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
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