Average Medicaid Physical Therapy Payments in Dover, DE: $21.96
Avg. Paid
$21.96
Range
$0.13 – $110.76
Total Claims
77,647
Providers
44
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 Dover, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Capitol Nursing And Rehabilitation Center Llc
1225 Walker Rd |
$10.81 | 13,296 | 1,169 |
|
State Of Delaware
945 Forest St |
$22.10 | 10,567 | 4,350 |
|
Bayhealth Medical Center, Inc.
640 South State Street |
$38.94 | 5,714 | 1,717 |
|
Thomas Justin Yoder
642 S Queen St Ste 101 |
$13.18 | 5,350 | 1,327 |
|
Beyond Speech Therapy, Llc
25 Maggies Way Ste 2 |
$44.97 | 4,734 | 1,722 |
|
Dover Chiropractic And Rehabilitation, Inc.
222 S Dupont Hwy Ste 203 |
$10.18 | 3,733 | 986 |
|
The Jungle Gym
19 Shinnecock Road |
$29.32 | 3,247 | 1,116 |
|
Delaware Injury Care L.L.C.
240 Beiser Blvd Ste 101 |
$9.65 | 2,323 | 838 |
|
Amanda Piccolo
642 S Queen St Ste 101 |
$18.24 | 2,270 | 836 |
|
Anastasia Marie Benson
100 Enterprise Pl |
$69.75 | 2,265 | 810 |
|
Edelman Spine & Orthopaedic Physical Therapy, Llc
99 Wolf Creek Blvd Ste 2 |
$33.29 | 2,246 | 715 |
|
Jyoti Jani
1125 Forrest Ave Ste 101 |
$13.53 | 1,925 | 866 |
|
Amanda Hanna Temple
1288 S Governors Ave |
$0.24 | 1,613 | 483 |
|
Gail Marie Kelly
102 W. Water Street, Suite 1 |
$49.49 | 1,572 | 494 |
|
Kirill Alekseyev
1240 Mckee Rd |
$22.36 | 1,171 | 198 |
|
Adrianne Greene
1288 S Governors Ave |
$0.71 | 1,088 | 333 |
|
Regional Medical Associates, Pa
240 Beiser Blvd |
$30.73 | 1,026 | 566 |
|
Aaron Joesph Cooke
1288 S Governors Ave |
$4.08 | 999 | 281 |
|
Tracey D Goff
1418 S State St |
$1.14 | 979 | 279 |
|
Pam Squared At Dover Llc
1240 Mckee Road |
$33.55 | 968 | 185 |
|
Nicole Mendoza Valbuena
551 S Red Haven Ln Ste 102 |
$0.55 | 943 | 333 |
|
John Grogan
1288 S Governors Ave |
$11.92 | 891 | 275 |
|
Michael Walsh
810 New Burton Rd Ste 2 |
$1.34 | 879 | 227 |
|
John Lemen
1030 Forrest Ave |
$1.71 | 781 | 427 |
|
Lendie May T Paradela
1125 Forrest Ave |
$1.16 | 744 | 324 |
|
Vaman Kanu Patel
16 Coventry Ct |
$110.76 | 712 | 253 |
|
Jennifer S Hilliard
1030 Forrest Ave Ste 105A |
$2.10 | 630 | 224 |
|
Jeremy Rivada
1125 Forrest Ave |
$1.23 | 606 | 176 |
|
Charles B. Barker
1015 S Governors Ave |
$0.40 | 590 | 159 |
|
Samantha Marie Stant
551 S Red Haven Ln |
$9.63 | 589 | 135 |
|
Kristin Rose Stefankiewicz
1080 Silver Lake Blvd |
$26.52 | 436 | 173 |
|
Kent Physical Therapy, Llc
1078 S State St Ste 1 |
$40.89 | 370 | 93 |
|
Mike Walsh Physical Therapy, Llc
810 New Burton Rd |
$59.76 | 352 | 91 |
|
Kevin Raj Villegas
1125 Forrest Ave Ste 101 |
$0.70 | 337 | 161 |
|
Shannon Caroccio
100 Enterprise Pl Ste 1 |
$61.80 | 305 | 114 |
|
Physiotherapy Associates, Inc.
128 Greentree Dr |
$18.29 | 291 | 88 |
|
Rene Navarro
1015 S Governors Ave |
$1.10 | 247 | 112 |
|
Deanna Stevens
945 Forest St |
$32.50 | 218 | 158 |
|
Heather Rae Leiggi
1288 S Governors Ave |
$1.11 | 160 | 71 |
|
Ashley Mckenna
642 S Queen St Ste 101 |
$0.13 | 136 | 61 |
|
David Noah Seip
1288 S Governors Ave |
$0.33 | 129 | 53 |
|
Jesse Mohoric
260 Beiser Blvd |
$36.37 | 87 | 46 |
|
Molly Marie Schab
642 S Queen St Ste 101 |
$93.42 | 71 | 36 |
|
Cindy Lynch
945 Forest St |
$13.24 | 57 | 26 |
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 Dover, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Dover, DE is $21.96 per claim, based on 77,647 claims from 44 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 Dover, DE?
There are 44 Medicaid providers offering Physical Therapy related services in Dover, DE according to public payment data.
What is the price range for Physical Therapy in Dover, DE?
Medicaid reimbursement for Physical Therapy in Dover, DE ranges from $0.13 to $110.76 per claim, with an average of $21.96. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Physical Therapy in Other Cities
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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 Dover, DE
Office Visit
Avg $55.49
541,196 claims
Personal Care Services
Avg $107.16
437,262 claims
Blood Work & Lab Tests
Avg $14.59
230,179 claims
Emergency Room Visit
Avg $142.47
220,056 claims
X-Ray
Avg $11.25
131,691 claims
Psychiatric Evaluation
Avg $55.09
118,201 claims
Dental Cleaning & Exam
Avg $50.03
102,368 claims
Vaccines & Immunizations
Avg $7.81
91,997 claims