Average Medicaid Physical Therapy Payments in Ellsworth, ME: $30.05
Avg. Paid
$30.05
Range
$0.00 – $67.62
Total Claims
50,439
Providers
14
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 Ellsworth, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maine Coast Regional Health Facilities
50 Union St |
$33.18 | 39,552 | 16,932 |
|
Carrie Mabry
5 Long Ln Ste 2 |
$9.23 | 3,100 | 655 |
|
Christine Lynn Mild
248 State St Ste 3A |
$20.00 | 1,536 | 455 |
|
Aleta Barbara Schmidt
190 Bangor Rd |
$11.31 | 1,527 | 599 |
|
Brandon R Smith
248 State St Ste 3A |
$17.89 | 1,136 | 418 |
|
Shane Ball
190 Bangor Rd |
$43.14 | 818 | 217 |
|
Lauren Fogg-Pratt
5 Long Ln |
$53.41 | 597 | 208 |
|
Timothy Lee Wakeland
37 Commerce Park |
$8.61 | 586 | 258 |
|
Kidspeace National Centers Of New England Inc
16 Kidspeace Way |
$0.00 | 499 | 121 |
|
Rachael Grover
248 State St Ste 3A |
$19.01 | 428 | 116 |
|
William R Toles
9 Resort Way |
$24.99 | 300 | 80 |
|
Casey Beck Mcdaniel
5 Long Ln Ste 2 |
$67.62 | 199 | 73 |
|
Kristan Lewis
114 State St Apt 2 |
$45.66 | 96 | 26 |
|
Daniel Juan Alvarez
248 State St Ste 3A |
$9.42 | 65 | 46 |
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 Ellsworth, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Ellsworth, ME is $30.05 per claim, based on 50,439 claims from 14 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 Ellsworth, ME?
There are 14 Medicaid providers offering Physical Therapy related services in Ellsworth, ME according to public payment data.
What is the price range for Physical Therapy in Ellsworth, ME?
Medicaid reimbursement for Physical Therapy in Ellsworth, ME ranges from $0.00 to $67.62 per claim, with an average of $30.05. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Physical Therapy in Other Cities
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Avg $36.50
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New York, NY
Avg $39.29
5,089,280 claims · 527 providers
Phoenix, AZ
Avg $44.43
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Louisville, KY
Avg $91.42
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Miami, FL
Avg $41.78
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Bronx, NY
Avg $33.00
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Indianapolis, IN
Avg $33.23
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Las Vegas, NV
Avg $41.92
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Avg $2.43
158,520 claims
Substance Abuse Treatment
Avg $112.12
139,145 claims
Office Visit
Avg $42.72
53,263 claims
Emergency Room Visit
Avg $138.85
50,931 claims
Urinalysis & Urine Tests
Avg $0.83
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Avg $301.71
26,710 claims
Prescription Medications
Avg $0.01
26,437 claims
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Avg $10.80
22,920 claims