Average Medicaid Physical Therapy Payments in Horseheads, NY: $50.17
Avg. Paid
$50.17
Range
$32.55 – $75.22
Total Claims
18,085
Providers
9
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 Horseheads, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Horseheads Csd
1 Raider Ln |
$57.88 | 10,540 | 2,813 |
|
Stephen Eugene Tolly
3344 Chambers Rd |
$32.93 | 2,702 | 1,182 |
|
Christopher Capilli
3344 Chambers Rd |
$37.27 | 2,358 | 878 |
|
Jacqueline Patricia Sheldon
100 John Roemmelt Dr Ste 100 |
$59.53 | 903 | 333 |
|
Edward Joseph Mcdonald
31 Arnot Rd |
$33.01 | 901 | 439 |
|
Thomas Beyer
3344 Chambers Rd |
$32.55 | 224 | 90 |
|
Kristina Brown
25 Sutton Rd |
$75.22 | 219 | 91 |
|
Miranda Daniell Beeman
3344 Chambers Rd Ste 100 |
$65.24 | 124 | 38 |
|
Michal J Niedzielski
2977 Westinghouse Rd |
$44.29 | 114 | 43 |
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 Horseheads, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Horseheads, NY is $50.17 per claim, based on 18,085 claims from 9 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 Horseheads, NY?
There are 9 Medicaid providers offering Physical Therapy related services in Horseheads, NY according to public payment data.
What is the price range for Physical Therapy in Horseheads, NY?
Medicaid reimbursement for Physical Therapy in Horseheads, NY ranges from $32.55 to $75.22 per claim, with an average of $50.17. 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
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Office Visit
Avg $80.73
166,477 claims
Vaccines & Immunizations
Avg $11.62
35,488 claims
Psychiatric Evaluation
Avg $58.87
12,911 claims
Blood Work & Lab Tests
Avg $0.50
12,582 claims
Dental Cleaning & Exam
Avg $45.28
10,453 claims
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Avg $120.33
7,183 claims
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Avg $7.28
5,955 claims
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Avg $45.98
4,231 claims