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Based on public Medicaid payment data.

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
Andrew Bartz

656 Elmwood Ave

$41.90 19 12
Jennifer A Ball

2128 Elmwood Ave

$88.81 23 17
Brian Nicholas Duchscherer

100 High St

$79.69 25 12
Dianna Pugliese

531 Virginia St

$26.45 31 12
Scott A Dinse

160 Farber Hall

$31.55 33 12
Nicole K Houck

2128 Elmwood Ave

$50.31 34 12
Andrea E Brock

50 E North St

$69.94 55 24
Gary Wang

2121 Main St

$10.91 56 50
Krista Giacobbe

50 E North St

$50.98 62 24
Lindsay Marie Chatt

4635 Union Rd

$69.36 63 12
Erin Ludwig

50 E North St

$43.23 75 26
Emily M Rybczynski

354 N Legion Dr Apt 2

$75.96 79 38
Laura Mclaughlin

2128 Elmwood Ave

$38.75 80 27
Nicole Ann Calabro

51 Saint Johns Parkside St

$922.81 88 29
Sarah Jessica Stando

2980 William St

$47.74 89 26
Amy Lynn Kaplewicz

50 E North St

$61.88 102 58
Bartholomew Joseph Horrigan

1110 Abbott Rd

$27.89 105 30
Aaron Miller

1091 Main St Ste 120

$43.24 105 45
Gretchen Kamke

50 E North St

$61.88 107 66
Morgan Catherine Mears

2495 Main St

$70.56 131 24
Phillip Jank

1002 E Lovejoy St

$8.61 149 72
William Thomas Agate

2495 Main St

$27.10 159 66
Amanda Kujawinski

2128 Elmwood Ave

$45.99 184 47
Kimberly Ann Schillace

2128 Elmwood Ave

$92.42 215 82
Maria Calieri

800 Hertel Ave Ste 101

$77.00 241 86
Kaylee Elizabeth Cauley

227 Geary St Lowr Unit

$37.50 241 50
People Inc.

2128 Elmwood Ave

$22.05 265 96
Ryan Gutt

1515 Kensington Ave

$43.88 276 80
Leah Wuetcher Fairbanks

2075 Sheridan Dr

$22.77 298 122
Charlene Kalosza

2128 Elmwood Ave

$54.16 306 113
Jessica Koshinski

50 E North St

$57.58 341 99
Whitney Griffith

50 E North St

$0.00 371 48
Christopher Miranda

1585 Hertel Ave

$11.94 382 117
Colleen Marie Leary

67 Dundee St

$74.27 412 118
Sharann E Ratka

7 Community Dr

$104.28 422 154
Ashley Elizabeth Braun

50 E North St

$66.05 430 116
Carrie E Nelson

50 E North St

$74.54 471 123
Heather Gronkowski

100 Washington St

$25.29 486 253
Molly Schrack

1585 Hertel Ave

$28.81 505 181
Julia C Noonan

2980 William St

$18.35 573 238
Madeleine Guszcza

2128 Elmwood Ave

$65.99 588 289
Alexandra Besecker

1360 Eggert Rd

$31.78 612 342
Vase Nastevski

101 Oak St

$56.69 618 269
Timothy Sherman Banks

34 Benwood Ave

$22.44 669 123
Kristen Gabriel Morgus

50 E North St

$74.54 690 165
Troy Dale Gibson

5144 Sheridan Drive

$34.72 693 291
Joseph E Robinson

3950 E Robinson Rd

$34.22 704 274
Joanna Jackson

800 Hertel Ave Ste 101

$57.60 763 329
Roswell Park Cancer Institute

Elm And Carlton St

$88.04 788 425
Andrea Merkel

76 Hancock Ave

$74.63 826 236

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

Other Procedures in Buffalo, NY