Average Medicaid Physical Therapy Payments in Lackawanna, NY: $55.85
Avg. Paid
$55.85
Range
$0.00 – $100.73
Total Claims
35,948
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 Lackawanna, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lackawanna City School District
500 Martin Rd |
$57.53 | 17,545 | 4,210 |
|
Catholic Health System Program Of All-Inclusive Care For The Elderly,
55 Melroy Ave |
$0.00 | 3,152 | 1,488 |
|
Jillian Marie Gorman
790 Ridge Rd |
$68.13 | 3,149 | 594 |
|
Christin Marie Young
697 Ridge Rd |
$46.29 | 2,922 | 733 |
|
Dawn Marie Luniewski
790 Ridge Rd |
$74.54 | 2,705 | 498 |
|
Katherine Margaret Sweeney
790 Ridge Rd |
$100.73 | 2,605 | 982 |
|
Jocelyn M Massaro
1025 Ridge Rd |
$18.35 | 1,849 | 527 |
|
Courtney Altman
1025 Ridge Rd |
$74.54 | 1,727 | 398 |
|
Jenna Brianne Senay
790 Ridge Rd |
$74.54 | 294 | 59 |
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 Lackawanna, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Lackawanna, NY is $55.85 per claim, based on 35,948 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 Lackawanna, NY?
There are 9 Medicaid providers offering Physical Therapy related services in Lackawanna, NY according to public payment data.
What is the price range for Physical Therapy in Lackawanna, NY?
Medicaid reimbursement for Physical Therapy in Lackawanna, NY ranges from $0.00 to $100.73 per claim, with an average of $55.85. 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 Lackawanna, NY
Dental Cleaning & Exam
Avg $32.54
29,899 claims
Speech Therapy
Avg $56.19
25,731 claims
Office Visit
Avg $43.72
16,934 claims
Psychiatric Evaluation
Avg $95.22
16,295 claims
Behavioral & Mental Health Therapy
Avg $93.59
11,572 claims
Substance Abuse Treatment
Avg $84.97
7,844 claims
Podiatry (Foot Care)
Avg $68.89
7,368 claims
Vaccines & Immunizations
Avg $15.19
4,547 claims