Average Medicaid Physical Therapy Payments in Newark, NJ: $15.20
Avg. Paid
$15.20
Range
$0.00 – $52.27
Total Claims
416,880
Providers
30
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 Newark, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mohamed Masoud
186 West Market St |
$9.46 | 99,036 | 29,595 |
|
University Hospital
150 Bergen St |
$34.19 | 46,602 | 22,890 |
|
Randal Stuart Fedoruk
65 Bergen St |
$21.56 | 46,456 | 9,405 |
|
Anthony Aubrey Mcpherson
902 N 5Th St # C104 |
$8.59 | 45,594 | 14,344 |
|
Newark Beth Israel Medical Center Inc
201 Lyons Ave |
$42.55 | 39,922 | 15,243 |
|
Whilma Maniti
1119 Broad St |
$2.96 | 33,773 | 7,066 |
|
Sinai Center For Rehabilitation And Healthcare Llc
65 Jay St |
$0.07 | 29,661 | 2,573 |
|
Jeevan M Mathew
500 0Range Street |
$18.23 | 18,023 | 5,049 |
|
Vistacare Llc
300 Broadway |
$0.78 | 12,584 | 1,403 |
|
Shriya M Shah
375 Mccarter Hwy |
$0.53 | 12,273 | 3,653 |
|
Franklin Kumar
119-137 Clifford Street |
$15.95 | 7,371 | 1,883 |
|
Zinnia M Rivera
34 Clinton St |
$7.12 | 5,375 | 1,341 |
|
Sarah Jean-Charles
110 Edison Pl Ste 100 |
$0.22 | 5,030 | 1,075 |
|
Mahkyle R Catalano
111 Mulberry St Apt 2W |
$9.65 | 3,395 | 1,472 |
|
Gabrielle F Szesko
186 W Market St |
$8.02 | 2,833 | 1,321 |
|
Forest Hill Snf Operations Llc
497 Mount Prospect Ave |
$0.53 | 2,106 | 151 |
|
Joshua David Ingersoll
80 S 8Th St |
$0.16 | 1,816 | 388 |
|
Prime Healthcare Services - St Michaels Llc
111 Central Ave |
$15.94 | 854 | 362 |
|
Leide Santos
1119 Broad St |
$1.39 | 776 | 230 |
|
Khushali Trivedi
902 N 5Th St Ste C104 |
$0.91 | 768 | 110 |
|
Alita Gloria Reyna
554 Bloomfield Ave |
$0.00 | 586 | 309 |
|
Newark Public Schools
2 Cedar St. |
$35.02 | 514 | 453 |
|
Christina Might
135 Jackson St |
$1.09 | 387 | 115 |
|
Carmen M Martinez
65 Bergen St |
$52.27 | 354 | 58 |
|
Boris Katz
56 Grafton Ave |
$0.00 | 329 | 98 |
|
Margie Susan Lora
266-272 Chestnut St Ste A |
$0.59 | 224 | 76 |
|
Nicolas Del Valle Sanchez
221 Chestnut St |
$0.22 | 141 | 67 |
|
Terry Michael Mcsweeney
600 Mount Prospect Avenue |
$0.00 | 36 | 15 |
|
Natasha A Fuksina
550 Bloomfield Ave |
$2.68 | 33 | 32 |
|
Gilberto Catarino Pereirinha
184 Van Buren St |
$0.00 | 28 | 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 Newark, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Newark, NJ is $15.20 per claim, based on 416,880 claims from 30 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 Newark, NJ?
There are 30 Medicaid providers offering Physical Therapy related services in Newark, NJ according to public payment data.
What is the price range for Physical Therapy in Newark, NJ?
Medicaid reimbursement for Physical Therapy in Newark, NJ ranges from $0.00 to $52.27 per claim, with an average of $15.20. 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 Newark, NJ
Office Visit
Avg $61.77
2,237,116 claims
Blood Work & Lab Tests
Avg $7.22
2,053,105 claims
Emergency Room Visit
Avg $253.51
1,339,209 claims
Dental Cleaning & Exam
Avg $21.79
974,768 claims
X-Ray
Avg $29.87
603,867 claims
Ambulance Transport
Avg $87.48
530,189 claims
Vaccines & Immunizations
Avg $14.38
499,308 claims
Substance Abuse Treatment
Avg $117.53
456,003 claims