Average Medicaid Physical Therapy Payments in Evanston, IL: $61.27
Avg. Paid
$61.27
Range
$0.00 – $122.18
Total Claims
128,326
Providers
20
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 Evanston, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Endeavor Health Clinical Operations
2650 Ridge Ave |
$64.46 | 97,266 | 12,609 |
|
Presence Chicago Hospitals Network
355 Ridge Ave |
$91.43 | 8,164 | 2,750 |
|
Colin Tempelis
909 Davis St Ste 220 |
$0.00 | 6,045 | 1,415 |
|
Sean Michael Giroir
1704 Maple Ave Ste 110 |
$26.03 | 4,831 | 1,403 |
|
Jake P Sievers
522 Main St |
$113.75 | 4,211 | 1,260 |
|
Evanston Cc School Dist 65
1500 Mcdaniel Ave |
$18.60 | 3,643 | 1,342 |
|
Kellie Audra Banfield
805 Davis St |
$17.06 | 1,219 | 613 |
|
Brittany Stewart Iwanski
2530 Ridge Ave |
$91.58 | 802 | 319 |
|
Douglas Joseph Meyrose
1629 Chicago Ave |
$15.52 | 430 | 102 |
|
Hillary Pham
1704 Maple Ave Ste 110 |
$33.32 | 285 | 129 |
|
Matthew Tan
1704 Maple Ave Ste 200 |
$27.99 | 268 | 123 |
|
Eric O Fernandez
909 Davis St |
$35.12 | 259 | 71 |
|
Jenifer Carlos De Lara
1415 Sherman Ave |
$11.21 | 188 | 49 |
|
Margaret M Finn
1704 Maple Ave Ste 200 |
$22.08 | 171 | 66 |
|
Deepika Shanti Sethi
2530 Ridge Ave |
$122.18 | 171 | 167 |
|
Therese Kathleen Cady
805 Davis St |
$74.09 | 145 | 49 |
|
Jordan Shelley
1704 Maple Ave Ste 200 |
$21.33 | 101 | 45 |
|
Nicole Marie Louise Raia
1704 Maple Ave Ste 110 |
$25.57 | 51 | 27 |
|
Joanne Miller
814 South Blvd |
$60.47 | 39 | 13 |
|
Joanna Jeanne Josten
2323 Mcdaniel Ave |
$84.64 | 37 | 12 |
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 Evanston, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Evanston, IL is $61.27 per claim, based on 128,326 claims from 20 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 Evanston, IL?
There are 20 Medicaid providers offering Physical Therapy related services in Evanston, IL according to public payment data.
What is the price range for Physical Therapy in Evanston, IL?
Medicaid reimbursement for Physical Therapy in Evanston, IL ranges from $0.00 to $122.18 per claim, with an average of $61.27. 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 Evanston, IL
Blood Work & Lab Tests
Avg $4.15
1,052,181 claims
Office Visit
Avg $30.84
316,260 claims
X-Ray
Avg $6.28
207,117 claims
Urinalysis & Urine Tests
Avg $2.40
179,487 claims
Dental Cleaning & Exam
Avg $26.63
168,165 claims
Emergency Room Visit
Avg $67.03
162,622 claims
Nursing Facility Care
Avg $11.42
78,976 claims
CT Scan (Computed Tomography)
Avg $46.19
77,151 claims