Average Medicaid Physical Therapy Payments in New Berlin, WI: $22.89
Avg. Paid
$22.89
Range
$2.54 – $50.29
Total Claims
29,813
Providers
14
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 New Berlin, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mary Katherine Marzano
15350 W National Ave |
$21.99 | 8,540 | 4,966 |
|
Jean Elisabeth Splitgerber
2895 S Moorland Rd |
$39.91 | 6,184 | 2,779 |
|
New Berlin Public School District
4333 S Sunnyslope Rd |
$15.24 | 5,613 | 1,002 |
|
Benjamin J Holzman
15312 W Beloit Rd |
$21.82 | 4,124 | 1,395 |
|
David Anthony Gillis
15350 W National Ave Ste 102-219 |
$2.54 | 2,687 | 778 |
|
Annette T. Kirkish-Mayer
13485 W Old Oak Ln |
$20.27 | 1,527 | 466 |
|
Angela Solberg
15312 W Beloit Rd |
$50.29 | 478 | 130 |
|
Cassie Robin Krueger
14555 W National Ave |
$17.56 | 183 | 92 |
|
Joseph Ogden
15175 W National Ave |
$5.52 | 128 | 36 |
|
Alissa A Pearson
15175 W National Ave |
$5.78 | 98 | 66 |
|
Cassidy Jean Mrotek
5330 S Racine Ave |
$25.63 | 94 | 44 |
|
Anne Marie Pleva
2895 S Moorland Rd |
$24.88 | 73 | 25 |
|
Adam Edward Carow
4805 S Moorland Rd |
$18.89 | 65 | 26 |
|
Andie Catterson
4805 S Moorland Rd |
$30.32 | 19 | 12 |
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 New Berlin, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in New Berlin, WI is $22.89 per claim, based on 29,813 claims from 14 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 New Berlin, WI?
There are 14 Medicaid providers offering Physical Therapy related services in New Berlin, WI according to public payment data.
What is the price range for Physical Therapy in New Berlin, WI?
Medicaid reimbursement for Physical Therapy in New Berlin, WI ranges from $2.54 to $50.29 per claim, with an average of $22.89. 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 New Berlin, WI
Durable Medical Equipment (DME)
Avg $40.28
225,154 claims
Office Visit
Avg $46.05
169,515 claims
Blood Work & Lab Tests
Avg $30.75
54,376 claims
X-Ray
Avg $6.67
31,895 claims
Emergency Room Visit
Avg $96.82
30,495 claims
Personal Care Services
Avg $14.29
28,008 claims
Vaccines & Immunizations
Avg $4.92
24,513 claims
Speech Therapy
Avg $16.73
20,276 claims