Average Medicaid Physical Therapy Payments in Winchester, VA: $76.55
Avg. Paid
$76.55
Range
$7.82 – $1,209
Total Claims
220,531
Providers
27
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, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Professional Sportscare & Rehab, Llc
2650 S Pleasant Valley Rd |
$16.47 | 96,865 | 28,468 |
|
Winchester Medical Center
1840 Amherst St |
$62.16 | 59,929 | 25,964 |
|
Shenandoah Soundstart, Llc
1330 Amherst St Ste D |
$56.48 | 13,387 | 3,634 |
|
Nw Works, Inc.
828 Smithfield Ave |
$356.53 | 13,294 | 3,908 |
|
Fox Rehabilitation Services Llc
20 E Piccadilly St Ste 11&14 |
$7.82 | 12,133 | 2,250 |
|
Cathy Lee
20 E Piccadilly St Ste 11&14 |
$18.39 | 8,036 | 2,541 |
|
City Of Winchester School Board
598 N Kent St |
$43.88 | 7,054 | 3,428 |
|
Grafton School, Inc.
120 Bellview Ave |
$1,133 | 4,436 | 4,159 |
|
Allysa Turel
1330 Amherst St Ste D |
$60.25 | 2,269 | 745 |
|
Frederick County School Board
1415 Amherst St |
$94.56 | 683 | 664 |
|
Bailey Allen
20 E Piccadilly St Ste 11&14 |
$66.11 | 352 | 156 |
|
Danielle Jean Santiago
20 E Piccadilly St Ste 11&14 |
$92.19 | 326 | 92 |
|
Jay J Joglekar
172 Linden Dr Ste 100 |
$22.63 | 285 | 107 |
|
Nancy Elizabeth Patrick
20 E Piccadilly St Ste 11&14 |
$46.60 | 271 | 93 |
|
James Forrest Calland
190 Campus Blvd Ste 310 |
$24.30 | 200 | 105 |
|
Amanda Roache
20 E Piccadilly St Ste 11&14 |
$30.75 | 187 | 67 |
|
Shenandoah Valley Community Residences, Inc.
20 E Piccadilly St |
$1,209 | 151 | 140 |
|
Body Elite Physical Therapy Inc
3052 Valley Ave |
$37.98 | 128 | 38 |
|
Victoria Ferramosca
20 E Piccadilly St Ste 11 |
$45.02 | 90 | 57 |
|
Jeffrey S Botta
128 Medical Cir |
$25.11 | 79 | 24 |
|
Marylee F Siever
130 Medical Cir |
$24.84 | 76 | 25 |
|
Elizabeth G Weaver
130 Medical Cir |
$20.63 | 70 | 25 |
|
Nathan S Wells
128 Medical Cir |
$24.64 | 63 | 25 |
|
Matthew R Ammons
130 Medical Cir |
$22.75 | 58 | 24 |
|
Dwight T Kemp
190 Campus Blvd |
$30.09 | 48 | 12 |
|
Michael E Seem
128 Medical Cir |
$40.73 | 36 | 12 |
|
Richard J Patterson
152 Linden Dr |
$42.64 | 25 | 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 Winchester, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Winchester, VA is $76.55 per claim, based on 220,531 claims from 27 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, VA?
There are 27 Medicaid providers offering Physical Therapy related services in Winchester, VA according to public payment data.
What is the price range for Physical Therapy in Winchester, VA?
Medicaid reimbursement for Physical Therapy in Winchester, VA ranges from $7.82 to $1,209 per claim, with an average of $76.55. 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 $7.04
747,108 claims
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Avg $15.29
704,284 claims
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Avg $50.11
648,385 claims
Home Health Visit
Avg $95.73
307,004 claims
X-Ray
Avg $8.04
266,540 claims
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Avg $131.99
231,446 claims
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Avg $68.54
193,619 claims
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Avg $67.60
185,967 claims