Average Medicaid Physical Therapy Payments in Troy, NY: $46.94
Avg. Paid
$46.94
Range
$4.15 – $69.48
Total Claims
159,888
Providers
28
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, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole Morris
1 New Hampshire Ave |
$32.55 | 28 | 12 |
|
Christina Desmond
506 Campbell Ave |
$45.02 | 32 | 15 |
|
Karen M Stanley White
1 New Hampshire Ave |
$62.93 | 33 | 12 |
|
Sarah Cipperly Griffin
506 Campbell Ave |
$33.99 | 36 | 12 |
|
Abigail Ruth Schuck
65 1St St |
$14.87 | 38 | 12 |
|
Jill Harris
3992 State Highway 2 |
$18.35 | 48 | 13 |
|
Sarah Higgins
506 Campbell Ave |
$4.15 | 64 | 12 |
|
Colin Gauert
506 Campbell Ave |
$43.44 | 76 | 25 |
|
Daniel Brocker
597 3Rd Ave |
$42.37 | 113 | 24 |
|
Ashley Marie Bracker
40 Collins Ave |
$31.65 | 199 | 77 |
|
Joseph Dominic Napoleone
506 Campbell Ave |
$27.00 | 205 | 112 |
|
Colin Mcgowan
1 New Hampshire Ave |
$31.24 | 363 | 196 |
|
Joseph Raymond Maccio
1 New Hampshire Avenue |
$26.53 | 516 | 148 |
|
Genevieve Schoff
506 Campbell Ave |
$18.05 | 664 | 256 |
|
Joseph G Maccio
1 New Hampshire Ave |
$28.46 | 686 | 250 |
|
Christine Mary Soroko
597 3Rd Ave |
$36.19 | 748 | 54 |
|
Matthew Myers
1 New Hampshire Ave |
$22.63 | 799 | 209 |
|
Cody Csontos
506 Campbell Ave |
$19.88 | 1,071 | 352 |
|
Allison Cutts
147 Hoosick St |
$60.49 | 1,351 | 567 |
|
Enlarged City School District Of Troy, Ny
475 1St St |
$69.48 | 1,385 | 378 |
|
Unity House Of Troy Inc
33 2Nd St |
$58.26 | 3,817 | 960 |
|
Ashley F Bertorelli
16 N Greenbush Rd Ste 203 |
$22.30 | 4,913 | 1,154 |
|
Lindsay Carlton
1 New Hampshire Ave |
$24.39 | 4,960 | 1,439 |
|
Thomas Plowinske
506 Campbell Ave |
$31.11 | 5,695 | 1,392 |
|
Debra Guarneri
79 102Nd St |
$61.35 | 8,263 | 2,055 |
|
Lansingburgh Central School District
576 5Th Ave |
$42.63 | 12,823 | 3,766 |
|
Rensselaer County Department Of Health
1600 7Th Ave |
$57.65 | 23,556 | 1,351 |
|
Samaritan Hospital Of Troy, New York
2215 Burdett Ave |
$47.30 | 87,406 | 36,024 |
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, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Troy, NY is $46.94 per claim, based on 159,888 claims from 28 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, NY?
There are 28 Medicaid providers offering Physical Therapy related services in Troy, NY according to public payment data.
What is the price range for Physical Therapy in Troy, NY?
Medicaid reimbursement for Physical Therapy in Troy, NY ranges from $4.15 to $69.48 per claim, with an average of $46.94. 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, NY
Blood Work & Lab Tests
Avg $9.32
401,781 claims
Office Visit
Avg $70.25
377,568 claims
Emergency Room Visit
Avg $107.15
216,033 claims
Home Health Visit
Avg $126.28
171,612 claims
Case Management Services
Avg $313.11
141,663 claims
Psychiatric Evaluation
Avg $125.97
125,457 claims
Substance Abuse Treatment
Avg $35.34
124,987 claims
Vaccines & Immunizations
Avg $21.27
105,806 claims