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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Waukesha, WI: $20.76

Avg. Paid

$20.76

Range

$13.73 – $59.30

Total Claims

115,395

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 Waukesha, WI

Provider Avg. Paid Claims Patients
Prohealth Waukesha Memorial Hospital, Inc.

725 American Ave

 $22.75 82,102 34,069
Waukesha School District

222 Maple Ave

 $14.48 17,020 5,504
Nathanael P Sorum

20700 Watertown Rd Ste 100

 $13.73 12,929 6,476
Tammy Sieglaff

S11W29667 Summit Ave

 $40.42 939 316
Hannah M Wendt

W227N2650 Meadowood Ln

 $32.70 462 249
Collin D Christensen

2325 Parklawn Dr Ste Q

 $24.18 431 186
Gretchen L Beyer

W234S3555 State Road 59

 $21.80 420 236
Emily C Fendrick

222 Park Pl

 $17.60 358 170
Selene E Blaszkowski

2951 Clearwater Ln

 $59.30 220 76
Andrew John Nemcek

209 W Main St

 $18.27 167 63
Claire L Rosen

514 Riverview Ave

 $38.58 96 51
Margaret A Schueller

725 American Ave

 $18.06 59 26
Benjamin William Korrer

1111 Delafield St

 $21.97 56 28
Karen Ann Mccarter

W239N1812 Rockwood Dr

 $15.67 45 24
Erin L Bellin

N14W23833 Stone Ridge Dr Ste 300

 $17.09 24 12
Megan Emilia Ackerman

W234S3555 State Road 59

 $24.75 23 14
Justin Theriault

W234S3555 State Road 59

 $17.94 22 12
Erin Rudan

N26W23977 Watertown Rd

 $27.61 22 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 Waukesha, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Waukesha, WI is $20.76 per claim, based on 115,395 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 Waukesha, WI?

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

What is the price range for Physical Therapy in Waukesha, WI?

Medicaid reimbursement for Physical Therapy in Waukesha, WI ranges from $13.73 to $59.30 per claim, with an average of $20.76. 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 Waukesha, WI

Substance Abuse Treatment

Avg $11.31

490,331 claims

Blood Work & Lab Tests

Avg $7.92

467,756 claims

Office Visit

Avg $31.79

258,119 claims

Behavioral & Mental Health Therapy

Avg $72.59

211,193 claims

Case Management Services

Avg $64.96

203,991 claims

Personal Care Services

Avg $7.67

135,851 claims

Psychiatric Evaluation

Avg $46.69

133,861 claims

X-Ray

Avg $4.21

115,175 claims