Average Medicaid Physical Therapy Payments in Marlborough, MA: $37.05
Avg. Paid
$37.05
Range
$0.00 – $62.76
Total Claims
21,904
Providers
9
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 Marlborough, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marlborough Hospital Corp
157 Union St |
$62.76 | 10,105 | 3,992 |
|
Jonathan Pekor
262 E Main St |
$16.81 | 4,984 | 1,707 |
|
City Of Marlborough
17 Washington St |
$12.24 | 4,722 | 1,591 |
|
Joseph Tyler Barone
100 Granger Blvd |
$9.62 | 997 | 570 |
|
Taylor Nicole Sullivan
175 Ames St Unit 4305 |
$27.60 | 652 | 235 |
|
Sidhdhi Shah
435 Lakeside Ave |
$22.04 | 333 | 91 |
|
Rebecca Collette
262 E Main St |
$16.11 | 51 | 24 |
|
Alliance Physical Therapy & Wellness, Inc
720 Boston Post Rd E |
$0.00 | 33 | 33 |
|
Melissa Davalos
720 Boston Post Rd E |
$0.00 | 27 | 27 |
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 Marlborough, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Marlborough, MA is $37.05 per claim, based on 21,904 claims from 9 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 Marlborough, MA?
There are 9 Medicaid providers offering Physical Therapy related services in Marlborough, MA according to public payment data.
What is the price range for Physical Therapy in Marlborough, MA?
Medicaid reimbursement for Physical Therapy in Marlborough, MA ranges from $0.00 to $62.76 per claim, with an average of $37.05. 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 Marlborough, MA
Blood Work & Lab Tests
Avg $5.55
15,353,315 claims
Urinalysis & Urine Tests
Avg $3.06
2,187,745 claims
Culture & Microbiology Tests
Avg $4.42
1,364,285 claims
Pathology & Lab Services
Avg $22.30
429,824 claims
Non-Emergency Medical Transportation
Avg $31.63
214,219 claims
Psychiatric Evaluation
Avg $70.13
170,755 claims
Dental Cleaning & Exam
Avg $39.15
98,331 claims
Office Visit
Avg $49.24
84,284 claims