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
Glynis E Jones 3255 Brighton Henrietta Tl Road	$65.00	14	13
Andrey Chiley 515 Long Pond Rd	$55.33	17	17
Sarah Mcgrath 383 White Spruce Blvd	$58.81	18	13
Douglas J Friend 5 Fisher Rd	$16.99	22	12
Selena Lilley 880 Elmgrove Rd Ste 2	$48.71	24	12
Sarah Jane Carlton 961 Panorama Trl S	$55.38	26	12
Breaking Boundaries Occupational Therapy Services, Pllc 8 Merchants Rd	$63.84	35	12
Anna E. Bowne 28 Babcock Dr	$18.35	37	15
Ryan Mcelhiney 200 Linden Oaks Ste 300	$57.11	41	12
Amber O'Neal Anson 700 Lac De Ville Blvd	$70.89	52	24
Margaret Collins Abbott 1000 Elmwood Ave Ste 100	$52.55	59	26
Leland Williams 2008 Hudson Ave	$63.23	63	29
United Cerebral Palsy Association Of The Rochester Area, Inc. 3399 Winton Rd S	$51.76	68	37
Erika Breseman 91 Erie Canal Dr Ste E	$37.55	68	26
Karen Jones Terp 3399 Winton Rd S	$110.23	70	29
William Mattise 5 Fisher Rd	$65.00	75	39
Autumn Terwilliger 2561 Lac De Ville Blvd Ste 100	$45.66	76	41
Megan Blahowicz 50 Science Pkwy	$74.54	81	12
Benjamin Palermo 1564 Long Pond Rd	$64.39	83	27
Chelsea Elliott 1000 Elmwood Ave	$74.10	84	28
Lyndsey Michelle Chenier 1057 E Henrietta Rd Ste 500	$75.81	87	44
Ellen Bailey 3255 Brighton Henrietta Tl Road	$18.35	87	25
Lindsay A Perez 961 Panorama Trl S	$50.28	93	48
Amy Shurtliff 1564 Long Pond Rd	$48.06	100	43
Nichole D Chaffee 3399 Winton Rd S	$74.54	106	37
Stephen Spencer 515 Long Pond Rd	$64.85	134	39
Julie Ann Prattico 1100 Long Pond Rd	$61.77	137	70
Ashley Nicole Caliri 3399 Winton Rd S	$51.30	154	72
James Joseph Cordaro 515 Long Pond Rd	$58.86	154	54
Nicole M Vitale 100 Metro Park	$18.35	157	38
Carrie Marie Nicholas 3399 Winton Rd S	$46.57	158	56
Joseph M Angello 205 Crystal Creek Dr	$57.84	173	67
Abbey Buick 3240 Chili Ave	$58.48	180	54
Mckenna Kimberly Barry 1160 Chili Ave	$61.82	184	65
Katherine Holtby 540 White Spruce Blvd	$55.12	193	72
Shelby Lynn Campo 123 Thomas Ave	$117.44	210	186
Brian Kinsman 515 Long Pond Rd	$57.18	224	66
Jennifer M Morin 2561 Lac De Ville Blvd	$46.21	259	172
Briana Fellows 1404 Portland Ave	$65.12	267	112
Jonathan Torres 200 Linden Oaks Ste 300	$66.41	270	81
Ryan Moody 1655 Elmwood Ave Ste 130	$62.06	288	113
Ilya Voloshin 601 Elmwood Ave	$16.54	291	107
Rochester School Of The Holy Childhood Inc 100 Groton Pkwy	$69.05	301	110
Justin J Mcevoy 515 Long Pond Rd	$63.45	350	127
Hilary Anne Hecht 1057 E Henrietta Rd Ste 500	$18.35	351	101
Allison Maureen Smith 150 Highland Ave	$31.80	358	119
Kaylee M Stearns 2621 Culver Rd	$47.86	382	161
Lauren Goodell 5 Fisher Rd	$59.70	397	150
Micah Jeremy Sugarman 120 Erie Canal Dr	$33.36	413	139
Patricia M Prezyna 131 W Broad St	$67.86	415	108

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

Brooklyn, NY

New York, NY

Phoenix, AZ

Louisville, KY

Miami, FL

Bronx, NY

Indianapolis, IN

Las Vegas, NV

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