Average Medicaid Physical Therapy Payments in Madison, IN: $39.17
Avg. Paid
$39.17
Range
$18.29 – $102.30
Total Claims
34,911
Providers
13
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 Madison, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Shane Lundergan
110 Holt Dr |
$18.29 | 23 | 13 |
|
Jacqueline Marie Overpeck
2420 Wilson Ave |
$52.66 | 66 | 28 |
|
Maulika Patel
120 Presbyterian Ave |
$31.02 | 208 | 38 |
|
Joshua Bronson
110 Holt Dr |
$20.90 | 225 | 68 |
|
Jace Brandon Pinkston
2420 Wilson Ave |
$72.11 | 234 | 98 |
|
Megan Ellen Collins
2420 Wilson Ave |
$67.23 | 346 | 132 |
|
Kelsey Yarberry
2420 Wilson Ave |
$57.04 | 851 | 332 |
|
Nadine Risman Risman
2420 Wilson Ave |
$43.75 | 1,762 | 576 |
|
Chase Wattenbarger
130 Elmhurst Dr |
$35.11 | 2,003 | 610 |
|
Shelby Dorsey
2420 Wilson Ave |
$56.50 | 2,538 | 818 |
|
Nathan W Polley
1373 E State Road 62 Ste 2A |
$102.30 | 3,061 | 640 |
|
Rebecca Diane Simpson-Pinkston
2420 Wilson Ave |
$67.71 | 3,279 | 1,110 |
|
Eric J Berseth
2432 Clifty Dr |
$21.54 | 20,315 | 5,335 |
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 Madison, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Madison, IN is $39.17 per claim, based on 34,911 claims from 13 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 Madison, IN?
There are 13 Medicaid providers offering Physical Therapy related services in Madison, IN according to public payment data.
What is the price range for Physical Therapy in Madison, IN?
Medicaid reimbursement for Physical Therapy in Madison, IN ranges from $18.29 to $102.30 per claim, with an average of $39.17. 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
Other Procedures in Madison, IN
Substance Abuse Treatment
Avg $21.63
370,835 claims
Office Visit
Avg $49.14
190,923 claims
Behavioral & Mental Health Therapy
Avg $104.89
164,426 claims
Blood Work & Lab Tests
Avg $6.53
136,502 claims
Psychiatric Evaluation
Avg $58.05
76,683 claims
Durable Medical Equipment (DME)
Avg $23.98
70,991 claims
Case Management Services
Avg $34.69
66,033 claims
Vaccines & Immunizations
Avg $9.63
62,404 claims