Average Medicaid Physical Therapy Payments in Framingham, MA: $32.30
Avg. Paid
$32.30
Range
$0.00 – $58.48
Total Claims
51,197
Providers
13
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 Framingham, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vhs Acquisition Subsidiary Number 9 Inc
115 Lincoln St |
$58.48 | 22,190 | 8,627 |
|
City Of Framingham
14 Vernon St |
$8.40 | 14,409 | 4,022 |
|
Brian Thomas Clancey
1644 Concord St Ste 1 |
$12.66 | 10,464 | 2,386 |
|
Timothy Joseph Mcnamara
1661 Worcester Rd Ste 105 |
$42.32 | 1,284 | 377 |
|
Zachary Alan Robertson
1661 Worcester Rd Ste 105 |
$23.35 | 677 | 238 |
|
Tina C. Aldrich
73 Mount Wayte Ave |
$0.00 | 557 | 544 |
|
Gail A Dobinski
63 Fountain St Ste 201 |
$23.26 | 472 | 193 |
|
Brianna Healey
26 Springhill Rd |
$13.58 | 329 | 103 |
|
Ashley Benson
1661 Worcester Rd |
$18.49 | 247 | 87 |
|
David Sequino Bambilla
1661 Worcester Rd Ste 105 |
$31.68 | 190 | 96 |
|
Alison Cohen
40 Speen St Ste 102 |
$20.67 | 163 | 82 |
|
James Hosker
10 Roxanna St |
$13.69 | 134 | 38 |
|
Melissa Diaz
160 Speen St |
$12.13 | 81 | 53 |
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 Framingham, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Framingham, MA is $32.30 per claim, based on 51,197 claims from 13 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 Framingham, MA?
There are 13 Medicaid providers offering Physical Therapy related services in Framingham, MA according to public payment data.
What is the price range for Physical Therapy in Framingham, MA?
Medicaid reimbursement for Physical Therapy in Framingham, MA ranges from $0.00 to $58.48 per claim, with an average of $32.30. 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 Framingham, MA
Case Management Services
Avg $30.64
366,983 claims
Substance Abuse Treatment
Avg $53.68
345,950 claims
Blood Work & Lab Tests
Avg $9.87
312,830 claims
Office Visit
Avg $61.05
311,025 claims
Psychiatric Evaluation
Avg $67.95
275,260 claims
Behavioral & Mental Health Therapy
Avg $99.96
273,359 claims
Non-Emergency Medical Transportation
Avg $24.65
160,821 claims
Personal Care Services
Avg $64.30
153,995 claims