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
Jodi J. Little 1821 S Stoughton Rd	$43.38	13	12
Jill A. Schuerman 1821 S Stoughton Rd	$26.22	15	12
Tiffany Marissa Houdek 600 Highland Ave	$13.01	15	12
Paul Anthony Wambold 4602 Eastpark Blvd	$15.51	16	12
Karlie M Titus 752 N High Point Rd	$16.95	16	12
Janelle Burnham 305 S Livingston St	$41.67	17	13
Zachary J Lefel 202 S Park St	$23.65	20	12
Kimberly Heather Lenhart 1821 S Stoughton Rd	$25.45	20	12
Scott Tauferner 4602 Eastpark Blvd	$8.41	22	13
Anne B Reichhoff 4901 Cottage Grove Rd	$23.67	24	12
Cassie Lynn Raduka 4602 Eastpark Blvd	$6.33	26	12
Logan Thorp 5565 Tancho Dr	$53.29	27	12
Ashton Spritka 202 S Park St	$57.50	27	16
Keith Alan Ritsche 1738 Eagan Rd	$64.92	31	12
Kathleen Ann Moore 202 S Park St	$27.17	32	24
Brianna M Eby 1821 S Stoughton Rd	$21.07	33	24
Lani S Denu 2501 W Beltline Hwy Ste 601	$20.55	35	24
Carolyn J Kammen 202 S Park St	$28.06	37	25
Latoya Prioleau 811 E Washington Ave	$38.26	39	13
Heidi Gulachek 6674 Ronald Reagan Ave	$77.36	40	12
Chandler K Reinholtz 1211 Fish Hatchery Rd	$23.38	47	26
Kenzie L Fedderly 1821 S Stoughton Rd	$54.22	63	51
Desiree Lynn Demcak 1821 S Stoughton Rd	$43.36	64	46
Benjamin Leppek 6674 Ronald Reagan Ave	$59.71	65	24
Megan Carlson 4602 Eastpark Blvd	$17.27	74	38
Douglas Gregory Olk 2402 Winnebago St	$51.36	74	13
Patrick R Scott 2402 Winnebago St	$10.04	96	69
Nathan James Ebben 1821 S Stoughton Rd	$15.55	102	52
Kristina Marie Russell 202 S Park St	$23.79	103	69
Andrew James Sandgren 1102 S Park St Ste 300	$13.86	130	96
Alexander Bishop 4602 Eastpark Blvd	$27.51	138	51
Elizabeth Zahn 600 Highland Ave	$52.52	149	131
Jamie Steker 313 Junction Rd	$29.67	151	50
Leah Piotrowski 202 S Park St	$15.35	165	52
Jaclyn Bender 600 Highland Ave	$61.90	172	99
Kelsey G Swailes 128 E Olin Ave	$62.57	194	98
Ashlee P Parker 202 S Park St	$18.18	223	94
Gina Williams Debano 202 S Park St	$30.54	245	94
Jessica Diane Walsh 202 S Park St	$61.03	257	156
Michelle Wiegel Gessert 1821 S Stoughton Rd	$26.16	264	154
Sara Kristine Sinclair 600 Highland Ave	$40.22	289	144
Angel Lin 1211 Fish Hatchery Rd	$2.88	357	185
Douglas Randolph Arnold 1211 Fish Hatchery Rd	$21.05	364	94
Nancy Wilkie 150 Talmadge St	$56.10	404	127
Morgan Diaz 202 S Park St	$48.42	448	275
Marquis Luis Sanabrais 1619 N Stoughton Rd	$55.23	579	164
Jessie Stori 7818 Big Sky Dr Ste 217	$3.94	815	372
Meriter Hospital, Inc. 202 S Park St	$24.48	878	514
Katherine Lechner 202 S Park St	$35.74	1,105	647
Brenna Tanko 202 S Park St	$32.21	1,158	559

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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