Average Medicaid Physical Therapy Payments in Mishawaka, IN: $27.36
Avg. Paid
$27.36
Range
$3.24 – $91.44
Total Claims
78,745
Providers
21
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 Mishawaka, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brooke Elizabeth Seidler
221 Day Road |
$30.58 | 17,894 | 4,476 |
|
Leslie Ann Laughlin
221 W Day Rd |
$31.54 | 15,081 | 3,007 |
|
Jessica Andreen
221 Day Rd |
$29.72 | 11,136 | 2,860 |
|
Matthew James Fitzer
3630 Hickory Rd |
$5.97 | 6,700 | 1,772 |
|
Alfred Louis Pinto
212 W Edison Rd |
$18.67 | 5,858 | 2,237 |
|
Kim Marie Wipperman Cerda
221 W Day Rd |
$32.58 | 5,661 | 1,423 |
|
Penn Harris Madison School Corporation
1402 S Main St |
$31.04 | 4,140 | 2,189 |
|
School City Of Mishawaka
1402 S Main St |
$37.62 | 2,075 | 1,258 |
|
Meghan Goltowski
60160 Bodnar Blvd |
$22.42 | 1,783 | 810 |
|
Helene M Highbarger
1215 Trinity Pl |
$8.22 | 1,579 | 414 |
|
Maciej Jaskiewicz
60160 Bodnar Blvd |
$35.61 | 1,576 | 747 |
|
Katherine Curley
221 W Day Rd |
$29.47 | 1,467 | 522 |
|
Darla J Lingle
3630 Hickory Rd |
$3.24 | 1,320 | 385 |
|
Jane Elizabeth Anderson
530 Tanglewood Ln |
$24.94 | 917 | 247 |
|
Saint Joseph Regional Medical Center-South Bend Campus, Inc.
5215 Holy Cross Pkwy |
$59.13 | 522 | 175 |
|
Ashley Aldridge
620 W Edison Rd |
$33.52 | 374 | 89 |
|
Christopher Jordan
611 E Douglas Rd Ste 137 |
$91.44 | 316 | 94 |
|
Brandon Parsons
60160 Bodnar Blvd |
$28.73 | 117 | 62 |
|
Joe Blum
812 W Edison Rd |
$17.58 | 96 | 39 |
|
Angela Christine Drury
221 Day Road |
$20.91 | 75 | 37 |
|
Christopher R Hays
60160 Bodnar Blvd |
$33.87 | 58 | 39 |
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 Mishawaka, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Mishawaka, IN is $27.36 per claim, based on 78,745 claims from 21 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 Mishawaka, IN?
There are 21 Medicaid providers offering Physical Therapy related services in Mishawaka, IN according to public payment data.
What is the price range for Physical Therapy in Mishawaka, IN?
Medicaid reimbursement for Physical Therapy in Mishawaka, IN ranges from $3.24 to $91.44 per claim, with an average of $27.36. 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 Mishawaka, IN
Office Visit
Avg $54.11
452,845 claims
Blood Work & Lab Tests
Avg $8.62
267,352 claims
X-Ray
Avg $12.03
188,989 claims
Psychiatric Evaluation
Avg $62.49
117,424 claims
Emergency Room Visit
Avg $111.42
113,054 claims
Eye Exam
Avg $49.20
112,254 claims
Speech Therapy
Avg $47.97
78,198 claims
CT Scan (Computed Tomography)
Avg $42.14
69,062 claims