Average Medicaid Physical Therapy Payments in Old Town, ME: $25.91
Avg. Paid
$25.91
Range
$1.50 – $49.53
Total Claims
6,803
Providers
8
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 Old Town, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christine Michele Guerrette
601 Stillwater Ave. |
$14.15 | 2,114 | 863 |
|
Jessica Dubois
601 Stillwater Ave Ste 3 |
$40.54 | 1,971 | 502 |
|
Samantha White
482 Stillwater Ave |
$19.98 | 809 | 441 |
|
Nicole Kristine Bailey
601 Stillwater Ave |
$49.53 | 729 | 212 |
|
Penobscot Community Health Center
242 Brunswick St |
$1.50 | 598 | 276 |
|
Kyle Deliberty
601 Stillwater Ave Ste 5 |
$18.11 | 294 | 142 |
|
Regan Lauren Nelson
482 Stillwater Ave |
$28.31 | 263 | 115 |
|
Alex Anthony Tsomides
601 Stillwater Ave Ste 5 |
$18.85 | 25 | 12 |
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 Old Town, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Old Town, ME is $25.91 per claim, based on 6,803 claims from 8 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 Old Town, ME?
There are 8 Medicaid providers offering Physical Therapy related services in Old Town, ME according to public payment data.
What is the price range for Physical Therapy in Old Town, ME?
Medicaid reimbursement for Physical Therapy in Old Town, ME ranges from $1.50 to $49.53 per claim, with an average of $25.91. 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
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Louisville, KY
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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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Office Visit
Avg $7.74
78,791 claims
Home Health Visit
Avg $176.41
75,202 claims
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Avg $21.57
12,566 claims
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Avg $85.23
10,145 claims
Ambulance Transport
Avg $132.02
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Avg $35.56
9,570 claims
Blood Work & Lab Tests
Avg $6.35
8,680 claims
Vaccines & Immunizations
Avg $1.23
7,413 claims