Average Medicaid Physical Therapy Payments in Buffalo, NY: $63.13
Avg. Paid
$63.13
Range
$0.00 – $922.81
Total Claims
527,017
Providers
96
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 Buffalo, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Buffalo Public Schools
65 Niagara Sq Rm 708 |
$66.90 | 184,960 | 51,476 |
|
Erie County Health Dept - Special Needs Preschool Program
95 Franklin St |
$62.60 | 97,837 | 21,399 |
|
Erie County Medical Center Corporation
462 Grider St |
$113.67 | 39,445 | 17,117 |
|
People Inc.
800 Hertel Ave Ste 101 |
$63.91 | 25,667 | 7,313 |
|
Anita S Joshi
3101 Main St |
$44.93 | 19,771 | 4,100 |
|
Mercy Hospital Of Buffalo
565 Abbott Rd |
$28.73 | 14,249 | 6,005 |
|
Luke Brian Swimline
101 Oak St |
$53.01 | 11,989 | 2,627 |
|
Kenmore-Town Of Tonawanda Ufsd
1500 Colvin Blvd |
$53.09 | 10,573 | 3,155 |
|
Stacey Lynn Lovern
Buffalo Hearing & Speech Center |
$22.59 | 7,976 | 2,342 |
|
Marc Flierl
656 Elmwood Ave |
$33.99 | 7,894 | 3,744 |
|
Kaleida Health
818 Ellicott St |
$66.51 | 6,871 | 3,709 |
|
Ryan C Conti
2625 Delaware Ave |
$50.31 | 6,716 | 2,359 |
|
People Inc
2128 Elmwood Avenue |
$64.80 | 6,273 | 1,782 |
|
Jennifer Lyons
34 Harvest Ave |
$44.62 | 5,521 | 2,190 |
|
Katie L. Wrest-Connors
343 Lakefront Blvd |
$67.27 | 4,633 | 1,206 |
|
Ann M Leitten
2128 Elmwood Avenue |
$42.54 | 4,357 | 1,160 |
|
Bernard Jay Ryan
1110 Abbott Rd |
$26.50 | 3,795 | 1,015 |
|
Nathan Brant
656 Elmwood Ave |
$35.77 | 3,652 | 1,465 |
|
Kristen Lucia
95 John Muir Dr |
$37.35 | 3,601 | 1,533 |
|
Kaleida Health
100 High St |
$52.46 | 3,140 | 1,719 |
|
Martin Ryan Koslosky
2625 Delaware Ave |
$45.67 | 3,015 | 1,255 |
|
Christopher Musilli
180 Norwalk Ave |
$80.94 | 2,904 | 1,016 |
|
Kayla Conaway
800 Hertel Ave Ste 101 |
$56.72 | 2,777 | 999 |
|
Jodi Marie Jardine
51 Saint Johns Parkside St |
$74.54 | 2,546 | 546 |
|
Sisters Of Charity Hospital Of Buffalo New York
2157 Main St |
$31.25 | 2,201 | 1,091 |
|
Lisa R Zambron
2128 Elmwood Avenue |
$59.54 | 2,140 | 805 |
|
Kathryn Elisabeth Sztukowski
51 Saint Johns Parkside St |
$74.54 | 2,010 | 367 |
|
Peter F Schultz
800 Hertel Ave Ste 101 |
$38.82 | 2,008 | 601 |
|
Casey Jackson Calabrese
656 Elmwood Ave |
$35.13 | 1,818 | 903 |
|
Erika Rae Wolf
51 Saint Johns Parkside St |
$74.48 | 1,747 | 406 |
|
Buffalo Hearing & Speech Center, Inc
50 E North St |
$63.11 | 1,557 | 554 |
|
Kaleida Health
100 High St |
$41.62 | 1,500 | 1,425 |
|
William Grant Tso
531 Virginia Street Ste 1 |
$34.60 | 1,440 | 526 |
|
Christopher Paul Labonte
800 Hertel Ave Ste 101 |
$49.07 | 1,426 | 408 |
|
Amanda Lynne Smith
2495 Main St |
$55.65 | 1,407 | 484 |
|
Ryan Mitchell
531 Virginia Street Ste 1 |
$41.89 | 1,342 | 466 |
|
Karen Marie Moline
50 E North St |
$74.54 | 1,290 | 345 |
|
Marissa Hoolihan
50 E North St |
$74.54 | 1,273 | 284 |
|
Anchelle Berrios-Irizarry
285 Delaware Ave Ste 116 |
$23.63 | 1,184 | 411 |
|
Julie Taylor
50 E North St |
$16.83 | 1,177 | 337 |
|
Karli Menzies
800 Hertel Ave Ste 101 |
$69.77 | 1,127 | 391 |
|
Bonnie Walker Hogan
50 E North St |
$66.26 | 1,099 | 320 |
|
Emily Bartkowski
50 E North St |
$74.54 | 1,088 | 199 |
|
Teresa Regina Alfano
101 Oak St |
$70.55 | 1,038 | 210 |
|
Stephanie F Lombardo
800 Hertel Ave Ste 101 |
$54.83 | 1,013 | 349 |
|
Morgan Owen
800 Hertel Ave # 101 |
$48.37 | 930 | 238 |
|
Andrea Merkel
76 Hancock Ave |
$74.63 | 826 | 236 |
|
Roswell Park Cancer Institute
Elm And Carlton St |
$88.04 | 788 | 425 |
|
Joanna Jackson
800 Hertel Ave Ste 101 |
$57.60 | 763 | 329 |
|
Joseph E Robinson
3950 E Robinson Rd |
$34.22 | 704 | 274 |
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 Buffalo, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Buffalo, NY is $63.13 per claim, based on 527,017 claims from 96 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 Buffalo, NY?
There are 96 Medicaid providers offering Physical Therapy related services in Buffalo, NY according to public payment data.
What is the price range for Physical Therapy in Buffalo, NY?
Medicaid reimbursement for Physical Therapy in Buffalo, NY ranges from $0.00 to $922.81 per claim, with an average of $63.13. 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 Buffalo, NY
Home Health Visit
Avg $138.93
2,641,639 claims
Office Visit
Avg $60.22
2,438,221 claims
Blood Work & Lab Tests
Avg $8.36
2,385,372 claims
Substance Abuse Treatment
Avg $44.27
1,684,325 claims
Emergency Room Visit
Avg $120.86
1,082,052 claims
Dental Cleaning & Exam
Avg $30.59
790,427 claims
Case Management Services
Avg $250.24
760,219 claims
Psychiatric Evaluation
Avg $135.39
730,584 claims