Therapy (PT/OT/speech) Medicaid rates by code
45 therapy (pt/ot/speech) codes with published Medicaid rates in five or more states. Each page compares every state's rate, unit and managed-care rule.
| Code | Service | States | Median rate |
|---|---|---|---|
| 0274 | Orthotic and prosthetic fitting and training | 5 | $2.62 |
| 90901 | Other therapy services | 17 | $31.90 |
| 92507 | Speech therapy session (one person) | 50 | $59.17 |
| 92521 | Stuttering evaluation | 50 | $103.07 |
| 92522 | Articulation evaluation | 50 | $87.11 |
| 92523 | Articulation and language evaluation | 50 | $175.75 |
| 92524 | Voice evaluation | 50 | $84.60 |
| 92526 | Swallowing and feeding therapy | 48 | $68.05 |
| 92607 | Assessment for a communication device | 44 | $100.34 |
| 92608 | Speech-generating device evaluation | 42 | $37.39 |
| 92610 | Swallowing assessment | 49 | $66.55 |
| 97110 | Exercise therapy for strength and range of motion | 49 | $24.36 |
| 97112 | Balance and coordination retraining | 47 | $26.47 |
| 97129 | Cognitive skills therapy, first unit | 38 | $18.97 |
| 97130 | Cognitive skills therapy, each added unit | 38 | $18.39 |
| 97161 | Physical therapy evaluation, level 1 of 3 | 48 | $77.22 |
| 97162 | Physical therapy evaluation, level 2 of 3 | 48 | $80.39 |
| 97163 | Physical therapy evaluation, level 3 of 3 | 49 | $81.22 |
| 97164 | Physical therapy follow-up assessment | 47 | $55.72 |
| 97165 | Occupational therapy evaluation, level 1 of 3 | 48 | $79.84 |
| 97166 | Occupational therapy evaluation, level 2 of 3 | 48 | $82.41 |
| 97167 | Occupational therapy evaluation, level 3 of 3 | 49 | $83.99 |
| 97168 | Occupational therapy follow-up assessment | 47 | $57.85 |
| 97530 | Functional activity training | 49 | $28.40 |
| 97532 | Cognitive rehabilitation therapy | 6 | $22.56 |
| 97533 | Sensory processing therapy | 41 | $47.60 |
| 97760 | Brace fitting and training | 40 | $37.06 |
| 97761 | Artificial limb training | 39 | $32.26 |
| 97763 | Follow-up visit for a brace or artificial limb | 40 | $40.90 |
| 97802 | Nutrition counseling, first visit | 40 | $28.20 |
| 97803 | Nutrition counseling, follow-up visit | 38 | $24.28 |
| 98940 | Other therapy services | 42 | $20.50 |
| G0454 | Physical therapy | 7 | $8.61 |
| G0471 | Physical therapy | 12 | $10.65 |
| G0472 | Physical therapy | 21 | $41.72 |
| G0473 | Physical therapy | 12 | $10.65 |
| G0476 | Physical therapy | 20 | $34.65 |
| G0477 | Physical therapy | 6 | $9.35 |
| G0478 | Physical therapy | 6 | $11.89 |
| G2211 | Physical therapy | 15 | $15.24 |
| G2212 | Occupational therapy | 22 | $29.43 |
| H2032 | Activity therapy, per 15 minutes | 14 | $12.74 |
| S9470 | Nutritional counseling, dietitian visit | 23 | $26.66 |
| V5362 | Speech screening | 6 | $24.62 |
| V5363 | Language screening | 6 | $24.62 |
Therapy (PT/OT/speech) rates in your statesRates, managed-care rules, Medicare comparison and changes, for the codes you bill.