Average Medicaid Physical Therapy Payments in Middletown, RI: $37.52
Avg. Paid
$37.52
Range
$13.79 – $86.27
Total Claims
67,375
Providers
21
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, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicholas Carney
73 Valley Rd |
$49.78 | 32 | 12 |
|
Raymond B Reid
1181 Aquidneck Ave |
$39.20 | 37 | 12 |
|
Leonard K Harmon Jr.
1181 Aquidneck Ave |
$26.82 | 40 | 14 |
|
Guerrino Boni
1181 Aquidneck Ave |
$20.13 | 128 | 36 |
|
Natalie Ann Briggs
73 Valley Rd |
$19.29 | 151 | 68 |
|
Jade Ann Medeiros
73 Valley Rd |
$23.78 | 203 | 92 |
|
Victor Sandman
73 Valley Rd |
$23.40 | 222 | 101 |
|
Danielle Cerrone
73 Valley Rd |
$29.85 | 304 | 123 |
|
Donald H Levine
1181 Aquidneck Ave |
$19.72 | 347 | 108 |
|
Michael Orlowski
1181 Aquidneck Ave |
$22.29 | 455 | 106 |
|
Jaime Goss
73 Valley Rd |
$19.00 | 1,600 | 388 |
|
Michelle Fuleky
73 Valley Rd |
$17.47 | 2,094 | 796 |
|
Erica Manchester
73 Valley Rd |
$20.83 | 2,119 | 742 |
|
Tayla Hannagan
1272 West Main Road |
$86.27 | 2,297 | 530 |
|
Patrick Motel
73 Valley Rd |
$28.46 | 2,367 | 894 |
|
Pavel Grafov
66 Valley Rd # 2 |
$16.36 | 3,768 | 1,480 |
|
Bristol County Rehabilitation Services
1341 West Main Road Suite 12 |
$13.79 | 5,279 | 2,261 |
|
Nicole Decristoforo
73 Valley Rd |
$22.63 | 5,861 | 424 |
|
Shawn Blankenship
73 Valley Rd |
$21.27 | 6,265 | 2,330 |
|
Olympic Physical Therapy & Sports Medicine Inc.
Olympic Physical Therapy |
$16.37 | 15,882 | 4,426 |
|
Sarah Mcneill
1272 W Main Rd Bldg 2 |
$80.61 | 17,924 | 2,779 |
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, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Middletown, RI is $37.52 per claim, based on 67,375 claims from 21 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, RI?
There are 21 Medicaid providers offering Physical Therapy related services in Middletown, RI according to public payment data.
What is the price range for Physical Therapy in Middletown, RI?
Medicaid reimbursement for Physical Therapy in Middletown, RI ranges from $13.79 to $86.27 per claim, with an average of $37.52. 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, RI
Behavioral & Mental Health Therapy
Avg $133.10
117,707 claims
Case Management Services
Avg $35.60
94,962 claims
Office Visit
Avg $59.22
54,686 claims
Psychiatric Evaluation
Avg $69.97
43,483 claims
Eye Exam
Avg $31.73
14,289 claims
Substance Abuse Treatment
Avg $59.47
10,326 claims
Vaccines & Immunizations
Avg $8.51
9,283 claims
Dental Cleaning & Exam
Avg $24.70
8,811 claims