Average Medicaid Physical Therapy Payments in Rockford, IL: $55.94
Avg. Paid
$55.94
Range
$5.00 – $116.27
Total Claims
125,453
Providers
34
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 Rockford, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rockford Public Schools Dis205
201 S Madison St |
$18.51 | 37,970 | 17,645 |
|
Swedishamerican Hospital
1401 E State St |
$87.27 | 34,478 | 8,527 |
|
Saint Anthony Medical Center
5666 E State St |
$101.41 | 14,995 | 4,532 |
|
Rebecca J Nygren
3401 N Perryville Rd |
$28.58 | 4,133 | 1,131 |
|
Nathan Reginald Peterson
1401 E State St |
$104.16 | 3,917 | 1,353 |
|
Monica A Manring
2300 N Rockton Ave |
$25.83 | 3,873 | 1,247 |
|
Nicole M Correnti
2300 N Rockton Ave |
$24.45 | 3,677 | 1,078 |
|
Kelly A Hix
2300 N Rockton Ave |
$23.77 | 3,591 | 1,255 |
|
Javon Bea Hospital
8201 E Riverside Blvd |
$63.19 | 3,292 | 879 |
|
Saint Anthony Medical Center
5666 E State St |
$116.27 | 3,120 | 360 |
|
Mary Enabe
2300 N Rockton Ave |
$26.59 | 1,813 | 426 |
|
Maria E Coffman
650 N Main St |
$64.42 | 1,756 | 677 |
|
Jered Andrew Hartman
209 9Th St |
$19.59 | 1,182 | 421 |
|
Javon Bea Hospital
8201 E Riverside Blvd |
$76.10 | 969 | 236 |
|
Jaymee Ann Umali
1301 N Alpine Rd Ste 2 |
$20.40 | 945 | 332 |
|
Megan Lee Haas
2300 N Rockton Ave |
$24.00 | 939 | 352 |
|
Shiela Ablina
4141 N Rockton Ave |
$5.77 | 793 | 110 |
|
Ashley Brooke Marolf
1301 N Alpine Rd # 201 |
$18.84 | 648 | 226 |
|
Julie L Bailor
3475 S Alpine Rd |
$20.09 | 592 | 180 |
|
Bryce T Alderks
1301 N Alpine Rd # 201 |
$19.82 | 443 | 169 |
|
Carly Anne Jackson
324 Roxbury Rd |
$50.67 | 427 | 193 |
|
Holly Lindroth
1301 N Alpine Rd # 201 |
$25.82 | 305 | 123 |
|
Phil Oliveri
2902 Mcfarland Rd |
$21.78 | 269 | 66 |
|
Thomas Stephen Olsen
1301 N Alpine Rd # 201 |
$31.12 | 229 | 67 |
|
Sarah Ramirez
1401 E State St |
$67.39 | 217 | 78 |
|
Manuel J Molina
5875 E Riverside Blvd |
$14.90 | 217 | 50 |
|
Kathleen A. Larson
324 Roxbury Rd |
$21.63 | 187 | 63 |
|
Christine Suzanne Brauer
735 Highgrove Pl |
$40.58 | 148 | 36 |
|
Paige A Lyford
324 Roxbury Rd |
$17.76 | 86 | 29 |
|
Amanda M Beard
1401 E State St |
$22.51 | 56 | 24 |
|
Adam Carlson
324 Roxbury Rd |
$16.32 | 55 | 13 |
|
Courtney L Musser
324 Roxbury Rd |
$15.08 | 51 | 13 |
|
Karen Kaye Martinez Cacanindin
5501 Nichols Dr |
$5.00 | 50 | 12 |
|
Bryce Brown
209 9Th St Ste 201 |
$21.91 | 30 | 13 |
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 Rockford, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Rockford, IL is $55.94 per claim, based on 125,453 claims from 34 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 Rockford, IL?
There are 34 Medicaid providers offering Physical Therapy related services in Rockford, IL according to public payment data.
What is the price range for Physical Therapy in Rockford, IL?
Medicaid reimbursement for Physical Therapy in Rockford, IL ranges from $5.00 to $116.27 per claim, with an average of $55.94. 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
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Avg $30.80
1,227,594 claims
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Avg $4.91
864,122 claims
Dental Cleaning & Exam
Avg $30.40
556,400 claims
X-Ray
Avg $7.26
279,317 claims
Vaccines & Immunizations
Avg $3.11
257,183 claims
Speech Therapy
Avg $17.51
256,309 claims
Urinalysis & Urine Tests
Avg $1.91
245,520 claims
Emergency Room Visit
Avg $69.98
227,177 claims