Average Medicaid Physical Therapy Payments in Auburn, NY: $60.89
Avg. Paid
$60.89
Range
$7.08 – $74.54
Total Claims
50,730
Providers
19
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 Auburn, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Auburn Community Hospital
17 Lansing St |
$70.17 | 12,343 | 4,291 |
|
Seneca Cayuga Counties Chapter Nysarc, Inc.
180 North St |
$64.61 | 9,077 | 1,791 |
|
Auburn Enlarged City School District
78 Thornton Ave |
$74.32 | 6,269 | 1,554 |
|
Kathy J. Polkowski
180 North St |
$62.17 | 5,651 | 1,281 |
|
Chad Michael Pens
37 W Garden St |
$36.33 | 4,985 | 1,553 |
|
Cayuga Co Hlth Dept Psshsp
8 Dill St |
$65.67 | 3,391 | 614 |
|
Matthew D Costello
37 W Garden St |
$38.72 | 2,995 | 966 |
|
Brittany Anne Cottrell
182 North St |
$74.47 | 998 | 260 |
|
Julie May Nolan-Ohara
182 North St |
$57.24 | 808 | 184 |
|
Kenneth David Rescott
37 W Garden St |
$37.70 | 743 | 281 |
|
Maria Shepherd
37 W Garden St |
$39.58 | 743 | 314 |
|
Colleen M Desalvatore
182 North St |
$18.35 | 644 | 208 |
|
Barbara Lynn Andersen
180 North St |
$47.13 | 545 | 79 |
|
Chad Michael Lachance
37 W Garden St |
$30.13 | 521 | 188 |
|
Jeanette Mcnabb
182 North St |
$74.54 | 491 | 126 |
|
Michele M Ryan
6036 Dunning Ave |
$68.00 | 258 | 57 |
|
Michelle Lea Cooney
419 Wide Waters Ln |
$68.68 | 165 | 49 |
|
Ijaz Rashid
77 Nelson St |
$7.08 | 60 | 60 |
|
Matthew Przydrozny
37 W Garden St |
$53.19 | 43 | 13 |
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 Auburn, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Auburn, NY is $60.89 per claim, based on 50,730 claims from 19 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 Auburn, NY?
There are 19 Medicaid providers offering Physical Therapy related services in Auburn, NY according to public payment data.
What is the price range for Physical Therapy in Auburn, NY?
Medicaid reimbursement for Physical Therapy in Auburn, NY ranges from $7.08 to $74.54 per claim, with an average of $60.89. 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 Auburn, NY
Office Visit
Avg $89.68
264,565 claims
Blood Work & Lab Tests
Avg $13.28
248,807 claims
Psychiatric Evaluation
Avg $119.27
158,606 claims
Emergency Room Visit
Avg $122.65
93,387 claims
Behavioral & Mental Health Therapy
Avg $90.12
75,298 claims
Substance Abuse Treatment
Avg $120.59
46,510 claims
Urinalysis & Urine Tests
Avg $4.59
46,381 claims
Vaccines & Immunizations
Avg $8.55
43,374 claims