Average Medicaid Physical Therapy Payments in Amherst, NY: $46.45
Avg. Paid
$46.45
Range
$16.06 – $74.54
Total Claims
79,084
Providers
58
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 Amherst, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nys Dept Education Sweet Home Central School Dist 7
1901 Sweet Home Rd |
$51.95 | 21,193 | 5,338 |
|
Amherst Central School District
55 Kings Hwy |
$56.78 | 15,889 | 3,719 |
|
Speech Language And Communication
3993 Harlem Rd |
$66.54 | 4,883 | 1,507 |
|
Kristina L Callari
3925 Sheridan Dr |
$16.06 | 3,619 | 1,061 |
|
Michelle Wojciechowski
1586 Eggert Rd |
$47.95 | 3,141 | 1,158 |
|
Samantha Lynn Serwon
3925 Sheridan Dr |
$30.90 | 2,773 | 1,027 |
|
Jenna D Bierl
3925 Sheridan Dr |
$37.32 | 2,601 | 930 |
|
Matthew R Walsh
3925 Sheridan Dr |
$26.97 | 2,295 | 780 |
|
Ryan Mckeough
3980 Sheridan Dr Ste 402 |
$56.93 | 2,024 | 896 |
|
Thomas Guetta
3925 Sheridan Dr |
$32.26 | 1,780 | 732 |
|
Matthew Galbo
3925 Sheridan Dr |
$32.83 | 1,544 | 629 |
|
Kristen Michelle Kubala
3925 Sheridan Dr |
$28.59 | 1,443 | 555 |
|
Joseph P Gravino
2360 Sweet Home Rd |
$28.96 | 1,334 | 514 |
|
Lori A Mergler
1360 Eggert Rd |
$61.88 | 1,198 | 416 |
|
Natalie Rose Schrack
3925 Sheridan Dr |
$29.23 | 1,160 | 421 |
|
Brayan Fernando Lopez
3925 Sheridan Dr |
$29.03 | 1,155 | 452 |
|
Stephanie Smigiera
3925 Sheridan Dr |
$33.95 | 1,101 | 392 |
|
Anne Margaret George
3925 Sheridan Dr |
$32.66 | 1,101 | 403 |
|
Meaghan Mckeever
95 John Muir Dr |
$59.69 | 824 | 533 |
|
Kayla Woodward
3925 Sheridan Dr |
$34.34 | 777 | 282 |
|
Kyle Lucas
3925 Sheridan Dr |
$35.98 | 713 | 264 |
|
Grace M Richards
700 Sweet Home Rd |
$74.54 | 611 | 97 |
|
Jason David Bretcko
3925 Sheridan Dr |
$34.60 | 602 | 232 |
|
Dominique Riforgiato
3925 Sheridan Dr |
$23.93 | 602 | 229 |
|
Nicholas John Binkowski
3925 Sheridan Dr |
$27.08 | 441 | 157 |
|
Silva Pt, Pllc
37 Layton Ave |
$67.67 | 401 | 137 |
|
Haley Marie Payne
3925 Sheridan Dr |
$35.42 | 376 | 151 |
|
Allison Jean Grimaldi
30 Hazelwood Dr |
$71.06 | 311 | 104 |
|
Jillian Ashley Taliaferro
3925 Sheridan Dr |
$26.77 | 302 | 93 |
|
Zachery Bochacki
4949 Harlem Rd |
$33.27 | 298 | 147 |
|
Nichole Becker
3925 Sheridan Dr |
$52.80 | 277 | 98 |
|
Sarah Christine Hooper
3925 Sheridan Dr |
$33.74 | 270 | 99 |
|
Justine Rose Davis
3925 Sheridan Dr |
$36.60 | 265 | 113 |
|
Maria Corio
3925 Sheridan Dr |
$28.94 | 174 | 79 |
|
Mallory A Henry
3925 Sheridan Dr |
$28.24 | 158 | 60 |
|
Kevin King
3925 Sheridan Dr |
$31.26 | 147 | 56 |
|
Joseph Amico
3925 Sheridan Dr |
$34.40 | 122 | 57 |
|
Matthew Odonnell
3925 Sheridan Dr |
$34.61 | 112 | 38 |
|
Hannah Tarrant
3925 Sheridan Dr Ste 110 |
$25.05 | 110 | 54 |
|
Craig Young
3970 Harlem Rd |
$70.01 | 94 | 25 |
|
Peter H Young
3970 Harlem Rd |
$40.10 | 86 | 24 |
|
Philip Werner Sorensen
3925 Sheridan Dr |
$32.14 | 82 | 29 |
|
Zachary Clay Slaybaugh
4949 Harlem Rd |
$50.47 | 78 | 38 |
|
Kelsey Stitt
3925 Sheridan Dr |
$34.79 | 78 | 39 |
|
Brittany Sockwell
3925 Sheridan Dr |
$29.17 | 73 | 28 |
|
Nicole Maria Hoppy
3925 Sheridan Dr |
$30.91 | 63 | 25 |
|
Jamie Marie Whitenight
3925 Sheridan Dr |
$38.98 | 61 | 24 |
|
Rachel M Larson
3925 Sheridan Dr |
$74.54 | 47 | 13 |
|
Sean M Moran
3925 Sheridan Dr |
$37.99 | 40 | 25 |
|
Chelsea Rohl
3925 Sheridan Dr |
$27.64 | 37 | 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 Amherst, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Amherst, NY is $46.45 per claim, based on 79,084 claims from 58 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 Amherst, NY?
There are 58 Medicaid providers offering Physical Therapy related services in Amherst, NY according to public payment data.
What is the price range for Physical Therapy in Amherst, NY?
Medicaid reimbursement for Physical Therapy in Amherst, NY ranges from $16.06 to $74.54 per claim, with an average of $46.45. 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 Amherst, NY
Home Health Visit
Avg $110.37
619,390 claims
Office Visit
Avg $70.26
432,666 claims
Substance Abuse Treatment
Avg $34.10
316,484 claims
Ambulance Transport
Avg $100.09
127,155 claims
Dental Cleaning & Exam
Avg $37.90
78,431 claims
Pathology & Lab Services
Avg $36.92
71,985 claims
Speech Therapy
Avg $56.38
48,953 claims
Nursing Facility Care
Avg $21.85
32,205 claims