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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Middletown, NY: $88.85

Avg. Paid

$88.85

Range

$0.00 – $230.77

Total Claims

44,818

Providers

25

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, NY

Provider Avg. Paid Claims Patients
Garnet Health Medical Center

707 East Main Street

 $230.77 9,508 3,322
Enlarged Middletown City School District

441 East Main Street

 $50.18 6,431 1,821
Elena Marie Chaves-Loeffler

495 Schutt Road Ext Ste 9

 $81.49 4,713 1,523
Elya Spolar

1219 Dolsontown Rd

 $33.95 4,292 1,919
Aaron T Loeffler

495 Schutt Road Ext Ste 9

 $58.53 4,099 1,134
Andrew Overton

1219 Dolsontown Rd

 $46.03 4,034 2,104
Les Bowden

495 Schutt Road Ext

 $27.62 3,245 1,355
Neal R Dunkelman

42 Rykowski Lane

 $31.76 1,354 462
Jose Allan Aban

95 Crystal Run Rd

 $38.72 1,286 707
Niah Vicente Cortez

95 Crystal Run Rd

 $46.36 842 476
Matthew Staback

1219 Dolsontown Rd

 $53.24 777 489
Matthew Koennecke

419 E Main St Ste 110

 $61.99 710 416
Mary Ann Anthony

334 Bowser Rd

 $78.00 645 102
Kara Lynn J Silverstein

155 Crystal Run Rd

 $83.98 600 239
Richard Villanoza

95 Crystal Run Rd

 $54.15 579 316
Christina Milnamow

17 Woodlawn Avenue

 $28.10 425 203
Christine Meghan Mcsweeney

419 E Main St

 $27.75 369 189
Patricia Sasso

677 County Route 78

 $77.72 307 62
Radiologic Associates Prof Corp

707 E Main St

 $11.61 124 24
Richard Escano

95 Crystal Run Rd

 $57.98 120 73
Crystal Run Healthcare Physicians Llp

155 Crystal Run Rd

 $70.55 114 114
David John Mohr

95 Crystal Run Rd

 $54.41 108 39
Lcl Physical Therapy Pc

495 Schutt Road Ext

 $0.00 70 24
Middletown Medical Pc

111 Maltese Dr

 $40.09 38 37
Beth Anne Plotkin

75 Crystal Run Rd Ste 201

 $36.36 28 15

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, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Middletown, NY is $88.85 per claim, based on 44,818 claims from 25 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, NY?

There are 25 Medicaid providers offering Physical Therapy related services in Middletown, NY according to public payment data.

What is the price range for Physical Therapy in Middletown, NY?

Medicaid reimbursement for Physical Therapy in Middletown, NY ranges from $0.00 to $230.77 per claim, with an average of $88.85. 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, NY

Office Visit

Avg $89.34

849,019 claims

Blood Work & Lab Tests

Avg $8.75

466,678 claims

Home Health Visit

Avg $130.57

264,098 claims

Dental Cleaning & Exam

Avg $34.48

202,343 claims

Emergency Room Visit

Avg $124.41

199,236 claims

Psychiatric Evaluation

Avg $105.46

199,025 claims

Substance Abuse Treatment

Avg $67.54

169,986 claims

X-Ray

Avg $9.37

113,864 claims