Average Medicaid Physical Therapy Payments in Middletown, CT: $37.54
Avg. Paid
$37.54
Range
$0.49 – $39.87
Total Claims
228,637
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 Middletown, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric Donald Soule
448 Atkins St |
$21.03 | 36 | 13 |
|
Diana Marie Sadler
534 Saybrook Rd |
$1.45 | 40 | 12 |
|
Nicholas A Bessette
140 Main St Ste 4B |
$9.14 | 100 | 37 |
|
Kevin R Huber
512 Saybrook Rd |
$10.52 | 103 | 24 |
|
Christina Tufts
211 S Main St |
$0.61 | 200 | 50 |
|
Harbor Hill Care Center, Inc.
111 Church St |
$3.09 | 275 | 25 |
|
Deanna M Dichello
211 S Main St |
$18.59 | 597 | 192 |
|
Amanda Kathryn Kell
134 Main Street Ext Ste 100 |
$6.76 | 667 | 132 |
|
Athena Middlesex Llc
100 Randolph Rd |
$9.34 | 762 | 81 |
|
Shawn Christopher Sullivan
512 Saybrook Rd |
$28.02 | 6,598 | 2,293 |
|
Middlesex Orthopedic Surgeons Pc
410 Saybrook Rd |
$0.49 | 9,195 | 2,148 |
|
City Of Middletown
311 Hunting Hill Ave |
$39.31 | 12,497 | 4,978 |
|
Middlesex Hospital
28 Crescent St |
$39.87 | 197,567 | 74,867 |
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 Middletown, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Middletown, CT is $37.54 per claim, based on 228,637 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 Middletown, CT?
There are 13 Medicaid providers offering Physical Therapy related services in Middletown, CT according to public payment data.
What is the price range for Physical Therapy in Middletown, CT?
Medicaid reimbursement for Physical Therapy in Middletown, CT ranges from $0.49 to $39.87 per claim, with an average of $37.54. 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 Middletown, CT
Blood Work & Lab Tests
Avg $3.05
690,000 claims
Office Visit
Avg $37.60
635,282 claims
Psychiatric Evaluation
Avg $39.99
459,562 claims
Emergency Room Visit
Avg $218.69
254,571 claims
Ambulance Transport
Avg $28.77
159,133 claims
X-Ray
Avg $18.25
157,475 claims
Non-Emergency Medical Transportation
Avg $1.37
149,564 claims
Nursing Facility Care
Avg $20.07
115,841 claims