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Based on public Medicaid payment data.

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
Dana Hutchison

6211 Durand Ave

$0.51 50 13
Tory Gabrielle Houdek

13203 Globe Dr Ste 111

$36.96 54 25
Marisa Capobianco

1320 S Green Bay Rd # 3700

$55.65 62 33
Jaclyn M Mueller

7300 Washington Ave

$27.09 84 39
Michelle Ann Nauman

1320 S Green Bay Rd

$36.44 108 49
Zola Sloth

13203 Globe Dr Ste 111

$47.37 121 50
Amber Rae Rice

1100 Commerce Dr Ste 103

$0.91 143 50
Rachel Lutz

13203 Globe Dr Ste 111

$35.00 169 54
Rachel Marie Wirtz

7300 Washington Ave Ste B

$13.75 178 83
Haley E. Meekma

1135 Prairie Dr

$25.23 264 64
Mary Nilles

10180 Washington Ave

$25.93 330 144
Matthew Paluchniak

1139 S Sunnyslope Dr

$27.68 346 180
Justin David Dolfin

10180 Washington Ave

$21.92 356 151
Chloe Jean Couves

10180 Washington Ave

$23.72 403 198
Matthew Caton Putman

10180 Washington Ave

$30.25 410 146
James Behnke

5340 Washington Ave

$12.75 932 327
Taylour R Iding

5340 Washington Ave

$17.58 1,206 390
Daniel James Gage

1300 S Green Bay Rd Ste 205

$31.03 1,439 407
Adam Robert Ketterhagen

5340 Washington Ave

$16.26 2,950 811
Matthew M Curtis

1135 Prairie Dr

$13.57 3,451 1,128
Jared Roznowski

1135 Prairie Dr

$13.41 4,054 1,578
Ashley C Frey

1135 Prairie Dr

$13.16 5,028 1,965
Kalina Elizabeth Ziller

6233 Durand Ave Ste 102-3

$11.73 7,017 1,520
Andrew James Hajduk

5502 Washington Ave

$20.56 7,518 2,230
Medical Support Services Inc

13203 Globe Dr

$42.14 214,488 57,434

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.

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