Average Medicaid Physical Therapy Payments in Hamburg, NY: $46.03
Avg. Paid
$46.03
Range
$9.16 – $69.27
Total Claims
62,894
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 Hamburg, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Beyond Boundaries: Therapy For Kids
6490 Taylor Rd Lot 17 |
$67.63 | 15,558 | 3,806 |
|
Gregory Blanford
4901 Camp Road Suite 300 |
$39.16 | 12,378 | 3,083 |
|
Frontier Central School District
5120 Orchard Avenue |
$38.74 | 12,179 | 3,184 |
|
Andrew Perilli
4901 Camp Rd Ste 300 |
$52.41 | 4,676 | 2,031 |
|
Sean Fox
4901 Camp Rd Ste 300 |
$13.84 | 4,490 | 1,341 |
|
Hamburg Central School District
5305 Abbott Rd |
$63.44 | 4,082 | 967 |
|
Tyler Joseph Pacer
60 Main St |
$13.41 | 1,845 | 532 |
|
John R Petrunyak
3040 Amsdell Rd |
$69.27 | 1,468 | 322 |
|
Tools To Grow, Occupational And Physical Therapy, Pllc.
4711 Winding Woods Ln |
$66.46 | 1,460 | 509 |
|
Eric Michael Herman
60 Main St Ste 1 |
$18.13 | 1,356 | 463 |
|
John Bard
4901 Camp Rd Ste 300 |
$12.39 | 938 | 330 |
|
Kimberley Knapp
23 E Union St |
$35.43 | 680 | 128 |
|
Eric Fattey
4901 Camp Road Suite 300 |
$13.47 | 548 | 178 |
|
Andrew Sipowicz
60 Main St |
$14.38 | 498 | 138 |
|
Brandy Elizabeth Clarke
4901 Camp Rd |
$16.12 | 469 | 220 |
|
Anthony Joseph Sterlace
3040 Amsdell Rd |
$64.95 | 210 | 61 |
|
Jacob Woodrich
60 Main St |
$16.98 | 34 | 12 |
|
Jessica R Schieda
3896 Eckhardt Rd |
$9.16 | 25 | 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 Hamburg, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Hamburg, NY is $46.03 per claim, based on 62,894 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 Hamburg, NY?
There are 18 Medicaid providers offering Physical Therapy related services in Hamburg, NY according to public payment data.
What is the price range for Physical Therapy in Hamburg, NY?
Medicaid reimbursement for Physical Therapy in Hamburg, NY ranges from $9.16 to $69.27 per claim, with an average of $46.03. 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 Hamburg, NY
Office Visit
Avg $56.33
52,649 claims
Home Health Visit
Avg $158.04
28,381 claims
X-Ray
Avg $7.06
25,793 claims
Psychiatric Evaluation
Avg $38.89
22,463 claims
Speech Therapy
Avg $59.26
20,389 claims
Case Management Services
Avg $21.07
16,740 claims
CT Scan (Computed Tomography)
Avg $48.69
14,109 claims
Vaccines & Immunizations
Avg $16.43
14,102 claims