Average Medicaid Physical Therapy Payments in Hornell, NY: $52.62
Avg. Paid
$52.62
Range
$34.97 – $257.22
Total Claims
18,819
Providers
16
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 Hornell, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St James Hospital
7329 Seneca Road North |
$56.61 | 8,825 | 4,119 |
|
Tyler Evan Phillips
100 Loder St Ste 105 |
$41.12 | 4,361 | 1,501 |
|
Hornell City School District
25 Pearl St |
$71.61 | 941 | 268 |
|
Jessica Lynne Nye
100 Loder St Ste 105 |
$39.56 | 843 | 345 |
|
Brett William Partridge
100 Loder St Ste 105 |
$40.19 | 798 | 314 |
|
Grace Cardamone
96 Cedar St |
$81.93 | 658 | 231 |
|
Myranda Gumtow
100 Loder St Ste 105 |
$49.96 | 631 | 293 |
|
Tiffany Rose Jandrew
100 Loder St Ste 105 |
$47.92 | 613 | 294 |
|
Cara Riesdorph
411 Canisteo St |
$49.29 | 441 | 148 |
|
Shelby Sienna Goore
55 Broadway Mall |
$34.97 | 192 | 57 |
|
Bryan Franklyn Cheskiewicz
100 Loder St Ste 105 |
$43.18 | 177 | 86 |
|
Andrea Michelle Larnard
100 Loder St Ste 105 |
$46.50 | 86 | 45 |
|
Gregory Michael Pittman
55 Broadway Mall |
$35.40 | 74 | 37 |
|
Kara E Crandall
100 Loder St |
$39.71 | 68 | 36 |
|
Sydney Sprague
27 Main St |
$257.22 | 63 | 63 |
|
Ashvinkumar Patel
55 Broadway Mall |
$44.91 | 48 | 25 |
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 Hornell, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Hornell, NY is $52.62 per claim, based on 18,819 claims from 16 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 Hornell, NY?
There are 16 Medicaid providers offering Physical Therapy related services in Hornell, NY according to public payment data.
What is the price range for Physical Therapy in Hornell, NY?
Medicaid reimbursement for Physical Therapy in Hornell, NY ranges from $34.97 to $257.22 per claim, with an average of $52.62. 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 Hornell, NY
Office Visit
Avg $69.09
144,280 claims
Blood Work & Lab Tests
Avg $13.63
86,952 claims
Emergency Room Visit
Avg $124.61
29,238 claims
Home Health Visit
Avg $76.71
28,924 claims
Vaccines & Immunizations
Avg $8.10
21,668 claims
Durable Medical Equipment (DME)
Avg $57.53
17,600 claims
Dental Cleaning & Exam
Avg $38.22
17,383 claims
Urinalysis & Urine Tests
Avg $16.57
14,996 claims