Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Rochester, NY: $59.14

Avg. Paid

$59.14

Range

$0.00 – $122.60

Total Claims

727,107

Providers

119

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 Rochester, NY

Provider	Avg. Paid	Claims	Patients
University Of Rochester 601 Elmwood Ave	$81.11	156,987	92,816
Rochester General Hospital 1425 Portland Ave	$54.28	70,119	33,698
County Of Monroe 111 Westfall Road	$54.23	69,332	15,517
Rochester City School District 131 W Broad St	$43.13	66,811	18,834
The Unity Hospital Of Rochester 1555 Long Pond Rd	$57.12	44,527	24,012
Elder One 2066 Hudson Ave	$0.00	38,102	15,237
Hearing And Speech Center Of Rochester Inc. 1000 Elmwood Ave	$54.57	28,193	3,128
Shuman Physical Therapy Associates, P.C. 383 White Spruce Blvd	$50.28	25,885	7,885
Greece Central School District 750 Maiden Ln	$45.16	22,869	5,826
U Of R Neurology Department 601 Elmwood Ave	$122.60	22,812	13,975
Step By Step Pt, Ot And Slt Services, Pllc 1057 E Henrietta Rd Ste 500	$67.93	16,909	5,490
Room To Bloom Therapy Services, Llc 1850 Buffalo Rd Ste 200	$60.54	12,885	2,519
Nysarc Inc 2060 Brighton Henrietta Town Line Rd	$67.60	12,773	3,642
Penfield Central School District 2590 Atlantic Ave	$66.80	12,438	3,120
Finger Lakes Therapy Works, Physical Therapy, Occupational 2211 Lyell Ave	$66.36	11,418	2,708
East Irondequoit Csd 600 Pardee Rd	$41.91	7,916	2,312
Lindsay Elizabeth Taylor 3399 Winton Rd S	$50.03	6,257	2,071
Kristina Brown 2060 Brighton Henrietta Town Line Rd	$109.99	6,166	1,645
West Irondequoit Central School District 350 Cooper Rd	$32.26	5,415	1,264
Danylle Marie Vitello 3399 Winton Rd S	$70.49	5,315	1,328
Kelly Alyse Dreimiller 3399 Winton Rd S	$64.47	5,072	1,653
Emily Cecilia Desanctis 3399 Winton Rd S	$43.20	4,607	1,382
Drew Tyler Antolik 1299 Portland Ave Ste 10	$60.00	3,893	1,354
Gates Chili Central School District 3 Spartan Way	$66.96	3,682	869
Jamy Bliss Dakin 3399 Winton Road South	$43.17	3,675	1,205
Alexander Thomas Kopicki 1404 Portland Ave	$62.54	3,296	1,408
Benjamin H. Read 884 E Ridge Rd	$41.72	3,275	916
Kathryn Sattora 100 Groton Pkwy	$40.85	3,031	908
Brighton Central School District 2035 Monroe Ave	$70.48	2,992	852
Alison Gerew 1299 Portland Ave	$59.88	2,862	1,038
Cara Ventresca 384 East Ave Ste B	$18.49	1,900	423
Jena Sapere 5 Fisher Rd	$28.55	1,765	745
Marisa Mary Jo Leahey 3240 Chili Ave	$47.33	1,731	458
Joshua Lindley Mateo 1350 Westfall Rd	$20.73	1,711	745
Melissa K Wheatley 3399 Winton Rd S	$41.38	1,677	393
Daystar For Medically Fragile Children, Inc 700 Lac De Ville Blvd	$49.46	1,653	212
Nikolas Xenopoulos 515 Long Pond Rd	$62.97	1,500	460
Julia A Olin 515 Long Pond Rd	$59.96	1,421	556
Christopher Finley 383 White Spruce Blvd	$57.50	1,416	485
Lauren Marie Montfort 1057 E Henrietta Rd Ste 500	$53.70	1,411	448
Andrew A. Chatt 383 White Spruce Blvd	$58.43	1,282	415
Jason Anthony Schrader 1564 Long Pond Rd	$39.39	1,250	440
Highland Hospital Of Rochester 1000 South Ave	$89.88	1,181	1,066
Mckenna Esper 3399 Winton Rd S	$53.47	1,177	437
Elizabeth Marie Duval-Alletto 3399 Winton Rd S	$52.67	1,081	340
Alexandra C Rhinewald 3399 Winton Rd S	$42.82	1,081	258
Margaret Orlando 91 Westland Ave	$18.35	1,077	254
Tyler Smola 515 Long Pond Rd	$62.37	1,077	340
Nicholas James Antonio 95 Canal Landing Blvd Ste 2-3	$46.35	1,060	315
Jeffrey M Mcgivern 5 Fisher Rd	$59.93	1,042	379

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 Rochester, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Rochester, NY is $59.14 per claim, based on 727,107 claims from 119 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 Rochester, NY?

There are 119 Medicaid providers offering Physical Therapy related services in Rochester, NY according to public payment data.

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

Medicaid reimbursement for Physical Therapy in Rochester, NY ranges from $0.00 to $122.60 per claim, with an average of $59.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Physical Therapy Payments in Rochester, NY: $59.14

Providers Offering Physical Therapy in Rochester, NY

What to Expect: Physical Therapy

Cost Components

Frequently Asked Questions

Physical Therapy in Other Cities

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Miami, FL

Bronx, NY

Indianapolis, IN

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Other Procedures in Rochester, NY

Home Health Visit

Blood Work & Lab Tests

Office Visit

Emergency Room Visit

Case Management Services

Psychiatric Evaluation

Substance Abuse Treatment

Ambulance Transport