Average Medicaid Physical Therapy Payments in Winston Salem, NC: $56.81
Avg. Paid
$56.81
Range
$0.00 – $92.29
Total Claims
77,966
Providers
57
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 Winston Salem, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelli B Cross
5755 Shattalon Dr |
$87.01 | 15,142 | 4,282 |
|
Harold Bradley Foust
5376 Club Ct |
$92.29 | 10,192 | 3,050 |
|
Daisy Parsons Rogers
615 S Poplar St |
$86.45 | 5,455 | 1,607 |
|
Winston-Salem Forysth County Schools
1605 Miller St |
$34.07 | 5,104 | 2,913 |
|
Carrie Kibler Rhodes
170 Kimel Park Dr |
$20.87 | 4,405 | 2,094 |
|
Phillip Ross Mason
200 Robinhood Medical Plz |
$26.86 | 4,315 | 1,581 |
|
David Mcilwain
3098 Healy Dr |
$31.63 | 3,875 | 1,214 |
|
Angela Rachel Dargis
3176 Hickory Ridge Dr |
$6.24 | 3,837 | 898 |
|
Aeshia Cogar
1199 Hayes Forest Dr |
$84.16 | 3,038 | 887 |
|
Emily Coleman
280 Charlois Blvd |
$65.95 | 2,441 | 713 |
|
Katelyn Rose Mcfaddin Dean
170 Kimel Park Dr |
$13.00 | 2,397 | 889 |
|
Emmie Bostian Curry
232 Harper St |
$48.24 | 1,960 | 609 |
|
Jeffrey Samuel Deguire
170 Kimel Park Dr |
$16.44 | 1,556 | 366 |
|
Rhianon Borghese Brady
Medical Center Blvd |
$18.12 | 1,515 | 575 |
|
Bailey Mcinnis Rudy
390 S Liberty St |
$82.44 | 1,234 | 245 |
|
Laura Denise Oakman
4505 Shattalon Dr |
$62.67 | 911 | 226 |
|
Drew Standifer
5054 Peters Creek Pkwy Ste 18 |
$12.14 | 877 | 222 |
|
Kathleen Mary Kolaski
Medical Center Blvd |
$68.14 | 756 | 429 |
|
Michael Cole Way
131 Miller St |
$31.96 | 736 | 297 |
|
Sarah Mcnamara
1903 S Hawthorne Rd |
$81.09 | 715 | 236 |
|
Lois Jean Maple
170 Kimel Park Dr |
$19.31 | 673 | 362 |
|
Bradley Seger
Medical Center Blvd |
$37.15 | 608 | 315 |
|
Savannah K Dorman
601 S Martin Luther King Jr Dr |
$0.00 | 600 | 66 |
|
Nicholas Houston Dean
170 Kimel Park Dr |
$15.64 | 432 | 133 |
|
Camilla Leslie Mcrae
1017 Cross Gate Rd |
$54.84 | 421 | 162 |
|
James Dale Browne
Medical Center Blvd |
$69.51 | 392 | 207 |
|
Denise Tickle
131 Miller St |
$34.56 | 319 | 130 |
|
Melissa Moose
2500 Polo Ridge Ct |
$89.22 | 319 | 114 |
|
Pradeep Sreerangam
1635 E 5Th St |
$0.00 | 317 | 52 |
|
Marc Randolph Farrow
1602 S Stratford Rd Ste 130 |
$49.91 | 300 | 99 |
|
Dawn Patrice Owens-Watterson
4692 Brownsboro Rd |
$0.00 | 271 | 29 |
|
Matthew Quay Johnson
170 Kimel Park Dr |
$27.06 | 263 | 115 |
|
Alexis Nicole Taurisano
170 Kimel Park Dr |
$27.05 | 234 | 128 |
|
Justin Charles Pfruender
1100 S Stratford Rd Ste 523 |
$43.59 | 226 | 86 |
|
Thomas Clark Kellam
200 Robinhood Medical Plz |
$73.57 | 185 | 64 |
|
Dara Adina Seelig
Brenner Children'S Hospital Wake Forest Baptist Health |
$80.67 | 182 | 91 |
|
Tyler Johnston
170 Kimel Park Dr |
$26.66 | 182 | 109 |
|
Shy'Ann Frazier
601 S Martin Luther King Jr Dr Fl 432 |
$61.05 | 182 | 59 |
|
Charles Ramy Badawy
1901 Mooney St |
$43.26 | 157 | 43 |
|
Kurt Lewis Klinepeter
Medical Center Blvd |
$19.01 | 141 | 72 |
|
Chelsea Martin
1396B Westgate Center Dr |
$62.33 | 137 | 62 |
|
Kristen Lee Marion
1901 Mooney St |
$34.01 | 107 | 40 |
|
Kaelove Brena Richardson
601 S Martin Luther King Jr Dr Fl 432 |
$90.74 | 100 | 37 |
|
Katherine A Tully
170 Kimel Park Dr |
$23.84 | 98 | 61 |
|
Katie Jo Woosley
280 Charlois Blvd |
$86.24 | 96 | 29 |
|
Matthew P Zwilling
1901 Mooney St |
$20.82 | 95 | 25 |
|
Lindsay Kinkade
1396B Westgate Center Dr |
$40.97 | 72 | 40 |
|
Kimberly Kurtz Hayden
1901 Mooney St |
$41.34 | 66 | 30 |
|
Kelsey Pelfrey
111 Hanestown Ct Ste 151 |
$20.43 | 65 | 25 |
|
Gary George Poehling
Medical Center Blvd |
$11.08 | 45 | 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 Winston Salem, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Winston Salem, NC is $56.81 per claim, based on 77,966 claims from 57 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 Winston Salem, NC?
There are 57 Medicaid providers offering Physical Therapy related services in Winston Salem, NC according to public payment data.
What is the price range for Physical Therapy in Winston Salem, NC?
Medicaid reimbursement for Physical Therapy in Winston Salem, NC ranges from $0.00 to $92.29 per claim, with an average of $56.81. 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 Winston Salem, NC
Office Visit
Avg $56.55
2,112,661 claims
Blood Work & Lab Tests
Avg $9.95
1,100,364 claims
Emergency Room Visit
Avg $152.58
1,052,025 claims
Dental Cleaning & Exam
Avg $30.19
626,976 claims
Speech Therapy
Avg $48.12
581,644 claims
X-Ray
Avg $8.19
523,133 claims
Vaccines & Immunizations
Avg $16.89
496,876 claims
Personal Care Services
Avg $105.36
383,584 claims