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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Edgewood, NM: $61.62

Avg. Paid

$61.62

Range

$16.83 – $127.28

Total Claims

70,253

Providers

19

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 Edgewood, NM

Provider Avg. Paid Claims Patients
Carolyn G Adie

1090 Mountain Valley Rd

 $36.12 12,598 3,937
Samantha Hatfield

1090 Mountain Valley Rd

 $110.72 10,823 3,595
Valerie Ann Gove

1 Linnie Court

 $42.83 9,761 4,090
Justin Snow

1 Linnie Ct

 $53.03 6,812 2,397
Laura Marie Pulliam

1090 Mountain Valley Road

 $125.68 4,529 1,634
Rachel Harrison

1 Linnie Ct

 $35.94 3,954 1,804
Kirsten Asbury

1090 Mountain Valley Rd

 $62.24 3,444 1,376
Mary Ann B Romero

1 Linnie Ct Ste Apt

 $37.61 2,943 1,101
Nancy Jean Rawcliffe

1090 Mountain Valley Rd

 $127.28 2,850 1,023
Amber Lampiris-Tremba

1 Linnie Ct

 $27.68 2,502 1,152
Larisa Maureen Hart Vasquez

1851 Old Us 66

 $40.47 2,471 772
Gavin Lynch

1851 Old Us 66 Ste B

 $55.50 2,283 1,000
Cecilia Gonzales Morris

204 Dinkle Road

 $16.83 2,020 867
Doreen Eleanor Rudman

1 Linnie Ct

 $51.67 1,964 766
Tarin Gonzales

1 Linnie Ct

 $60.91 436 117
Donna Colleen Varan

1 Linnie Ct

 $29.46 370 246
Ryan Hotchkiss

1 Linnie Ct

 $47.19 357 111
Caroline Ludwig

1 Linnie Ct

 $74.27 89 31
Timothy A Winowich

1090 Mountain Valley Rd

 $106.54 47 30

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 Edgewood, NM?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Edgewood, NM is $61.62 per claim, based on 70,253 claims from 19 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 Edgewood, NM?

There are 19 Medicaid providers offering Physical Therapy related services in Edgewood, NM according to public payment data.

What is the price range for Physical Therapy in Edgewood, NM?

Medicaid reimbursement for Physical Therapy in Edgewood, NM ranges from $16.83 to $127.28 per claim, with an average of $61.62. 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 Edgewood, NM

Office Visit

Avg $79.69

46,173 claims

Speech Therapy

Avg $58.42

22,238 claims

Dental Cleaning & Exam

Avg $29.24

9,722 claims

Psychiatric Evaluation

Avg $58.59

6,963 claims

Dental Filling

Avg $64.00

2,327 claims

Urinalysis & Urine Tests

Avg $2.78

1,988 claims

Nursing Facility Care

Avg $51.74

1,523 claims

Vaccines & Immunizations

Avg $29.30

1,504 claims