Average Medicaid Physical Therapy Payments in West Orange, NJ: $18.08
Avg. Paid
$18.08
Range
$0.00 – $175.03
Total Claims
832,599
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 West Orange, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jag-One Physical Therapy, Llc
622 Eagle Rock Ave |
$11.22 | 382,085 | 105,874 |
|
Kessler Institute For Rehabilitation Inc
1199 Pleasant Valley Way |
$28.49 | 341,572 | 100,257 |
|
Stratford Manor Rehabilitation And Care Center Llc
787 Northfield Ave |
$0.73 | 27,211 | 2,110 |
|
Bhargavi Amish Desai
81 Northfield Ave |
$11.56 | 26,080 | 6,900 |
|
Justin Trilling
414 Eagle Rock Ave |
$11.23 | 14,469 | 3,890 |
|
Joseph A Persico
622 Eagle Rock Ave |
$15.78 | 13,019 | 5,007 |
|
Elan Araten
414 Eagle Rock Ave Ste 107 |
$10.45 | 12,674 | 3,600 |
|
Marilu D Coscolluela
50 Crystal Ave |
$1.96 | 10,607 | 2,261 |
|
Jonathan Kronenberg
622 Eagle Rock Ave |
$31.79 | 1,938 | 601 |
|
Tenesha Shaw
8 Rappleye Ct |
$175.03 | 703 | 175 |
|
Summit Ridge Care Llc
20 Summit St |
$1.01 | 700 | 98 |
|
Stratford Manor Rehabilitation And Care Center Llc
787 Northfield Ave |
$0.00 | 674 | 37 |
|
Mark Robert Cristiano
622 Eagle Rock Ave |
$1.33 | 552 | 223 |
|
Christian Atexide
99 Northfield Ave |
$6.03 | 152 | 38 |
|
Mark Roufaeal
622 Eagle Rock Ave |
$0.00 | 72 | 24 |
|
James R Wilson
1199 Pleasant Valley Way |
$89.12 | 43 | 12 |
|
Brandon Evan Gorny
1199 Pleasant Valley Way |
$8.85 | 29 | 12 |
|
Jeffrey Alan Rigby
622 Eagle Rock Ave |
$0.24 | 19 | 14 |
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 West Orange, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in West Orange, NJ is $18.08 per claim, based on 832,599 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 West Orange, NJ?
There are 18 Medicaid providers offering Physical Therapy related services in West Orange, NJ according to public payment data.
What is the price range for Physical Therapy in West Orange, NJ?
Medicaid reimbursement for Physical Therapy in West Orange, NJ ranges from $0.00 to $175.03 per claim, with an average of $18.08. 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 West Orange, NJ
Home Health Visit
Avg $58.21
471,728 claims
Office Visit
Avg $53.41
311,254 claims
Non-Emergency Medical Transportation
Avg $35.92
109,110 claims
Psychiatric Evaluation
Avg $88.73
93,328 claims
Vaccines & Immunizations
Avg $12.17
90,371 claims
EKG / ECG (Electrocardiogram)
Avg $5.65
81,501 claims
Dental Cleaning & Exam
Avg $22.88
62,813 claims
Eye Exam
Avg $26.64
48,117 claims