Average Medicaid Physical Therapy Payments in Elkhart, IN: $24.69
Avg. Paid
$24.69
Range
$0.00 – $63.20
Total Claims
32,113
Providers
23
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 Elkhart, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Orthopedic And Sports Medicine Center Of Northern Indiana, Inc
2310 California Rd Ste A |
$9.84 | 47 | 29 |
|
Linda Byrd
51273 Maplewood Dr |
$27.99 | 93 | 39 |
|
Sydney Christine Niman
505 S 3Rd St |
$63.20 | 95 | 27 |
|
Magdalena Graber-Yoder Nowicki
2310 California Rd |
$25.69 | 96 | 49 |
|
Michaela Elijah
2528 Bypass Rd |
$0.00 | 101 | 24 |
|
Kathleen Susan Morris
2600 Morehouse Ave |
$10.18 | 111 | 29 |
|
Lauren Nicole Horvath
2310 California Rd |
$27.11 | 185 | 91 |
|
Alyssa Rae Coco
2310 California Rd |
$31.22 | 191 | 77 |
|
Michelle R Martin
2310 California Road |
$22.68 | 355 | 214 |
|
Christopher J. Lingle
2310 California Rd |
$22.01 | 470 | 172 |
|
Jessica Kase
2310 California Rd |
$20.67 | 525 | 174 |
|
Caleb David Dingeldein
1240 N Nappanee St |
$41.86 | 548 | 147 |
|
Craig Matthew Enright
2310 California Rd |
$23.47 | 1,018 | 584 |
|
Lou Ann Fisher
2310 California Road |
$23.03 | 1,077 | 540 |
|
Rodney Alan Perry
2310 California Rd |
$22.81 | 1,136 | 524 |
|
Jodi Mann
2310 California Road |
$22.53 | 1,896 | 826 |
|
Ravindra Babu Bhogadula
2528 Bypass Rd |
$1.40 | 2,109 | 463 |
|
John B. Devries
2310 California Rd Ste A |
$20.76 | 2,577 | 1,301 |
|
Amanda Schlarb
2310 California Rd |
$20.58 | 2,707 | 1,263 |
|
Elkhart Community Schools
2720 California Rd |
$29.61 | 3,035 | 2,053 |
|
Deanna Scherpereel
2310 California Road |
$21.77 | 3,512 | 1,846 |
|
Denise Friedli
2310 California Road |
$21.63 | 3,574 | 1,939 |
|
Hannah Rose Knouse
1240 N Nappanee St |
$36.64 | 6,655 | 1,971 |
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 Elkhart, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Elkhart, IN is $24.69 per claim, based on 32,113 claims from 23 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 Elkhart, IN?
There are 23 Medicaid providers offering Physical Therapy related services in Elkhart, IN according to public payment data.
What is the price range for Physical Therapy in Elkhart, IN?
Medicaid reimbursement for Physical Therapy in Elkhart, IN ranges from $0.00 to $63.20 per claim, with an average of $24.69. 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 Elkhart, IN
Emergency Room Visit
Avg $101.82
355,194 claims
Office Visit
Avg $49.36
323,807 claims
Blood Work & Lab Tests
Avg $4.55
309,110 claims
Psychiatric Evaluation
Avg $46.11
120,775 claims
EKG / ECG (Electrocardiogram)
Avg $19.76
97,844 claims
Vaccines & Immunizations
Avg $8.44
94,806 claims
Urinalysis & Urine Tests
Avg $1.93
70,876 claims
Speech Therapy
Avg $41.25
61,659 claims