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Based on public Medicaid payment data.

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.

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