Average Medicaid Physical Therapy Payments in Somerset, NJ: $7.23
Avg. Paid
$7.23
Range
$0.00 – $27.63
Total Claims
90,947
Providers
13
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 Somerset, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Aranbaev
18 Worlds Fair Dr |
$9.80 | 36,138 | 8,569 |
|
Kristine T Kaufman
2 Worlds Fair Dr |
$5.66 | 21,652 | 6,344 |
|
Somerset Woods Rehabilitation And Nursing Center Llc
780 Old New Brunswick Road |
$0.12 | 14,822 | 1,369 |
|
Regency Heritage Nursing & Rehabilitation Center Llc
380 Demott Lane |
$0.66 | 7,487 | 984 |
|
Raksha Bharat Patel
17 Clyde Rd Ste 102 |
$27.63 | 4,625 | 926 |
|
Michael Soliman
900 Easton Ave Ste 22 |
$9.87 | 4,387 | 875 |
|
Regan Christie
1 Clyde Rd Ste 101 |
$3.08 | 679 | 135 |
|
Nkr Llc
1527 Route 27 Suite 1100 |
$0.37 | 472 | 92 |
|
Vini Maroo
380 Demott Avenue |
$0.03 | 414 | 151 |
|
Philip Waikong Chan
726 New Brunswick Rd |
$0.54 | 129 | 39 |
|
Tulsi Shah
51 Veronica Ave |
$13.29 | 66 | 24 |
|
Olivia Decanio
1165 Easton Ave |
$0.00 | 47 | 13 |
|
Heidy Bacolot-Bocalan
1527 State Route 27 Ste 1100 |
$3.97 | 29 | 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 Somerset, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Somerset, NJ is $7.23 per claim, based on 90,947 claims from 13 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 Somerset, NJ?
There are 13 Medicaid providers offering Physical Therapy related services in Somerset, NJ according to public payment data.
What is the price range for Physical Therapy in Somerset, NJ?
Medicaid reimbursement for Physical Therapy in Somerset, NJ ranges from $0.00 to $27.63 per claim, with an average of $7.23. 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 Somerset, NJ
Office Visit
Avg $56.75
214,420 claims
Home Health Visit
Avg $133.06
104,520 claims
Psychiatric Evaluation
Avg $112.85
85,116 claims
Dental Cleaning & Exam
Avg $26.78
48,993 claims
Eye Exam
Avg $29.17
34,349 claims
Emergency Room Visit
Avg $68.00
30,793 claims
Vaccines & Immunizations
Avg $18.04
25,975 claims
Blood Work & Lab Tests
Avg $5.63
20,964 claims