Average Medicaid Physical Therapy Payments in Appleton, WI: $20.09
Avg. Paid
$20.09
Range
$0.04 – $105.09
Total Claims
80,590
Providers
35
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 Appleton, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michelle L. Landsverk
3232 N Ballard Rd Ste 204 |
$12.65 | 15 | 12 |
|
Megen Q Bejvan
2500 E Capitol Dr |
$44.01 | 21 | 12 |
|
Luke Pan
2400 E Capitol Dr |
$37.67 | 23 | 12 |
|
Aaron James Nelson
W5282 Amy Ave |
$26.57 | 26 | 13 |
|
Jennifer Torborg
4000 N Providence Ave |
$19.15 | 26 | 14 |
|
Alex Minten
5320 W Michaels Dr |
$29.63 | 27 | 13 |
|
Jason G Schomburg
5320 Michaels Dr |
$27.81 | 28 | 12 |
|
Julie A Strutz
2323 N Casaloma Dr |
$24.60 | 30 | 12 |
|
John P Revord
5320 Michaels Dr |
$38.60 | 43 | 25 |
|
Robert J Daul
5320 Michaels Dr |
$28.38 | 45 | 25 |
|
Richard A Staehler
5320 Michaels Dr |
$30.69 | 94 | 50 |
|
Stephanie A Allaire
1506 S Oneida St |
$28.69 | 116 | 51 |
|
Manorcare Health Services Llc
1335 S Oneida St |
$3.85 | 124 | 13 |
|
Kyle J Schwebke
3925 N Gateway Dr |
$4.37 | 143 | 37 |
|
Jenna Marie Kadlec
3916 N. Intertech Court |
$34.72 | 173 | 82 |
|
Chandler Riem
2105 N Enterprise Ave |
$30.64 | 176 | 54 |
|
Nicolas Cartaya
N496 Milky Way |
$18.66 | 203 | 97 |
|
Zachary Vandenberg
1818 N Meade St |
$48.92 | 222 | 116 |
|
Jennifer Lynn Oberg
N496 Milky Way |
$18.45 | 233 | 102 |
|
Amber Michele Van Hiel
N496 Milky Way |
$15.40 | 246 | 99 |
|
Anthony David Urban
W3216 Country Road |
$33.15 | 312 | 199 |
|
Lisa Katherine Buehler
3375 W Brewster St |
$69.19 | 469 | 212 |
|
Sarah Marie Dahl
4000 N Providence Ave |
$18.62 | 530 | 241 |
|
Trevor Althaus
3212 E Calumet St Ste E&F |
$20.57 | 594 | 191 |
|
Amy L Kloehn
2500 E Capitol Dr |
$23.32 | 755 | 395 |
|
Tanya M Fuller
1506 S Oneida St |
$22.02 | 1,105 | 458 |
|
Jason Lang
4070 W Spencer St |
$0.04 | 1,114 | 233 |
|
Madeline Kraus
313 S State St |
$105.09 | 1,274 | 477 |
|
Logan Whitfield Curry
2105 E Enterprise Ave Ste 113 |
$10.62 | 1,913 | 486 |
|
Daniel Handrich
1221 E Northland Ave |
$15.76 | 2,552 | 1,339 |
|
Thedacare Regional Medical Center - Appleton, Inc.
2500 E Capitol Dr |
$2.09 | 3,167 | 1,004 |
|
Ascension Ne Wisconsin, Inc
1506 S Oneida St |
$14.51 | 10,164 | 3,818 |
|
Thedacare Regional Medical Center - Appleton, Inc
2400 E Capitol Drive |
$21.96 | 16,776 | 8,672 |
|
Thedacare Regional Medical Center - Appleton, Inc.
1818 N Meade St |
$22.19 | 18,857 | 9,763 |
|
Appleton Area School District
122 E College Ave Stop 1A |
$17.22 | 18,994 | 4,835 |
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 Appleton, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Appleton, WI is $20.09 per claim, based on 80,590 claims from 35 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 Appleton, WI?
There are 35 Medicaid providers offering Physical Therapy related services in Appleton, WI according to public payment data.
What is the price range for Physical Therapy in Appleton, WI?
Medicaid reimbursement for Physical Therapy in Appleton, WI ranges from $0.04 to $105.09 per claim, with an average of $20.09. 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 $16.55
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Avg $11.15
589,242 claims
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Avg $33.88
465,504 claims
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Avg $78.04
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Avg $10.20
379,580 claims
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Avg $51.76
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Avg $12.24
206,735 claims
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Avg $10.28
167,243 claims