Average Medicaid Physical Therapy Payments in Middletown, DE: $20.77
Avg. Paid
$20.77
Range
$0.00 – $83.34
Total Claims
81,000
Providers
12
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 Middletown, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Premier Physical Therapy And Sports Performance Limited Partnership
210 Cleaver Farm Rd |
$21.91 | 64,488 | 19,653 |
|
Center For Interventional Pain Spine Llc
291 Carter Dr Ste B |
$24.09 | 6,449 | 2,823 |
|
Broadmeadow Investment Llc
500 South Broad Street |
$8.10 | 5,300 | 641 |
|
Diana Pantano
114 Sandhill Dr |
$1.20 | 1,963 | 747 |
|
Thrive Physical Therapy
834 Kohl Ave |
$28.81 | 1,459 | 415 |
|
Delaware Integrative Healthcare Llc
421 E Main St Ste 6 |
$15.23 | 679 | 209 |
|
Pure Wellness Of Middletown, Llc
708 Ash Blvd |
$5.31 | 354 | 244 |
|
Amanda Wiles
108 Patriot Dr Ste A |
$83.34 | 156 | 70 |
|
Cheerie B Wallenta
114 Sandhill Dr |
$0.40 | 56 | 13 |
|
Pediatric Therapy Partners, Llc
108 Patriot Dr Ste A |
$38.04 | 47 | 14 |
|
Middletown Chiropractic Rehab And Wellness Llc
12 Pennington St Ste 200 |
$0.00 | 27 | 13 |
|
Randy Smith
5360 Summit Bridge Rd Ste 6 |
$6.03 | 22 | 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 Middletown, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Middletown, DE is $20.77 per claim, based on 81,000 claims from 12 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 Middletown, DE?
There are 12 Medicaid providers offering Physical Therapy related services in Middletown, DE according to public payment data.
What is the price range for Physical Therapy in Middletown, DE?
Medicaid reimbursement for Physical Therapy in Middletown, DE ranges from $0.00 to $83.34 per claim, with an average of $20.77. 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 Middletown, DE
Office Visit
Avg $45.05
159,466 claims
Personal Care Services
Avg $154.61
41,115 claims
Psychiatric Evaluation
Avg $48.69
19,004 claims
Chiropractic Care
Avg $19.25
18,238 claims
Dental Cleaning & Exam
Avg $49.43
16,605 claims
Blood Work & Lab Tests
Avg $17.13
15,328 claims
Eye Exam
Avg $48.46
12,405 claims
Prescription Medications
Avg $0.56
6,482 claims