33.20

Avg. Paid

$33.20

Range

$12.41 – $155.72

Total Claims

19,748

Providers

10

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, PA

Provider Avg. Paid Claims Patients
Somerset Area School District

645 S Columbia Ave

 $14.49 6,273 2,456
Heather Louise Grace

1563 Piedmont Rd

 $71.85 5,246 1,685
Cole Booth

1606 N Center Ave Ste 170

 $16.93 3,605 1,141
Sarah Mowry

1606 N Center Ave Ste 170

 $14.58 2,056 790
Jess Giovannelli

1606 N Center Ave Ste 170

 $14.86 1,202 479
Maggie Mae Kist

4201 Glades Pike

 $18.71 604 150
Cynthia Cramer

1606 N Center Ave Ste 170

 $155.72 400 108
Jason O'Connor

1606 N Center Ave Ste 170

 $15.83 217 84
Emily Brazill

1606 N Center Ave Ste 170

 $12.41 107 40
Hadley Ware

1606 N Center Ave Ste 170

 $15.43 38 13

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, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Somerset, PA is $33.20 per claim, based on 19,748 claims from 10 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, PA?

There are 10 Medicaid providers offering Physical Therapy related services in Somerset, PA according to public payment data.

What is the price range for Physical Therapy in Somerset, PA?

Medicaid reimbursement for Physical Therapy in Somerset, PA ranges from $12.41 to $155.72 per claim, with an average of $33.20. 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, PA

Office Visit

Avg $40.65

36,611 claims

Case Management Services

Avg $77.06

27,971 claims

Ambulance Transport

Avg $135.07

9,416 claims

Speech Therapy

Avg $7.16

8,333 claims

Eye Exam

Avg $34.91

7,758 claims

Blood Work & Lab Tests

Avg $16.00

4,840 claims

Chiropractic Care

Avg $10.75

4,485 claims

EKG / ECG (Electrocardiogram)

Avg $6.43

3,423 claims