Average Medicaid Physical Therapy Payments in Dubuque, IA: $32.69
Avg. Paid
$32.69
Range
$0.00 – $77.23
Total Claims
124,259
Providers
18
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 Dubuque, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelsey Lange
4121 Pennsylvania Ave |
$43.78 | 16 | 15 |
|
Sara Elizabeth Croghan
1500 Associates Dr |
$20.55 | 25 | 12 |
|
Christopher G Palmer
4005 Westmark Dr |
$16.67 | 40 | 12 |
|
The Finley Hospital
350 N Grandview Ave |
$35.45 | 60 | 19 |
|
Andrea Lea Ries
1500 Associates Dr |
$0.00 | 60 | 13 |
|
Randy Francis Burger
1340 Delhi St |
$0.00 | 60 | 39 |
|
Amber Jean Steffen
1500 Associates Dr |
$22.13 | 109 | 57 |
|
Mercy Medical Center-Dubuque
250 Mercy Dr |
$5.62 | 128 | 37 |
|
Sean Mathew Schulte
1500 Associates Dr |
$32.10 | 326 | 158 |
|
Amy Marie Greener
2000 Pasadena Dr |
$59.25 | 395 | 161 |
|
Shannon Regan
4005 Westmark Dr |
$55.65 | 433 | 179 |
|
Ryan Hermsen
1500 Associates Dr |
$18.71 | 772 | 274 |
|
Kelly Ann Heysinger
4135 Pennsylvania Avenue |
$6.93 | 784 | 153 |
|
Jordan Palmer
9085 Pheasant Ln |
$32.06 | 1,177 | 462 |
|
Mary M Drury
799 Main St |
$77.23 | 1,763 | 253 |
|
James L. Livermore
1789 Elm St |
$29.01 | 2,097 | 734 |
|
Kristin Kilburg
1500 Associates Dr |
$55.80 | 4,275 | 561 |
|
Unified Therapy Services, Inc
4121 Pennsylvania Ave |
$31.35 | 111,739 | 31,208 |
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 Dubuque, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Dubuque, IA is $32.69 per claim, based on 124,259 claims from 18 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 Dubuque, IA?
There are 18 Medicaid providers offering Physical Therapy related services in Dubuque, IA according to public payment data.
What is the price range for Physical Therapy in Dubuque, IA?
Medicaid reimbursement for Physical Therapy in Dubuque, IA ranges from $0.00 to $77.23 per claim, with an average of $32.69. 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 Dubuque, IA
Office Visit
Avg $32.20
373,672 claims
Home Health Visit
Avg $80.30
197,901 claims
Non-Emergency Medical Transportation
Avg $18.04
191,796 claims
Blood Work & Lab Tests
Avg $4.85
188,839 claims
Dental Cleaning & Exam
Avg $21.68
170,898 claims
Psychiatric Evaluation
Avg $64.62
133,016 claims
Emergency Room Visit
Avg $121.29
105,556 claims
Vaccines & Immunizations
Avg $15.59
65,715 claims