Average Medicaid Physical Therapy Payments in South Bend, IN: $31.56
Avg. Paid
$31.56
Range
$2.19 – $124.71
Total Claims
170,960
Providers
83
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 South Bend, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melissa Gutierrez
6301 University Commons |
$69.16 | 12 | 12 |
|
Lisa M. Wolff
53880 Carmichael Dr |
$15.67 | 19 | 14 |
|
Anna K Diedrich
53880 Carmichael Dr |
$41.28 | 32 | 12 |
|
Linda A Mansfield
1815 E Ireland Rd |
$70.47 | 32 | 12 |
|
Kathleen Rose Parker
53880 Carmichael Dr |
$26.97 | 32 | 13 |
|
Raymond Rene Lucio Canda
211 N Eddy St |
$34.33 | 37 | 12 |
|
Henry Kim
53880 Carmichael Dr |
$15.09 | 39 | 13 |
|
Thomas Gerard Akre
211 N Eddy St Ste 230 |
$49.49 | 48 | 12 |
|
Arnulfo Ayalde Royeca
53940 Carmichael Dr |
$7.94 | 59 | 12 |
|
Jeffrey D. Yergler
53880 Carmichael Dr |
$12.03 | 62 | 36 |
|
Jacob Chase Kanaby
53880 Carmichael Dr |
$48.14 | 63 | 28 |
|
Jenna F Lemon
53880 Carmichael Dr |
$39.51 | 69 | 32 |
|
Anne Ashley Clifford
1815 E Ireland Rd Ste 100 |
$19.31 | 74 | 16 |
|
Lourdes Bayot Espiritu
4010 S Ironwood Dr |
$6.76 | 91 | 41 |
|
Patrick Joseph Christianson
53880 Carmichael Dr |
$21.67 | 94 | 37 |
|
Kathryn Blum
1005 N Hickory Rd |
$54.50 | 95 | 42 |
|
Julie Ann Sunday
53880 Carmichael Dr |
$23.02 | 96 | 64 |
|
Brock H. Haut
1815 E Ireland Rd Ste 100 |
$42.55 | 99 | 70 |
|
Caitlyn Toma
2505 E Jefferson Blvd |
$57.52 | 106 | 44 |
|
Jessie Rae O'Leary
1815 E Ireland Rd Ste 100 |
$34.44 | 115 | 62 |
|
Heather Saffel
111 W Jefferson Blvd Ste 100 |
$47.25 | 142 | 38 |
|
Patrick Morin
1005 N Hickory Rd |
$39.83 | 146 | 50 |
|
Shelby Lyn Verhage
3510 Portage Rd |
$31.29 | 163 | 64 |
|
Leeanne F. Torres
100 Navarre Pl Ste 4440 |
$109.17 | 167 | 37 |
|
Debra R Leazenby
53880 Carmichael Dr |
$27.09 | 178 | 64 |
|
Ruchita Kachru
1815 E Ireland Rd |
$48.81 | 195 | 49 |
|
Christine M Zmyslo
53880 Carmichael Dr |
$23.58 | 197 | 105 |
|
Tyler D Mcgregor
53880 Carmichael Dr |
$124.11 | 204 | 48 |
|
Elizabeth Linn
1815 E Ireland Rd Ste 100 |
$25.90 | 211 | 93 |
|
Ethan Wren
100 Navarre Pl Ste 4440 |
$104.00 | 240 | 92 |
|
Bailey Turner
53880 Carmichael Dr |
$28.43 | 281 | 122 |
|
John H Mahon
1815 E Ireland Rd |
$51.97 | 286 | 71 |
|
Career Academy Of South Bend, Inc.
3801 Crescent Cir |
$15.88 | 301 | 143 |
|
Jane A Schmidt
2505 E Jefferson Blvd |
$95.14 | 349 | 149 |
|
Ryne Dean Lehrman
202 W Ireland Rd |
$22.95 | 353 | 175 |
|
Brandan Lynn Demont
1815 E Ireland Rd Ste 100 |
$26.88 | 369 | 102 |
|
Kyle Thomas Matheson
53880 Carmichael Dr |
$28.13 | 403 | 175 |
|
Sofia Rutledge
53880 Carmichael Dr |
$24.84 | 448 | 218 |
|
Karen Lemmon
1005 N Hickory Rd |
$51.53 | 455 | 155 |
|
Samantha Rae Weidner
53880 Carmichael Dr |
$24.50 | 499 | 201 |
|
Erin Osburn
111 W Jefferson Blvd Ste 100 |
$30.05 | 501 | 223 |
|
Christen Brianne Ramaeker
1815 E Ireland Rd Ste 100 |
$41.64 | 570 | 247 |
|
Ashley Schebler
202 W Ireland Rd |
$32.00 | 586 | 283 |
|
Norene Nagy
6450 Miami Cir |
$2.19 | 599 | 179 |
|
Stephanie Martin
1430 E Madison St |
$55.73 | 675 | 144 |
|
Kimberly Haugen Forehand
2012 Ironwood Cir |
$59.62 | 739 | 267 |
|
Leslie C Erickson
3222 Mishawaka Ave |
$28.67 | 763 | 164 |
|
Richard Kaminski
1815 E Ireland Rd Ste 100 |
$43.08 | 766 | 227 |
|
Allison Rykse
1005 N Hickory Rd |
$38.63 | 785 | 278 |
|
Leslie Asher Fuchs
1815 E Ireland Rd Ste 100 |
$33.48 | 859 | 377 |
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 South Bend, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in South Bend, IN is $31.56 per claim, based on 170,960 claims from 83 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 South Bend, IN?
There are 83 Medicaid providers offering Physical Therapy related services in South Bend, IN according to public payment data.
What is the price range for Physical Therapy in South Bend, IN?
Medicaid reimbursement for Physical Therapy in South Bend, IN ranges from $2.19 to $124.71 per claim, with an average of $31.56. 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 South Bend, IN
Office Visit
Avg $58.29
778,111 claims
Blood Work & Lab Tests
Avg $6.15
552,088 claims
Psychiatric Evaluation
Avg $67.17
188,449 claims
Emergency Room Visit
Avg $95.59
180,378 claims
Vaccines & Immunizations
Avg $10.10
170,623 claims
Durable Medical Equipment (DME)
Avg $34.07
143,514 claims
Speech Therapy
Avg $58.84
113,674 claims
Ambulance Transport
Avg $111.92
105,740 claims