Average Medicaid Physical Therapy Payments in Plainview, NY: $78.23
Avg. Paid
$78.23
Range
$25.20 – $79.94
Total Claims
78,583
Providers
8
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 Plainview, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Plainview Old Bethpage Csd
106 Washington Ave |
$60.11 | 62 | 12 |
|
Laura Kamor
651 Old Country Rd |
$79.94 | 98 | 41 |
|
Shivalini Patel
875 Old Country Rd Ste 153Ll |
$25.20 | 187 | 38 |
|
Robert Fazio
651 Old Country Rd |
$29.64 | 225 | 91 |
|
More Than A Gym, Ltd.
245 Newtown Rd Ste 102 |
$59.59 | 278 | 69 |
|
Association For Children With Down Syndrome, Inc.
4 Fern Pl |
$70.71 | 6,422 | 2,511 |
|
Mksa Llc
125 E Bethpage Rd |
$78.79 | 11,729 | 3,627 |
|
Mid Island Therapy Associates, Llc D/B/A All About Kids
255 Executive Dr |
$79.38 | 59,582 | 18,052 |
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 Plainview, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Plainview, NY is $78.23 per claim, based on 78,583 claims from 8 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 Plainview, NY?
There are 8 Medicaid providers offering Physical Therapy related services in Plainview, NY according to public payment data.
What is the price range for Physical Therapy in Plainview, NY?
Medicaid reimbursement for Physical Therapy in Plainview, NY ranges from $25.20 to $79.94 per claim, with an average of $78.23. 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 Plainview, NY
Pathology & Lab Services
Avg $46.43
240,163 claims
Case Management Services
Avg $29.08
209,545 claims
Durable Medical Equipment (DME)
Avg $41.79
163,053 claims
Office Visit
Avg $75.59
108,239 claims
Speech Therapy
Avg $71.13
99,693 claims
Hearing Test (Audiometry)
Avg $28.98
93,266 claims
Blood Work & Lab Tests
Avg $8.15
62,239 claims
X-Ray
Avg $6.75
49,392 claims