Average Medicaid Physical Therapy Payments in Oshkosh, WI: $22.47
Avg. Paid
$22.47
Range
$0.07 – $35.95
Total Claims
139,479
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 Oshkosh, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aurora Medical Center Of Oshkosh, Inc
855 N Westhaven Dr |
$29.37 | 87,224 | 45,255 |
|
Oshkosh Area School District
215 S Eagle St |
$14.07 | 35,791 | 7,617 |
|
Gerald Fredric Hendrickson
1026 Oregon St |
$0.07 | 11,357 | 2,508 |
|
Ascension Ne Wisconsin, Inc
500 S Oakwood Rd |
$9.52 | 2,764 | 1,015 |
|
Leah Avery
631 Hazel St |
$18.44 | 1,501 | 610 |
|
Robert G. Busse
2100 D. Omro Road |
$7.43 | 266 | 53 |
|
Sarah Kathryn Zenner
2700 W 9Th Ave Ste 10 |
$23.57 | 183 | 77 |
|
Kelly C. Phalin
2700 W 9Th Ave |
$19.30 | 120 | 38 |
|
Amanda Patt
500 S Oakwood Rd Ste 10 |
$26.36 | 73 | 29 |
|
Lisa Lee Schmidt
555 S Washburn St |
$14.88 | 58 | 12 |
|
Mercy Medical Center Of Oshkosh, Inc.
500 S Oakwood Rd |
$1.74 | 48 | 12 |
|
Samuel Loren Schwartz
3475 Omro Rd Ste 300 |
$35.95 | 38 | 14 |
|
Michael Robert Slaminski
2700 W 9Th Ave |
$31.92 | 29 | 12 |
|
Cassandra Jay Schmidt
600 N Westhaven Dr |
$15.16 | 27 | 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 Oshkosh, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Oshkosh, WI is $22.47 per claim, based on 139,479 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 Oshkosh, WI?
There are 14 Medicaid providers offering Physical Therapy related services in Oshkosh, WI according to public payment data.
What is the price range for Physical Therapy in Oshkosh, WI?
Medicaid reimbursement for Physical Therapy in Oshkosh, WI ranges from $0.07 to $35.95 per claim, with an average of $22.47. 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 Oshkosh, WI
Substance Abuse Treatment
Avg $9.72
342,304 claims
Personal Care Services
Avg $7.20
305,174 claims
Home Health Visit
Avg $46.95
302,423 claims
Office Visit
Avg $34.26
251,844 claims
Blood Work & Lab Tests
Avg $9.80
189,043 claims
Emergency Room Visit
Avg $55.31
124,172 claims
Behavioral & Mental Health Therapy
Avg $79.13
123,240 claims
Speech Therapy
Avg $11.73
122,194 claims