Average Medicaid Physical Therapy Payments in Winchester, KY: $25.72
Avg. Paid
$25.72
Range
$8.97 – $85.17
Total Claims
125,195
Providers
18
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 Winchester, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tyler D Simmons
29 Canary Ln |
$16.02 | 31,211 | 11,073 |
|
Kentucky Hospital, Llc
175 Hospital Dr |
$50.58 | 15,814 | 5,833 |
|
Clark County Board Of Education
1600 W Lexington Ave |
$12.43 | 15,082 | 7,821 |
|
Christopher R. Sharrock
1932 Bypass Rd |
$16.20 | 14,618 | 4,805 |
|
Nathaniel D Chapman
160 Pedro Way |
$24.50 | 12,283 | 3,957 |
|
David Blake Jackson
1932 Bypass Rd |
$17.05 | 10,917 | 4,116 |
|
Stride Program, Inc
150 Maryland Ave |
$85.17 | 5,878 | 1,193 |
|
Clay Thomas Fletcher
160 Pedro Way |
$15.45 | 4,354 | 1,803 |
|
Joan Moix
9 Waveland Ave |
$48.06 | 2,774 | 734 |
|
Perry N Williams
124 Professional Ave |
$8.97 | 2,597 | 866 |
|
Tracey Lynne Fry
2500 Colby Rd |
$43.92 | 2,244 | 649 |
|
Sharon L Hunt
624 Elkin Station Rd |
$57.65 | 1,822 | 384 |
|
Thomas Potts
1593 Bypass Rd |
$12.65 | 1,760 | 683 |
|
Robert Dean Barnes
Barnes Family Chiropractic Inc Dba Core Health Centers |
$15.26 | 1,553 | 325 |
|
James Caleb Mccoy
200 Codella Dr Ste B |
$10.44 | 1,182 | 328 |
|
Teri Lynn Gilbert-Hogan
1932 Bypass Rd |
$16.91 | 908 | 418 |
|
Brittany Hale
505 Shoppers Dr |
$37.50 | 141 | 63 |
|
Courtney Harley
505 Shoppers Dr |
$36.99 | 57 | 26 |
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 Winchester, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Winchester, KY is $25.72 per claim, based on 125,195 claims from 18 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 Winchester, KY?
There are 18 Medicaid providers offering Physical Therapy related services in Winchester, KY according to public payment data.
What is the price range for Physical Therapy in Winchester, KY?
Medicaid reimbursement for Physical Therapy in Winchester, KY ranges from $8.97 to $85.17 per claim, with an average of $25.72. 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 Winchester, KY
Office Visit
Avg $35.56
412,606 claims
Blood Work & Lab Tests
Avg $9.92
401,270 claims
Dental Cleaning & Exam
Avg $38.42
177,953 claims
Emergency Room Visit
Avg $189.93
137,085 claims
X-Ray
Avg $51.31
94,741 claims
Urinalysis & Urine Tests
Avg $3.82
84,240 claims
Dental Filling
Avg $63.09
78,709 claims
Speech Therapy
Avg $16.38
71,594 claims