Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Madison, WI: $19.46

Avg. Paid

$19.46

Range

$1.12 – $77.36

Total Claims

343,028

Providers

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, WI

Provider	Avg. Paid	Claims	Patients
Madison Metropolitan School District 545 W Dayton St	$14.63	127,811	38,951
University Of Wisconsin Hospitals And Clinics Authority 600 Highland Ave	$24.17	122,072	82,126
Dean Health Systems, Inc 1821 S Stoughton Rd	$24.02	34,757	21,323
Sally C Swanson 1726 Eagan Rd Ste 100	$15.56	15,443	4,896
Powerback Rehabilitation Llc 429 S Yellowstone Dr	$1.12	10,377	1,518
Meriter Hospital, Inc. 202 S Park St	$9.04	7,621	3,940
David J Dramm 7404 Mineral Point Rd	$37.17	4,025	1,541
Hailey A Scandin 1808 W Beltline Hwy	$28.30	2,709	575
Amanda M Pajerski 7818 Big Sky Dr Ste 217	$4.08	2,442	1,242
Rebecca Lynn Moore 600 Highland Ave	$24.41	1,772	508
Ssm Health Care Of Wisconsin, Inc. 700 S. Park St.	$27.66	1,647	1,066
Noah Bernhardt 4602 Eastpark Blvd	$21.92	1,424	654
Nicole Ashley Van Beek 202 S Park St	$22.48	1,250	621
Brenna Tanko 202 S Park St	$32.21	1,158	559
Katherine Lechner 202 S Park St	$35.74	1,105	647
Meriter Hospital, Inc. 202 S Park St	$24.48	878	514
Jessie Stori 7818 Big Sky Dr Ste 217	$3.94	815	372
Marquis Luis Sanabrais 1619 N Stoughton Rd	$55.23	579	164
Morgan Diaz 202 S Park St	$48.42	448	275
Nancy Wilkie 150 Talmadge St	$56.10	404	127
Douglas Randolph Arnold 1211 Fish Hatchery Rd	$21.05	364	94
Angel Lin 1211 Fish Hatchery Rd	$2.88	357	185
Sara Kristine Sinclair 600 Highland Ave	$40.22	289	144
Michelle Wiegel Gessert 1821 S Stoughton Rd	$26.16	264	154
Jessica Diane Walsh 202 S Park St	$61.03	257	156
Gina Williams Debano 202 S Park St	$30.54	245	94
Ashlee P Parker 202 S Park St	$18.18	223	94
Kelsey G Swailes 128 E Olin Ave	$62.57	194	98
Jaclyn Bender 600 Highland Ave	$61.90	172	99
Leah Piotrowski 202 S Park St	$15.35	165	52
Jamie Steker 313 Junction Rd	$29.67	151	50
Elizabeth Zahn 600 Highland Ave	$52.52	149	131
Alexander Bishop 4602 Eastpark Blvd	$27.51	138	51
Andrew James Sandgren 1102 S Park St Ste 300	$13.86	130	96
Kristina Marie Russell 202 S Park St	$23.79	103	69
Nathan James Ebben 1821 S Stoughton Rd	$15.55	102	52
Patrick R Scott 2402 Winnebago St	$10.04	96	69
Douglas Gregory Olk 2402 Winnebago St	$51.36	74	13
Megan Carlson 4602 Eastpark Blvd	$17.27	74	38
Benjamin Leppek 6674 Ronald Reagan Ave	$59.71	65	24
Desiree Lynn Demcak 1821 S Stoughton Rd	$43.36	64	46
Kenzie L Fedderly 1821 S Stoughton Rd	$54.22	63	51
Chandler K Reinholtz 1211 Fish Hatchery Rd	$23.38	47	26
Heidi Gulachek 6674 Ronald Reagan Ave	$77.36	40	12
Latoya Prioleau 811 E Washington Ave	$38.26	39	13
Carolyn J Kammen 202 S Park St	$28.06	37	25
Lani S Denu 2501 W Beltline Hwy Ste 601	$20.55	35	24
Brianna M Eby 1821 S Stoughton Rd	$21.07	33	24
Kathleen Ann Moore 202 S Park St	$27.17	32	24
Keith Alan Ritsche 1738 Eagan Rd	$64.92	31	12

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, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Madison, WI is $19.46 per claim, based on 343,028 claims from 63 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, WI?

There are 63 Medicaid providers offering Physical Therapy related services in Madison, WI according to public payment data.

What is the price range for Physical Therapy in Madison, WI?

Medicaid reimbursement for Physical Therapy in Madison, WI ranges from $1.12 to $77.36 per claim, with an average of $19.46. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Physical Therapy Payments in Madison, WI: $19.46

Providers Offering Physical Therapy in Madison, WI

What to Expect: Physical Therapy

Cost Components

Frequently Asked Questions

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