Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Sheboygan, WI: $32.00

Avg. Paid

$32.00

Range

$8.20 – $78.57

Total Claims

138,897

Providers

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 Sheboygan, WI

Provider	Avg. Paid	Claims	Patients
Progressive Beginnings, Llc 1125 N 13Th St	$52.42	42,140	12,697
Sheboygan Area School District 830 Virginia Ave	$13.99	39,845	10,109
Aurora Health Care Central, Inc. 3400 Union Ave	$26.15	28,851	12,826
Nichole M Elmendorf 1125 N 13Th St	$49.32	7,240	2,335
Philip Joseph Verstegen 641 Swift Ave # 116	$20.04	6,702	2,682
Anthony J Gries 2912 S Business Dr	$15.43	3,124	744
Amanda Murphy 2131 S Business Dr	$30.39	1,783	735
Sarah Elizabeth Dziewa 3234 Superior Ave	$11.62	1,660	399
Carissa A Sommer 2414 Kohler Memorial Dr	$28.38	1,649	765
Julaine Marie Boening 1125 N 13Th St	$77.60	1,044	583
Lauren Paige Bouvat 2131 S Business Dr	$38.57	922	342
Amy Murray 2414 Kohler Memorial Dr	$25.76	595	289
Allison Lee Radloff 2629 N 7Th St	$72.40	593	383
Jessica Marlene Oakland 1125 N 13Th St	$30.38	565	225
Abbi L Meyer 2414 Kohler Memorial Dr	$19.15	352	183
Miranda S Schulenberg 1011 N 8Th St	$78.57	284	174
John R Caron 1813 Ashland Ave	$17.53	272	150
David M Lang 2414 Kohler Memorial Dr	$16.41	196	118
Mallory Mae Bier 1813 Ashland Ave	$25.12	168	63
Aaron Lee Cicchese 1125 N 13Th St	$49.01	161	49
Jessica L Roberts 2414 Kohler Memorial Dr	$26.06	117	71
Mikelyn Irene Schneiss 2131 S Business Dr	$59.08	116	54
Emily Jacobson 1414 N Taylor Dr	$27.73	115	42
Kurtis J Sustachek 1813 Ashland Ave	$26.14	69	41
Katie Walters 2912 S Business Dr	$40.17	67	24
Samuel Z Simons 1813 Ashland Ave	$24.47	66	26
Jordan Anderson 2131 S Business Dr	$19.51	57	26
Amy C Weiss 2414 Kohler Memorial Dr	$27.50	42	29
Amy Nicole Wimmer 2414 Kohler Memorial Dr	$17.89	33	24
Don S Schaning 2414 Kohler Memorial Dr	$8.20	24	13
Nicole J Rosalez 2414 Kohler Memorial Dr	$31.48	24	12
Laura J Markham 2414 Kohler Memorial Dr	$17.38	21	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 Sheboygan, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Sheboygan, WI is $32.00 per claim, based on 138,897 claims from 32 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 Sheboygan, WI?

There are 32 Medicaid providers offering Physical Therapy related services in Sheboygan, WI according to public payment data.

What is the price range for Physical Therapy in Sheboygan, WI?

Medicaid reimbursement for Physical Therapy in Sheboygan, WI ranges from $8.20 to $78.57 per claim, with an average of $32.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Physical Therapy Payments in Sheboygan, WI: $32.00

Providers Offering Physical Therapy in Sheboygan, WI

What to Expect: Physical Therapy

Cost Components

Frequently Asked Questions

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