Average Medicaid Physical Therapy Payments in Ocean, NJ: $32.93
Avg. Paid
$32.93
Range
$2.98 – $111.43
Total Claims
66,489
Providers
15
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 Ocean, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Varsha M Pohuja
1200 Eagle Ave |
$7.25 | 16,566 | 4,489 |
|
Mobile Therapy Services, Inc.
11 Malke Dr |
$111.43 | 13,250 | 3,026 |
|
Jayvinth Johnson
1200 Eagle Ave |
$18.97 | 10,143 | 4,278 |
|
Anthony Cortese
1200 Eagle Ave |
$14.83 | 5,513 | 1,910 |
|
Ferheen Naqvi
1200 Eagle Ave |
$18.88 | 4,190 | 1,796 |
|
Diana V Ursu
1200 Eagle Ave |
$12.64 | 3,888 | 1,591 |
|
Regina Sarah Mathew
1200 Eagle Ave |
$15.37 | 2,847 | 1,252 |
|
Toral S Shah
1200 Eagle Ave |
$13.38 | 2,613 | 1,019 |
|
Nicole Schlinger
1200 Eagle Ave |
$14.88 | 1,905 | 788 |
|
Arav Shah
1200 Eagle Ave |
$16.96 | 1,541 | 644 |
|
Kelly Zarnowski
1200 Eagle Ave |
$21.03 | 1,263 | 499 |
|
Devarshika P Pandya
1200 Eagle Ave |
$7.20 | 1,115 | 273 |
|
Janet Meiswinkle
1200 Eagle Ave |
$12.94 | 1,059 | 382 |
|
Sayali Maulik Sanghvi
1200 Eagle Ave |
$16.46 | 549 | 164 |
|
Melissa Deluca
1200 Eagle Ave |
$2.98 | 47 | 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 Ocean, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Ocean, NJ is $32.93 per claim, based on 66,489 claims from 15 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 Ocean, NJ?
There are 15 Medicaid providers offering Physical Therapy related services in Ocean, NJ according to public payment data.
What is the price range for Physical Therapy in Ocean, NJ?
Medicaid reimbursement for Physical Therapy in Ocean, NJ ranges from $2.98 to $111.43 per claim, with an average of $32.93. 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 Ocean, NJ
Office Visit
Avg $77.41
167,998 claims
Behavioral & Mental Health Therapy
Avg $88.43
137,657 claims
Non-Emergency Medical Transportation
Avg $13.40
126,118 claims
Ambulance Transport
Avg $5.72
114,710 claims
Tooth Extraction
Avg $149.69
63,359 claims
Dental Cleaning & Exam
Avg $24.87
52,431 claims
Vaccines & Immunizations
Avg $10.88
28,562 claims
Home Health Visit
Avg $52.41
12,219 claims