Average Medicaid Physical Therapy Payments in Toms River, NJ: $28.74
Avg. Paid
$28.74
Range
$0.00 – $86.03
Total Claims
87,513
Providers
22
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 Toms River, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Medical Center Inc
99 Route 37 W |
$39.90 | 43,513 | 16,814 |
|
Kessler Institute For Rehabilitation Inc
368 Lakehurst Rd |
$31.00 | 12,722 | 3,311 |
|
Christina M King
751 Route 37 W |
$17.38 | 5,936 | 1,569 |
|
Carolina Prados
1193 Bay Ave |
$0.08 | 5,160 | 1,342 |
|
Gary M Cookson
1430 Hooper Ave |
$15.50 | 3,814 | 1,806 |
|
Jacqueline Amanda Colli
1868 Hooper Ave |
$34.67 | 3,493 | 1,547 |
|
Mary Grace Palo Roldan-Torretti
20 Hospital Dr Ste 23 |
$0.12 | 2,553 | 510 |
|
Alysse Chesney
92 Peacock Pl |
$23.21 | 2,141 | 698 |
|
Shoshana Nehmad
40 Bey Lea Rd |
$9.56 | 1,229 | 503 |
|
Ferdinand Mark Cuyno Mabale
3415 Inverness Dr |
$0.04 | 1,115 | 335 |
|
Leah Aquino Dela Rosa
2360 Lakewood Rd |
$0.03 | 1,074 | 336 |
|
Ocean Convalescent Center Inc
1579 Old Freehold Rd |
$0.79 | 780 | 114 |
|
Markus Lee Manley
40 Bey Lea Rd |
$0.21 | 772 | 337 |
|
Joseph William Ashton
368 Lakehurst Rd Ste 102 |
$0.12 | 700 | 300 |
|
John Alada Bayanin
17 Walnut St |
$0.11 | 613 | 195 |
|
Hampton Ridge Healthcare & Rehabilitation Llc
94 Stevens Rd |
$0.00 | 583 | 60 |
|
Caroline Elizabeth Geardino
1769 Hooper Ave |
$30.68 | 486 | 127 |
|
Regal Operations Llc
231 Warner St |
$0.59 | 351 | 37 |
|
Mark T Harrington
530 Lakehurst Rd Ste 101 |
$86.03 | 215 | 85 |
|
Genise Gittens
1769 Hooper Ave |
$32.08 | 120 | 50 |
|
Rachel Notaro
953 Fischer Blvd Ste 1 |
$0.11 | 118 | 68 |
|
Sharon Fields
99 Highway 37 West |
$13.90 | 25 | 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 Toms River, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Toms River, NJ is $28.74 per claim, based on 87,513 claims from 22 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 Toms River, NJ?
There are 22 Medicaid providers offering Physical Therapy related services in Toms River, NJ according to public payment data.
What is the price range for Physical Therapy in Toms River, NJ?
Medicaid reimbursement for Physical Therapy in Toms River, NJ ranges from $0.00 to $86.03 per claim, with an average of $28.74. 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 Toms River, NJ
Office Visit
Avg $39.86
767,181 claims
Vaccines & Immunizations
Avg $16.36
424,620 claims
Blood Work & Lab Tests
Avg $10.60
363,597 claims
Home Health Visit
Avg $76.39
321,882 claims
Dental Cleaning & Exam
Avg $29.14
240,398 claims
Non-Emergency Medical Transportation
Avg $63.62
234,777 claims
Emergency Room Visit
Avg $231.01
206,206 claims
X-Ray
Avg $24.90
131,476 claims