Average Medicaid Physical Therapy Payments in Troy, MI: $37.02
Avg. Paid
$37.02
Range
$0.19 – $99.29
Total Claims
271,634
Providers
11
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 Troy, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William Beaumont Hospital
44201 Dequindre Rd |
$22.18 | 154,387 | 53,469 |
|
Ompt Specialists, Inc.
1080 Kirts Blvd Ste 500 |
$21.55 | 47,372 | 14,385 |
|
Bower Enterprises Inc
210 Town Center Dr |
$99.29 | 37,793 | 11,790 |
|
Behavioral Outcomes Management,Llc
210 Town Center Dr |
$96.68 | 15,604 | 4,685 |
|
Mobility Plus Rehab Services Inc.
6905 Rochester Rd Ste C |
$21.12 | 8,999 | 2,338 |
|
Healthquest Physical Therapy And Wellness Center Llc
6012 Rochester Rd |
$12.15 | 2,930 | 612 |
|
Chelsea Elizabeth Grueninger
4420 Livernois Rd |
$40.81 | 1,565 | 387 |
|
Move To Success Physical Therapy
3150 Livernois Rd Ste 165 |
$29.89 | 1,027 | 331 |
|
Ankita Ashish Khedkar
1663 Stephenson Hwy |
$21.54 | 1,003 | 277 |
|
Elite Healthcare Pllc
6905 Rochester Rd. |
$8.84 | 848 | 643 |
|
Thrive Chiropractic Llc
2133 Crooks Rd. |
$0.19 | 106 | 41 |
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 Troy, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Troy, MI is $37.02 per claim, based on 271,634 claims from 11 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 Troy, MI?
There are 11 Medicaid providers offering Physical Therapy related services in Troy, MI according to public payment data.
What is the price range for Physical Therapy in Troy, MI?
Medicaid reimbursement for Physical Therapy in Troy, MI ranges from $0.19 to $99.29 per claim, with an average of $37.02. 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 Troy, MI
Blood Work & Lab Tests
Avg $7.90
1,394,497 claims
Office Visit
Avg $70.06
302,479 claims
Dental Cleaning & Exam
Avg $37.31
250,130 claims
Behavioral & Mental Health Therapy
Avg $55.36
219,053 claims
Urinalysis & Urine Tests
Avg $1.87
145,638 claims
Emergency Room Visit
Avg $283.13
136,526 claims
Durable Medical Equipment (DME)
Avg $52.38
125,551 claims
X-Ray
Avg $24.25
85,667 claims