Average Medicaid Physical Therapy Payments in West Columbia, SC: $33.59
Avg. Paid
$33.59
Range
$11.21 – $91.15
Total Claims
52,694
Providers
15
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 West Columbia, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lexington Health Inc
2720 Sunset Blvd |
$11.21 | 18,915 | 8,386 |
|
Lexington School District 2
715 9Th St |
$39.71 | 13,054 | 5,789 |
|
Lexington County Health Services District Inc
2720 Sunset Blvd |
$14.56 | 8,052 | 3,429 |
|
Abigail Brynn Heldreth
3681 Leaphart Rd Ste C |
$88.93 | 4,049 | 1,092 |
|
Susan Uhrhan Martin
103 Hospital Dr W |
$58.95 | 2,806 | 789 |
|
Shannon Bailey
1900 Sunset Blvd |
$70.89 | 1,931 | 759 |
|
Isabelle Amorette Porter
1900 Sunset Blvd |
$74.38 | 1,776 | 516 |
|
Lydia Akins
100 Joseph Walker Dr |
$65.21 | 911 | 281 |
|
Alison H. Valdepenas
1177 Sunset Blvd. |
$52.96 | 492 | 289 |
|
Angie Lynn Winterstein
2705 Leaphart Rd |
$80.11 | 310 | 134 |
|
Kenneth Dixon Acker
1177 Sunset Blvd |
$42.78 | 142 | 61 |
|
Amy Mobley Mccraw
2720 Sunset Blvd |
$33.79 | 105 | 51 |
|
Kamilyn Insley
3681 Leaphart Rd |
$91.15 | 72 | 28 |
|
Anne Marie Ashley
222 E Medical Ln Ste 100&200 |
$14.03 | 56 | 28 |
|
Michael Brett Shealy
222 E Medical Ln Ste 100&200 |
$20.84 | 23 | 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 West Columbia, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in West Columbia, SC is $33.59 per claim, based on 52,694 claims from 15 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 West Columbia, SC?
There are 15 Medicaid providers offering Physical Therapy related services in West Columbia, SC according to public payment data.
What is the price range for Physical Therapy in West Columbia, SC?
Medicaid reimbursement for Physical Therapy in West Columbia, SC ranges from $11.21 to $91.15 per claim, with an average of $33.59. 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
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Avg $56.33
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315,305 claims
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Avg $32.08
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