Average Medicaid Physical Therapy Payments in Wauwatosa, WI: $17.15
Avg. Paid
$17.15
Range
$12.78 – $48.45
Total Claims
45,528
Providers
16
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 Wauwatosa, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer Lynn Kebbekus
530 N 108Th Pl |
$16.58 | 14,902 | 5,956 |
|
Kyle J Sirek
6810 W State St |
$17.76 | 9,786 | 3,262 |
|
Wauwatosa School District
12121 W North Ave |
$13.24 | 6,765 | 2,195 |
|
Luke Jeffery Wirkus
2999 N Mayfair Rd |
$16.00 | 5,677 | 1,805 |
|
Rebecca Marchan
8112 W Bluemound Rd |
$17.59 | 2,545 | 1,265 |
|
Jennifer La Plante
6810 W State St |
$17.24 | 2,269 | 571 |
|
Lydia Feldbruegge
8112 W Bluemound Rd Ste 100 |
$29.06 | 1,107 | 503 |
|
Jennifer Louise Williams
11450 W Burleigh St Ste 120 |
$31.97 | 1,012 | 749 |
|
Derk Kelly
6004 W Wells St |
$25.40 | 418 | 190 |
|
Jason Seefeld
10950 W Capitol Dr |
$13.21 | 403 | 274 |
|
Lauren Gryniewicz
2500 N Mayfair Rd |
$12.78 | 301 | 67 |
|
Eric Demshar
2626 N 76Th St |
$32.40 | 146 | 83 |
|
Michelle Steffes
1085 N Perry Ct |
$48.45 | 89 | 39 |
|
Steven J. Kubicki
3289 N Mayfair Rd |
$16.82 | 47 | 12 |
|
Karina Folliard
813 N Mayfair Rd |
$30.41 | 43 | 25 |
|
Jordan M Ruedt
3077 N Mayfair Rd |
$17.32 | 18 | 13 |
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 Wauwatosa, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Wauwatosa, WI is $17.15 per claim, based on 45,528 claims from 16 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 Wauwatosa, WI?
There are 16 Medicaid providers offering Physical Therapy related services in Wauwatosa, WI according to public payment data.
What is the price range for Physical Therapy in Wauwatosa, WI?
Medicaid reimbursement for Physical Therapy in Wauwatosa, WI ranges from $12.78 to $48.45 per claim, with an average of $17.15. 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 Wauwatosa, WI
Office Visit
Avg $34.81
306,279 claims
Psychiatric Evaluation
Avg $78.17
211,256 claims
Behavioral & Mental Health Therapy
Avg $162.47
142,204 claims
Emergency Room Visit
Avg $43.46
125,870 claims
Personal Care Services
Avg $42.40
102,563 claims
Home Health Visit
Avg $38.70
72,726 claims
Blood Work & Lab Tests
Avg $15.29
56,735 claims
Tooth Extraction
Avg $76.84
52,748 claims