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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Utica, NY: $50.29

Avg. Paid

$50.29

Range

$18.35 – $89.17

Total Claims

87,646

Providers

18

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 Utica, NY

Provider Avg. Paid Claims Patients
County Of Oneida

800 Park Ave

 $55.88 27,020 6,353
Utica City School District

1115 Mohawk Street

 $31.00 23,066 6,453
Mvhs Inc

111 Hospital Dr

 $57.12 21,170 9,247
Upstate Cerebral Palsy

125 Business Park Dr

 $65.44 12,441 4,034
Upstate Family Health Center Incorporated

1001 Noyes St

 $40.20 1,130 740
Michele Renee Roberts

106 Memorial Pkwy

 $18.35 802 290
Gregory Jay Wood

1601 Armory Dr

 $89.17 569 210
Constance Ann Hosler

106 Memorial Pkwy

 $18.35 503 139
Ryan M Oliver

2504 Genesee St

 $36.55 248 62
Ann Louise Spina

106 Memorial Pkwy

 $18.35 172 66
Shayla Lee Gifford

1601 Armory Dr

 $61.60 168 38
Ruth Elizabeth Putney

106 Memorial Pkwy

 $18.35 94 40
Renay Sue Pohleven

1657 Sunset Ave

 $67.70 54 12
Clare Sheldon

600 Culver Ave

 $54.05 53 12
St Elizabeth Medical Center

2209 Genesee St

 $55.52 51 50
Marissa Martorella

2209 Genesee St

 $85.55 47 12
Kristyn G Crumb

241 Genesee St

 $18.35 37 13
Oliver Physical Therapy, Pllc

2504 Genesee St

 $52.85 21 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 Utica, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Utica, NY is $50.29 per claim, based on 87,646 claims from 18 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 Utica, NY?

There are 18 Medicaid providers offering Physical Therapy related services in Utica, NY according to public payment data.

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

Medicaid reimbursement for Physical Therapy in Utica, NY ranges from $18.35 to $89.17 per claim, with an average of $50.29. 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 Utica, NY

Home Health Visit

Avg $146.48

1,418,271 claims

Blood Work & Lab Tests

Avg $8.00

866,904 claims

Office Visit

Avg $81.63

464,991 claims

Psychiatric Evaluation

Avg $105.72

272,745 claims

Case Management Services

Avg $314.51

242,895 claims

Emergency Room Visit

Avg $214.25

190,597 claims

Behavioral & Mental Health Therapy

Avg $80.73

172,741 claims

Urinalysis & Urine Tests

Avg $3.59

119,563 claims