Skip to content
Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Niagara Falls, NY: $43.67

Avg. Paid

$43.67

Range

$18.35 – $78.27

Total Claims

96,912

Providers

16

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 Niagara Falls, NY

Provider Avg. Paid Claims Patients
Niagara Falls City School District

630 66Th Street

 $38.05 34,983 10,321
Andrew Howard Willis

924 Main St

 $39.54 14,028 5,569
Niagara Wheatfield Central School District

6700 Schultz St

 $49.04 11,210 2,981
Niagara Falls Memorial Medical Center

621 10Th St

 $68.84 10,711 4,369
Craig Evan Reinstein

924 Main St

 $40.50 6,130 2,387
Mathew J Watson

924 Main Street

 $46.51 5,770 2,061
Amanda Elizabeth Grant

630 66Th St

 $18.35 4,936 1,520
Laurie Haseley-Jeacoma

6147 N Whitham Dr

 $45.03 4,263 1,294
Mark Nearhood

2316 Pine Ave

 $77.35 1,453 485
William J Carroll

924 Main St

 $40.04 1,043 341
Kristy L Frye

924 Main Street

 $53.25 488 222
Rajeshkannan Adaikalamuthu

924 Main St

 $40.70 442 207
Jenell Nicole Duxbury

2111 Sawyer Dr

 $33.46 433 180
Ryan G Boggs

924 Main St

 $43.65 417 182
Kassidy Kidd

924 Main St

 $34.19 403 157
Enrico Frosolone

2316 Pine Ave

 $78.27 202 66

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 Niagara Falls, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Niagara Falls, NY is $43.67 per claim, based on 96,912 claims from 16 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 Niagara Falls, NY?

There are 16 Medicaid providers offering Physical Therapy related services in Niagara Falls, NY according to public payment data.

What is the price range for Physical Therapy in Niagara Falls, NY?

Medicaid reimbursement for Physical Therapy in Niagara Falls, NY ranges from $18.35 to $78.27 per claim, with an average of $43.67. 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 Niagara Falls, NY

Home Health Visit

Avg $142.20

1,159,545 claims

Office Visit

Avg $62.72

305,868 claims

Blood Work & Lab Tests

Avg $8.96

163,887 claims

Case Management Services

Avg $195.58

113,841 claims

Dental Cleaning & Exam

Avg $38.19

109,158 claims

Psychiatric Evaluation

Avg $89.88

108,942 claims

Non-Emergency Medical Transportation

Avg $43.65

68,506 claims

Vaccines & Immunizations

Avg $10.43

64,920 claims