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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Tonawanda, NY: $23.06

Avg. Paid

$23.06

Range

$11.87 – $53.67

Total Claims

10,261

Providers

16

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 Tonawanda, NY

Provider Avg. Paid Claims Patients
Michael Gelz

350 Greenhaven Ter

 $12.70 3,182 990
Jodi Ridler

350 Greenhaven Ter

 $14.92 2,305 879
Kathleen Marie Karpie

2005 Sheridan Dr

 $32.30 1,218 100
Alexa Amato

2540 Sheridan Dr

 $37.83 976 361
Tonawanda City School District

202 Broad St

 $53.67 831 202
Jennifer M Delsignore

89 Dolphann Dr

 $21.15 651 311
Raymond John Hammel

350 Greenhaven Ter

 $21.80 475 149
Jonathon Dipasquale

2540 Sheridan Dr

 $26.84 177 51
Nicholas Robert Ruschmann

2540 Sheridan Dr

 $32.11 135 56
Alexis Lisa Mack

2540 Sheridan Dr

 $21.47 72 26
Emily Hastings

2540 Sheridan Dr

 $30.07 70 24
Ericka Taplin

2540 Sheridan Dr

 $26.58 40 12
Monica Kidder

2540 Sheridan Dr

 $22.47 36 15
Jason Rackmil

1060 Niagara Falls Blvd Ste 5

 $35.36 35 13
Michael Anthony Tirone

545 Delaware St

 $23.05 30 15
Kearsten Fish

350 Greenhaven Ter

 $11.87 28 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 Tonawanda, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Tonawanda, NY is $23.06 per claim, based on 10,261 claims from 16 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 Tonawanda, NY?

There are 16 Medicaid providers offering Physical Therapy related services in Tonawanda, NY according to public payment data.

What is the price range for Physical Therapy in Tonawanda, NY?

Medicaid reimbursement for Physical Therapy in Tonawanda, NY ranges from $11.87 to $53.67 per claim, with an average of $23.06. 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 Tonawanda, NY

Home Health Visit

Avg $107.97

140,714 claims

Office Visit

Avg $49.49

40,649 claims

Speech Therapy

Avg $44.13

34,608 claims

Dental Cleaning & Exam

Avg $38.27

21,107 claims

Durable Medical Equipment (DME)

Avg $47.36

16,650 claims

Non-Emergency Medical Transportation

Avg $18.47

16,536 claims

Blood Work & Lab Tests

Avg $9.79

11,767 claims

Emergency Room Visit

Avg $53.10

7,314 claims