Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Springfield, IL: $47.37

Avg. Paid

$47.37

Range

$3.76 – $84.58

Total Claims

85,547

Providers

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 Springfield, IL

Provider	Avg. Paid	Claims	Patients
Memorial Medical Center 701 N 1St St	$84.58	16,371	5,477
St Johns Hospital Of The Hospital Sisters Of The Third Order Of St F 800 East Carpenter	$83.00	13,960	4,290
Sangamon Area Special Education Dist 1420 S 8Th St	$6.11	12,558	4,231
Springfield Unit 186 900 W Edwards St	$18.77	9,362	4,258
Kristina Kay Warren 3050 Montvale Dr Suite A	$77.67	7,350	2,608
Tori Faulkner 2508 Saint James Rd	$3.76	7,009	2,044
Whitney Laine Musselman 1640 N 3Rd St	$72.93	3,195	1,244
Mallory Boente 2201 W White Oaks Dr	$24.49	2,574	696
Arina Cohen St John'S Hospital	$25.34	1,571	682
Ryan Lee Schallenberg 3020 S 6Th St	$22.35	1,469	707
Kyle Johnson 800 N 1St St	$21.86	1,352	551
Kyle Andrew Lucca 2508 Saint James Rd	$7.16	1,255	262
Ashley R Goetze 800 N 1St St	$24.31	868	385
Krzysztof Szefer 2801 Centennial Dr.	$70.18	839	252
Jeffrey A Koester 800 N 1St St	$21.51	763	358
Philip R Jostes 800 N 1St St	$21.05	510	253
Ashley M. Boyle 800 N 1St St	$21.71	490	155
Kelsey J Giannuzzi 3020 S 6Th St	$19.78	311	89
Julie J Green 800 E Carpenter St	$75.67	281	136
Clint T. Sestak 3921 Pintail Dr	$17.00	273	65
Jessica L. Lightfoot 3020 S 6Th St	$22.80	256	130
Jenna Poulter Townsend 800 E Carpenter St	$61.80	253	112
Judy M. Limper 3020 S 6Th St	$21.88	249	104
Isaac C Beyer 800 N 1St St	$20.30	237	88
Trisha Schulte 400 N 9Th St	$29.87	228	69
Mary O'Boyle 3130 Chatham Rd Ste A	$83.31	223	85
Abbie M Cagle 800 N 1St St	$19.82	181	91
Courtney L. Cave 800 N 1St St	$23.37	176	70
Sierra Jenks 800 N 1St St	$19.71	152	54
Brenda Reiling 3020 S 6Th St	$18.98	139	54
Zachary R Bell 800 N 1St St	$23.75	119	58
Juan Ocenar Ocasla 3020 S 6Th St	$23.35	119	53
Trenton L. Wiseman 800 N 1St St	$19.57	101	28
Hshs Medical Group Inc 3051 Hollis Dr	$59.74	100	27
Brittany L. Clayton 3020 S 6Th St	$19.40	96	42
Laura N Starr 800 E Carpenter St	$74.60	89	40
Cindy Hinrichs 2040 Timberbrook Dr	$33.00	73	28
Suzanne M Stayton 800 N 1St St	$17.51	72	28
David M Schneller 1301 S Koke Mill Rd	$24.09	71	13
Kyle Steven Mundhenke 800 N 1St St	$11.97	58	25
Ellen R. Haynes 3020 S 6Th St	$19.67	57	24
Linda Ann Williams 3020 S 6Th St	$24.45	57	24
Jamie Frances Yording 3020 S 6Th St	$26.26	29	12
David Andrew Johnson 3020 S 6Th St	$13.52	29	12
Wendy E Gerger 747 N Rutledge St	$10.08	22	12

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 Springfield, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Springfield, IL is $47.37 per claim, based on 85,547 claims from 45 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 Springfield, IL?

There are 45 Medicaid providers offering Physical Therapy related services in Springfield, IL according to public payment data.

What is the price range for Physical Therapy in Springfield, IL?

Medicaid reimbursement for Physical Therapy in Springfield, IL ranges from $3.76 to $84.58 per claim, with an average of $47.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Physical Therapy Payments in Springfield, IL: $47.37

Providers Offering Physical Therapy in Springfield, IL

What to Expect: Physical Therapy

Cost Components

Frequently Asked Questions

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