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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Wilson, NC: $35.98

Avg. Paid

$35.98

Range

$1.57 – $86.24

Total Claims

35,564

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 Wilson, NC

Provider Avg. Paid Claims Patients
Jeanette Bacolod Zapanta

4200 Thistle Dr Nw

 $3.33 110 25
Mark Alderson

1803 Forest Hills Rd W

 $18.39 114 16
Jamie Kate Wilkerson

1403 Queen Anne Rd Nw

 $1.57 268 25
Courtney Hudson Williams

1803 Forest Hills Rd W

 $20.40 377 162
Matt Charles Cassidy Bates

1803 Forest Hills Rd W

 $45.33 381 109
Linda K S Roberson

3200 Nash St N

 $22.03 504 200
Gordon Thomas

1803 Forest Hills Rd W

 $21.22 678 316
William Ryan Mitchell

1700 Tarboro St W Ste 103

 $30.66 914 282
Gina-Marie Fredette

1811 Forest Hills Rd W

 $65.01 945 275
Rebecca Fanning

1803 Forest Hills Rd W

 $15.07 1,045 362
Jessica Spruill

610 Nash St Ne

 $86.24 2,373 689
Hope Shirwanda Chestnut

1803 Forest Hills Rd W

 $24.71 5,799 2,167
Wilson County Schools

117 Tarboro St Ne

 $44.50 6,757 2,838
Eileen R Carter

1811 Forest Hills Rd W

 $60.93 7,355 2,278
Karen Sue Killgore

2414 Foxcroft Rd Nw

 $3.04 7,944 1,668

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 Wilson, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Wilson, NC is $35.98 per claim, based on 35,564 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 Wilson, NC?

There are 15 Medicaid providers offering Physical Therapy related services in Wilson, NC according to public payment data.

What is the price range for Physical Therapy in Wilson, NC?

Medicaid reimbursement for Physical Therapy in Wilson, NC ranges from $1.57 to $86.24 per claim, with an average of $35.98. 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 Wilson, NC

Personal Care Services

Avg $92.16

532,667 claims

Substance Abuse Treatment

Avg $125.52

477,537 claims

Office Visit

Avg $51.18

366,389 claims

Dental Cleaning & Exam

Avg $30.64

217,562 claims

Vaccines & Immunizations

Avg $14.38

151,821 claims

Speech Therapy

Avg $60.60

135,390 claims

Blood Work & Lab Tests

Avg $13.26

127,379 claims

Pathology & Lab Services

Avg $35.83

81,552 claims