Average Medicaid Physical Therapy Payments in Augusta, ME: $33.98
Avg. Paid
$33.98
Range
$0.00 – $91.43
Total Claims
191,641
Providers
32
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 Augusta, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mainegeneral Medical Center
35 Medical Center Pkwy |
$24.13 | 127,514 | 63,114 |
|
Ashley Anne Juat
24 Stone St Ste 101 |
$54.34 | 11,495 | 3,765 |
|
Rebecca Alyson Lynch
12 Shuman Ave Ste 16 |
$25.72 | 8,594 | 3,230 |
|
Abigail Kristina Roberts
12 Shuman Ave Ste 16 |
$76.03 | 7,792 | 2,663 |
|
Nicole Summers Macmillan
12 Shuman Ave Ste 16 |
$76.62 | 4,312 | 1,625 |
|
Chelsea Theresa Withee
12 Shuman Ave Ste 16 |
$50.33 | 3,721 | 1,244 |
|
Acadia Jerome
12 Shuman Ave Ste 16 |
$60.65 | 3,488 | 1,047 |
|
Kayla Scott Jones Sprowl
160 Riverside Dr |
$9.56 | 2,469 | 915 |
|
Paige Nicole Davis
12 Shuman Ave |
$88.18 | 2,460 | 827 |
|
Mary A Miller
12 Spruce St Ste 3 |
$47.66 | 2,169 | 798 |
|
Thomas Sandoval
40 Glenridge Dr |
$42.78 | 1,982 | 677 |
|
Isabelle Smith
12 Shuman Ave Ste 16 |
$85.36 | 1,716 | 621 |
|
Julie Geldner
12 Shuman Ave Ste 16 |
$84.14 | 1,713 | 631 |
|
Anita Pike
12 Shuman Ave |
$44.01 | 1,434 | 584 |
|
Jessica L Mosher
6 E Chestnut St Unit 100 |
$42.80 | 1,404 | 335 |
|
Brenda A Caouette
146 State House Sta |
$43.41 | 1,342 | 427 |
|
Angela Mckenna
12 Gedney St |
$12.58 | 1,303 | 386 |
|
Hannah M. Pullen
12 Shuman Ave Ste 16 |
$46.71 | 1,085 | 383 |
|
Allison Leary
12 Shuman Ave Ste 16 |
$73.70 | 1,038 | 391 |
|
Brooke Lancaster
35 Medical Center Pkwy |
$17.99 | 1,010 | 397 |
|
Nicholas Anthony Pooler
12 Shuman Ave |
$91.43 | 830 | 281 |
|
Victoria Blackington
1 Alden Ave |
$62.27 | 779 | 280 |
|
Madison Lauren Longfellow
12 Shuman Ave Ste 16 |
$86.96 | 480 | 211 |
|
Madeline Elizabeth Kelley
219 Capitol St Ste 3 |
$49.98 | 314 | 146 |
|
Brianna Annina Desgrosseilliers
160 Riverside Dr |
$11.68 | 285 | 106 |
|
Valerie Sugden
12 Gedney St |
$5.80 | 282 | 67 |
|
Matthew Brian Chasse
35 Medical Center Pkwy |
$32.74 | 182 | 69 |
|
Children'S Center: Early Intervention And Family Support, Inc.
1 Alden Ave |
$0.00 | 132 | 25 |
|
Nancy Ann Johnson
12 Shuman Ave Ste 16 |
$43.33 | 123 | 55 |
|
Ashlynne Dawn Schofield
12 Shuman Ave Ste 16 |
$41.84 | 79 | 26 |
|
Jennifer Byron
12 Shuman Ave |
$48.60 | 77 | 37 |
|
James Ronald Lavallee
619 Leighton Rd |
$0.00 | 37 | 19 |
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 Augusta, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Augusta, ME is $33.98 per claim, based on 191,641 claims from 32 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 Augusta, ME?
There are 32 Medicaid providers offering Physical Therapy related services in Augusta, ME according to public payment data.
What is the price range for Physical Therapy in Augusta, ME?
Medicaid reimbursement for Physical Therapy in Augusta, ME ranges from $0.00 to $91.43 per claim, with an average of $33.98. 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 Augusta, ME
Blood Work & Lab Tests
Avg $3.01
870,668 claims
Case Management Services
Avg $63.93
382,731 claims
Office Visit
Avg $39.94
321,589 claims
Home Health Visit
Avg $355.87
297,937 claims
Emergency Room Visit
Avg $128.80
168,482 claims
Behavioral & Mental Health Therapy
Avg $170.20
157,636 claims
Vaccines & Immunizations
Avg $6.84
156,135 claims
X-Ray
Avg $17.63
130,801 claims