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 |
|---|---|---|---|
|
Appleton Area School District
122 E College Ave Stop 1A |
$17.22 | 18,994 | 4,835 |
|
Thedacare Regional Medical Center - Appleton, Inc.
1818 N Meade St |
$22.19 | 18,857 | 9,763 |
|
Thedacare Regional Medical Center - Appleton, Inc
2400 E Capitol Drive |
$21.96 | 16,776 | 8,672 |
|
Ascension Ne Wisconsin, Inc
1506 S Oneida St |
$14.51 | 10,164 | 3,818 |
|
Thedacare Regional Medical Center - Appleton, Inc.
2500 E Capitol Dr |
$2.09 | 3,167 | 1,004 |
|
Daniel Handrich
1221 E Northland Ave |
$15.76 | 2,552 | 1,339 |
|
Logan Whitfield Curry
2105 E Enterprise Ave Ste 113 |
$10.62 | 1,913 | 486 |
|
Madeline Kraus
313 S State St |
$105.09 | 1,274 | 477 |
|
Jason Lang
4070 W Spencer St |
$0.04 | 1,114 | 233 |
|
Tanya M Fuller
1506 S Oneida St |
$22.02 | 1,105 | 458 |
|
Amy L Kloehn
2500 E Capitol Dr |
$23.32 | 755 | 395 |
|
Trevor Althaus
3212 E Calumet St Ste E&F |
$20.57 | 594 | 191 |
|
Sarah Marie Dahl
4000 N Providence Ave |
$18.62 | 530 | 241 |
|
Lisa Katherine Buehler
3375 W Brewster St |
$69.19 | 469 | 212 |
|
Anthony David Urban
W3216 Country Road |
$33.15 | 312 | 199 |
|
Amber Michele Van Hiel
N496 Milky Way |
$15.40 | 246 | 99 |
|
Jennifer Lynn Oberg
N496 Milky Way |
$18.45 | 233 | 102 |
|
Zachary Vandenberg
1818 N Meade St |
$48.92 | 222 | 116 |
|
Nicolas Cartaya
N496 Milky Way |
$18.66 | 203 | 97 |
|
Chandler Riem
2105 N Enterprise Ave |
$30.64 | 176 | 54 |
|
Jenna Marie Kadlec
3916 N. Intertech Court |
$34.72 | 173 | 82 |
|
Kyle J Schwebke
3925 N Gateway Dr |
$4.37 | 143 | 37 |
|
Manorcare Health Services Llc
1335 S Oneida St |
$3.85 | 124 | 13 |
|
Stephanie A Allaire
1506 S Oneida St |
$28.69 | 116 | 51 |
|
Richard A Staehler
5320 Michaels Dr |
$30.69 | 94 | 50 |
|
Robert J Daul
5320 Michaels Dr |
$28.38 | 45 | 25 |
|
John P Revord
5320 Michaels Dr |
$38.60 | 43 | 25 |
|
Julie A Strutz
2323 N Casaloma Dr |
$24.60 | 30 | 12 |
|
Jason G Schomburg
5320 Michaels Dr |
$27.81 | 28 | 12 |
|
Alex Minten
5320 W Michaels Dr |
$29.63 | 27 | 13 |
|
Jennifer Torborg
4000 N Providence Ave |
$19.15 | 26 | 14 |
|
Aaron James Nelson
W5282 Amy Ave |
$26.57 | 26 | 13 |
|
Luke Pan
2400 E Capitol Dr |
$37.67 | 23 | 12 |
|
Megen Q Bejvan
2500 E Capitol Dr |
$44.01 | 21 | 12 |
|
Michelle L. Landsverk
3232 N Ballard Rd Ste 204 |
$12.65 | 15 | 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 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
Other Procedures in Appleton, WI
Blood Work & Lab Tests
Avg $16.55
608,141 claims
Substance Abuse Treatment
Avg $11.15
589,242 claims
Office Visit
Avg $33.88
465,504 claims
Behavioral & Mental Health Therapy
Avg $78.04
417,838 claims
Personal Care Services
Avg $10.20
379,580 claims
Emergency Room Visit
Avg $51.76
230,945 claims
Speech Therapy
Avg $12.24
206,735 claims
Non-Emergency Medical Transportation
Avg $10.28
167,243 claims