Average Medicaid Physical Therapy Payments in Valley Stream, NY: $30.43
Avg. Paid
$30.43
Range
$0.00 – $123.32
Total Claims
129,223
Providers
31
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 Valley Stream, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Austin Vincent Padua
34 Cherry St |
$16.30 | 58 | 29 |
|
Colleen Elizabeth Sullivan
153 E Merrick Rd |
$14.47 | 65 | 24 |
|
Jasmine Theresa Darbouze
39 Ella Street |
$18.35 | 69 | 24 |
|
Jeffrey Torrevillas
106 Guenther Ave |
$16.31 | 86 | 52 |
|
Louis Papagianakis
93 Ann St |
$56.95 | 101 | 53 |
|
Armando A Gayas
125 Franklin Ave |
$0.00 | 142 | 28 |
|
Bhoomi Patel
153 E Merrick Rd |
$18.72 | 184 | 84 |
|
Sheril Philip Dunson
85 Roosevelt Ave |
$30.54 | 210 | 90 |
|
Evan Greene
20 W Lincoln Ave Ste 205 |
$24.28 | 251 | 51 |
|
Avishai T Neuman
811 Wilson St |
$36.31 | 427 | 189 |
|
Reyson Baldomir
41 Derby St |
$6.71 | 430 | 55 |
|
Dylan Klieber
26 Wilson Rd |
$29.86 | 460 | 207 |
|
Denese Carter
49 Molyneaux Rd |
$23.08 | 499 | 114 |
|
Christine Angella Barnes
199 N Cottage St |
$28.26 | 500 | 177 |
|
Big Apple Autism Services Inc.
1626 Putney Rd |
$78.99 | 596 | 80 |
|
Lindsay J. Gonnella
583 Nutley Pl |
$37.14 | 627 | 169 |
|
Wilma Dungog
9 Edna Pl |
$36.71 | 671 | 164 |
|
Valley Stream Ufsd 30
175 N Central Ave |
$23.86 | 681 | 143 |
|
Suzie Dorsainvil
39 Molyneaux Rd |
$20.31 | 695 | 238 |
|
Mary J Downing
45 Henrietta St |
$66.01 | 1,949 | 456 |
|
Valley Stream Central High School District
1 Kent Rd |
$60.75 | 1,995 | 360 |
|
Sharon Ozaraga
125 Franklin Ave |
$23.83 | 2,006 | 1,376 |
|
Rafael Shlomo Krakanovski
766 Wilson Ct |
$53.11 | 2,145 | 431 |
|
Valley Stream Ufsd 13
585 N Corona Ave |
$37.71 | 2,236 | 525 |
|
Audrey Longid Gulian
57 Brook Rd |
$21.35 | 2,378 | 793 |
|
Erin Milano
32 Lamberson St |
$123.32 | 2,490 | 1,148 |
|
Valley Stream Ufsd #24
50 Hungry Harbor Rd |
$53.63 | 3,156 | 772 |
|
Leigh-Ann Edison
11 Sunrise Plz |
$61.99 | 3,278 | 861 |
|
Mary Grace Abonets Lusan-Urena
125 Franklin Ave |
$20.94 | 10,351 | 5,610 |
|
Changmin Han
430 W Merrick Rd Ste 2 |
$5.40 | 38,048 | 8,984 |
|
Waqar Muhammad
24 Fairfax St |
$39.55 | 52,439 | 12,891 |
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 Valley Stream, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Valley Stream, NY is $30.43 per claim, based on 129,223 claims from 31 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 Valley Stream, NY?
There are 31 Medicaid providers offering Physical Therapy related services in Valley Stream, NY according to public payment data.
What is the price range for Physical Therapy in Valley Stream, NY?
Medicaid reimbursement for Physical Therapy in Valley Stream, NY ranges from $0.00 to $123.32 per claim, with an average of $30.43. 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 Valley Stream, NY
Home Health Visit
Avg $177.00
2,355,828 claims
Office Visit
Avg $75.26
232,741 claims
Blood Work & Lab Tests
Avg $7.74
112,591 claims
Emergency Room Visit
Avg $126.89
98,022 claims
Dental Cleaning & Exam
Avg $28.12
85,541 claims
Psychiatric Evaluation
Avg $79.06
58,585 claims
Vaccines & Immunizations
Avg $17.17
50,308 claims
Eye Exam
Avg $45.98
44,036 claims