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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Merrillville, IN: $35.48

Avg. Paid

$35.48

Range

$6.90 – $111.24

Total Claims

134,950

Providers

29

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 Merrillville, IN

Provider Avg. Paid Claims Patients
Ashley A Sartori

8455 Broadway

$32.74 22,624 6,468
Omar H Ferrario

5129 E 81St Ave

$36.51 15,404 4,136
Maribel Bacalan

521 E 86Th Ave Ste J

$24.83 15,271 2,744
Matthew Starkey

8455 Broadway

$25.78 14,465 4,195
Paula Simpson

1579 E 85Th Ave

$68.36 11,967 3,137
Hannah Schuster

8695 Connecticut St

$37.56 10,030 2,159
Edward Aririeri

6735 Jefferson St

$34.11 6,294 2,759
Emad G Eshak

303 W 89Th Ave

$26.60 5,808 1,259
Nicholas P Kauffman

100 W 84Th Dr

$10.84 5,452 1,578
Fatai Bolaji Adisa

8691 Connecticut St

$32.90 5,447 1,121
Lakia S Brown

7895 Broadway Ste E

$12.47 3,565 855
Merrillville Community School Corporation

6701 Delaware St

$22.57 3,370 2,134
Judson Booker Wood

200 E 89Th Ave

$74.11 3,305 684
Robert E Hall

5360 Broadway

$17.88 2,201 445
Beth A Risner

8455 Broadway

$48.88 1,860 417
John Joseph Pomponi

333 W 89Th Ave Ste W5

$111.24 1,818 454
Austin Lessentine

251 W 84Th Dr

$45.74 1,802 481
Jeremy Michael Turley

8913 Broadway

$9.26 1,318 263
Andrew Sutcliffe

100 W 84Th Dr

$22.35 699 224
Henry Akinbobuyi

6966 Broadway

$30.69 639 120
Shayla Laviolette

370 W 80Th Pl

$69.45 631 232
Tolanda Somerville-Philpotts

8690 Broadway Ste A

$100.28 254 69
Amanda Jeanne Akimenko

6701 Delaware St

$26.36 234 78
Demond Stokes

251 W 84Th Dr

$63.40 183 59
Darren Earnshaw

5099 E 81St Ave

$6.90 87 28
Alexis Dahdouh

370 W 80Th Pl

$70.20 79 30
Carly Oboikovitz

370 W 80Th Pl

$72.47 73 24
Rani Saxena

8695 Connecticut St Ste A

$82.75 44 14
Daksha C Vyas

200 E. 89Th Ave.

$28.24 26 14

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 Merrillville, IN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Merrillville, IN is $35.48 per claim, based on 134,950 claims from 29 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 Merrillville, IN?

There are 29 Medicaid providers offering Physical Therapy related services in Merrillville, IN according to public payment data.

What is the price range for Physical Therapy in Merrillville, IN?

Medicaid reimbursement for Physical Therapy in Merrillville, IN ranges from $6.90 to $111.24 per claim, with an average of $35.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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