Average Medicaid Physical Therapy Payments in Menomonee Falls, WI: $15.38
Avg. Paid
$15.38
Range
$0.00 – $36.54
Total Claims
54,799
Providers
18
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 Menomonee Falls, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Memorial Hospital Of Menomonee Falls Inc
W180N8085 Town Hall Rd |
$13.77 | 15,682 | 7,328 |
|
Dominic Tomczyk
N84W16889 Menomonee Ave |
$21.84 | 13,334 | 6,155 |
|
Menomonee Falls School District
N84W16579 Menomonee Ave |
$14.11 | 12,152 | 3,155 |
|
Team Rehabilitation Services, Llc
N81W15014 Appleton Ave |
$0.00 | 6,305 | 1,626 |
|
Amber Winquist-Bailey
N84W16889 Menomonee Ave |
$22.10 | 4,888 | 1,816 |
|
Tyler Gehrke
N91W15750 Falls Pkwy |
$26.60 | 499 | 264 |
|
Jennifer J Taliaferro
N88W 15562 Main St |
$11.25 | 454 | 294 |
|
Rebecca Mallow
W129N7055 Northfield Dr |
$20.10 | 352 | 155 |
|
Arturo Sparrow
North Hills Health Center W129N7055 Northfield Dr |
$25.37 | 349 | 152 |
|
Hailey Mohrfeld
N84W16889 Menomonee Ave |
$23.36 | 190 | 100 |
|
Ryan Blaney
N91W15750 Falls Pkwy |
$30.60 | 158 | 79 |
|
Leslie Ann Bombaci
W178N9201 Water Tower Pl |
$23.18 | 156 | 75 |
|
Samantha J Williams
N84W16889 Menomonee Ave |
$36.54 | 150 | 65 |
|
Courtney Stevenson
N91W15750 Falls Pkwy |
$28.06 | 46 | 28 |
|
Mitchell Ronzia
N91W15750 Falls Pkwy |
$23.73 | 23 | 12 |
|
Sarah Anne Sanders-Barta
W129N7055 Northfield Dr |
$21.29 | 23 | 12 |
|
Alyssa R Torn
N91W15750 Falls Pkwy |
$14.08 | 22 | 12 |
|
Aimee M Wozniak
N91W15750 Falls Pkwy |
$35.29 | 16 | 13 |
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 Menomonee Falls, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Menomonee Falls, WI is $15.38 per claim, based on 54,799 claims from 18 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 Menomonee Falls, WI?
There are 18 Medicaid providers offering Physical Therapy related services in Menomonee Falls, WI according to public payment data.
What is the price range for Physical Therapy in Menomonee Falls, WI?
Medicaid reimbursement for Physical Therapy in Menomonee Falls, WI ranges from $0.00 to $36.54 per claim, with an average of $15.38. 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 Menomonee Falls, WI
Blood Work & Lab Tests
Avg $10.38
161,439 claims
Emergency Room Visit
Avg $53.39
119,875 claims
Office Visit
Avg $34.92
98,190 claims
Personal Care Services
Avg $11.90
57,871 claims
X-Ray
Avg $7.13
53,325 claims
Urinalysis & Urine Tests
Avg $5.24
46,046 claims
EKG / ECG (Electrocardiogram)
Avg $4.75
38,694 claims
CT Scan (Computed Tomography)
Avg $54.25
34,078 claims