Average Medicaid Physical Therapy Payments in Edison, NJ: $26.81
Avg. Paid
$26.81
Range
$0.03 – $148.39
Total Claims
302,797
Providers
40
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 Edison, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hmh Hospitals Corporation
65 James St |
$49.70 | 66,636 | 22,440 |
|
Community Hospital Group Inc
65 James St |
$46.14 | 63,161 | 23,936 |
|
Purvi Jigar Pithwa
1804 Oak Tree Rd |
$5.99 | 24,817 | 8,302 |
|
Hemisha Thaker
1681 Route 27 Ste 101 |
$3.35 | 20,455 | 5,690 |
|
Sandip G Patel
1655 Oak Tree Rd |
$6.55 | 17,089 | 3,250 |
|
Deepali Jain
1817 Oak Tree Rd Ste A |
$33.21 | 16,000 | 6,172 |
|
Middlesex County Improvement Authority
118 Parsonage Rd |
$0.80 | 14,194 | 1,737 |
|
Himani Sethi
25 Main St Ste 10 |
$7.13 | 8,223 | 1,845 |
|
Manisha Khandelwal
30 Frost Ave E |
$8.41 | 8,024 | 2,106 |
|
Edison Healthcare Llc
10 Brunswick Ave |
$0.04 | 8,007 | 1,142 |
|
Garima Jain
161 Lincoln Hwy |
$9.54 | 7,457 | 1,553 |
|
Community Hospital Group Inc
65 James St |
$5.03 | 6,978 | 2,771 |
|
Khyati Desai
1656 Oak Tree Rd Ste 2A |
$1.60 | 5,519 | 1,343 |
|
Daegyun Kim
1581 Route 27 Unit 3 |
$4.16 | 5,067 | 1,345 |
|
Hmh Hospitals Corporation
65 James St |
$8.80 | 4,311 | 1,924 |
|
Nirali Patel
2114 Oak Tree Rd |
$2.37 | 3,959 | 926 |
|
Ronakkumar Govindbhai Patel
1692 Oak Tree Rd |
$17.98 | 3,118 | 859 |
|
Kulwant Kaur
629 Amboy Ave |
$6.11 | 3,062 | 859 |
|
Erick James Fisco
16 Azalea Dr |
$148.39 | 1,818 | 621 |
|
Payal D Baraiya
10 Jonathan Dr |
$4.50 | 1,735 | 752 |
|
Sejal Priyalkumar Modi
323 Horizon Dr |
$5.37 | 1,693 | 344 |
|
Rupa Balaraman
4 Ethel Rd |
$41.90 | 1,660 | 456 |
|
Gladys May Casayuran Dizon
343 Thornall St Ste 510 |
$46.02 | 1,513 | 257 |
|
Jason Chester
72 Nj-27 |
$20.46 | 1,436 | 452 |
|
Anna Kitchen
3830 Park Ave |
$10.86 | 1,173 | 426 |
|
Marjorie Galema
3830 Park Ave Ste 202 |
$16.33 | 1,059 | 308 |
|
Community Hospital Group Inc
65 James St |
$85.78 | 953 | 272 |
|
Patrice Soto
50 N Evergreen Rd |
$0.77 | 843 | 160 |
|
Shonda Robinson
629 Amboy Avenue, Edison, Nj, Usa |
$5.81 | 781 | 284 |
|
Poonam Hanmantgad
10 Wendy Ct |
$0.29 | 546 | 134 |
|
Poojaben Naik
1914A Lincoln Hwy |
$0.03 | 360 | 176 |
|
Neil Bakhru
802 Merrywood Drive |
$145.17 | 359 | 90 |
|
Elizabeth Marie Sanatar
3830 Park Ave |
$4.96 | 217 | 75 |
|
Fnu Paramjit
88 Linda Ln |
$11.55 | 183 | 75 |
|
Bernadette Abinguna Gumiran
1914A Lincoln Hwy |
$5.31 | 90 | 24 |
|
Ankit Patel
4 Ethel Rd |
$35.63 | 78 | 53 |
|
Amit Anil Gaglani
3830 Park Ave |
$16.65 | 73 | 27 |
|
David Chessen
72 Route 27 |
$9.38 | 68 | 25 |
|
Anish Reddy
3830 Park Ave |
$14.62 | 43 | 12 |
|
Cesar Barnachea Holgado
102 James Street |
$21.27 | 39 | 13 |
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 Edison, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Edison, NJ is $26.81 per claim, based on 302,797 claims from 40 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 Edison, NJ?
There are 40 Medicaid providers offering Physical Therapy related services in Edison, NJ according to public payment data.
What is the price range for Physical Therapy in Edison, NJ?
Medicaid reimbursement for Physical Therapy in Edison, NJ ranges from $0.03 to $148.39 per claim, with an average of $26.81. 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 Edison, NJ
Home Health Visit
Avg $72.70
1,738,327 claims
Office Visit
Avg $46.03
753,071 claims
Blood Work & Lab Tests
Avg $8.48
735,324 claims
Emergency Room Visit
Avg $201.48
285,731 claims
Ambulance Transport
Avg $135.04
200,274 claims
Vaccines & Immunizations
Avg $13.11
181,694 claims
Dental Cleaning & Exam
Avg $26.48
177,448 claims
X-Ray
Avg $18.91
144,439 claims