Average Medicaid Physical Therapy Payments in Mount Pleasant, WI: $38.42
Avg. Paid
$38.42
Range
$0.51 – $55.65
Total Claims
251,161
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 Mount Pleasant, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medical Support Services Inc
13203 Globe Dr |
$42.14 | 214,488 | 57,434 |
|
Andrew James Hajduk
5502 Washington Ave |
$20.56 | 7,518 | 2,230 |
|
Kalina Elizabeth Ziller
6233 Durand Ave Ste 102-3 |
$11.73 | 7,017 | 1,520 |
|
Ashley C Frey
1135 Prairie Dr |
$13.16 | 5,028 | 1,965 |
|
Jared Roznowski
1135 Prairie Dr |
$13.41 | 4,054 | 1,578 |
|
Matthew M Curtis
1135 Prairie Dr |
$13.57 | 3,451 | 1,128 |
|
Adam Robert Ketterhagen
5340 Washington Ave |
$16.26 | 2,950 | 811 |
|
Daniel James Gage
1300 S Green Bay Rd Ste 205 |
$31.03 | 1,439 | 407 |
|
Taylour R Iding
5340 Washington Ave |
$17.58 | 1,206 | 390 |
|
James Behnke
5340 Washington Ave |
$12.75 | 932 | 327 |
|
Matthew Caton Putman
10180 Washington Ave |
$30.25 | 410 | 146 |
|
Chloe Jean Couves
10180 Washington Ave |
$23.72 | 403 | 198 |
|
Justin David Dolfin
10180 Washington Ave |
$21.92 | 356 | 151 |
|
Matthew Paluchniak
1139 S Sunnyslope Dr |
$27.68 | 346 | 180 |
|
Mary Nilles
10180 Washington Ave |
$25.93 | 330 | 144 |
|
Haley E. Meekma
1135 Prairie Dr |
$25.23 | 264 | 64 |
|
Rachel Marie Wirtz
7300 Washington Ave Ste B |
$13.75 | 178 | 83 |
|
Rachel Lutz
13203 Globe Dr Ste 111 |
$35.00 | 169 | 54 |
|
Amber Rae Rice
1100 Commerce Dr Ste 103 |
$0.91 | 143 | 50 |
|
Zola Sloth
13203 Globe Dr Ste 111 |
$47.37 | 121 | 50 |
|
Michelle Ann Nauman
1320 S Green Bay Rd |
$36.44 | 108 | 49 |
|
Jaclyn M Mueller
7300 Washington Ave |
$27.09 | 84 | 39 |
|
Marisa Capobianco
1320 S Green Bay Rd # 3700 |
$55.65 | 62 | 33 |
|
Tory Gabrielle Houdek
13203 Globe Dr Ste 111 |
$36.96 | 54 | 25 |
|
Dana Hutchison
6211 Durand Ave |
$0.51 | 50 | 13 |
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 Mount Pleasant, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Mount Pleasant, WI is $38.42 per claim, based on 251,161 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 Mount Pleasant, WI?
There are 25 Medicaid providers offering Physical Therapy related services in Mount Pleasant, WI according to public payment data.
What is the price range for Physical Therapy in Mount Pleasant, WI?
Medicaid reimbursement for Physical Therapy in Mount Pleasant, WI ranges from $0.51 to $55.65 per claim, with an average of $38.42. 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 Mount Pleasant, WI
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Avg $11.81
221,842 claims
Office Visit
Avg $34.63
182,605 claims
Dental Cleaning & Exam
Avg $29.11
144,689 claims
Speech Therapy
Avg $41.05
124,087 claims
Emergency Room Visit
Avg $52.13
61,592 claims
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Avg $79.47
53,936 claims
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Avg $44.78
27,847 claims
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Avg $4.76
25,675 claims