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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Waterloo, IA: $24.93

Avg. Paid

$24.93

Range

$1.31 – $47.09

Total Claims

37,063

Providers

26

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 Waterloo, IA

Provider Avg. Paid Claims Patients
Michael Donnelly

1111 Ansborough Ave

 $18.98 5,890 1,644
Taylor Digmann

1825 Logan Ave

 $21.70 4,425 2,002
Robert Paul Sarver

2160 Logan Ave

 $16.15 3,941 1,391
Richard W. Naylor

2710 Saint Francis Dr

 $33.29 2,643 615
Benjamin Harrison Davidson

2710 Saint Francis Dr.

 $42.25 2,575 898
Michele L. Friedman

1825 Logan Ave

 $1.31 2,284 310
Brian E Sims

2710 Saint Francis Dr

 $47.09 1,915 713
Catherine Louise Yim

2160 Logan Ave

 $29.07 1,667 606
Kim Marie Schonhoff-Reiter

2010 E Ridgeway Ave

 $26.74 1,622 553
Stefanie Jo Swinton

125 E Tower Park Dr

 $32.88 1,565 481
Mitchell Herman Fonley

1631 Logan Ave

 $36.96 1,321 456
Raymond Joseph Harrington

1631 Logan Ave

 $28.21 1,195 384
Gary A Knudson

2710 Saint Francis Dr

 $30.01 1,162 278
Steven Edward Nus

2160 Logan Ave

 $21.81 1,141 432
Russell Adams

146 W Dale St

 $2.06 910 151
Shayla Mcintyre

2160 Logan Ave

 $17.33 561 246
Kelley Nieman

352 E Ridgeway Ave

 $31.56 507 132
Angela S Townsend

2710 Saint Francis Drive Suite 510

 $45.97 416 144
Cody Lynn Lafler

2160 Logan Ave

 $17.03 292 131
Monica Lee White

125 E Tower Park Dr

 $27.74 273 112
Daniel P Mcgrane

40 Brookeridge Dr

 $17.32 232 56
Krista Lodge

1111 Ansborough Ave

 $19.05 209 65
Covenant Medical Center Inc

3421 W 9Th St

 $38.57 207 88
M Guia Palma

125 E Tower Park Dr

 $11.73 47 16
Brandon J Eckholm

815 Tower Park Dr

 $24.54 38 13
Barbara J Malicka-Rozek

3421 W 9Th St

 $11.83 25 25

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 Waterloo, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Waterloo, IA is $24.93 per claim, based on 37,063 claims from 26 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 Waterloo, IA?

There are 26 Medicaid providers offering Physical Therapy related services in Waterloo, IA according to public payment data.

What is the price range for Physical Therapy in Waterloo, IA?

Medicaid reimbursement for Physical Therapy in Waterloo, IA ranges from $1.31 to $47.09 per claim, with an average of $24.93. 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 Waterloo, IA

Office Visit

Avg $28.16

739,153 claims

Psychiatric Evaluation

Avg $73.45

295,888 claims

Blood Work & Lab Tests

Avg $1.88

292,063 claims

Emergency Room Visit

Avg $132.61

230,395 claims

Behavioral & Mental Health Therapy

Avg $100.02

178,626 claims

Dental Cleaning & Exam

Avg $22.88

146,099 claims

Vaccines & Immunizations

Avg $9.90

141,531 claims

Non-Emergency Medical Transportation

Avg $31.27

140,190 claims