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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Pawtucket, RI: $42.03

Avg. Paid

$42.03

Range

$11.13 – $530.84

Total Claims

419,253

Providers

51

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 Pawtucket, RI

Provider Avg. Paid Claims Patients
Silver Fern Practice, Llc

21 Division St

$20.95 165,307 56,461
Pawtucket School Department

286 Main St

$11.13 40,384 14,802
Annmarie Duchesne

111 Brewster St

$23.97 31,329 9,155
Mikaela Caracciolo

21 Division St

$25.65 21,257 9,495
Dr. Day Care, Inc.

462 Smithfield Ave

$530.84 16,307 4,486
Jean Paul Aracena Oliver

21 Division St

$29.58 14,745 5,487
Michael Glassman

21 Division St

$23.55 12,376 5,002
Sarah Goldstein

21 Division St

$23.82 11,880 4,087
Jesse Rudolph

21 Division St

$25.13 7,507 2,852
John Goodyear

21 Division St

$24.55 6,993 3,045
Erin R Botelho

21 Division St

$25.44 6,618 2,766
Robert Dattilo

21 Division St

$32.16 6,287 2,532
Erin Lynn Sayles

21 Division St

$28.73 6,152 2,537
Leah Katsos

21 Division St

$26.92 6,124 2,591
Brendan Boyle

21 Division Street

$20.75 5,813 1,850
Sydney Fournier

21 Division St

$25.48 5,442 2,051
Pablo Enrique Rodriguez

129 School Street

$20.35 4,765 1,033
Zeel Pareshkumar Desai

21 Division St

$21.15 4,515 1,692
Cynthia Lynne Napier

588 Pawtucket Ave

$40.72 3,948 1,247
Maulikta M Patel

407 East Ave Ste 110

$25.72 3,881 1,220
Amanda Fitzgerald

21 Division St

$27.57 3,415 1,275
Bryan C Silva

545 Pawtucket Ave

$24.28 3,264 816
Kevin Alexander

21 Division St

$21.68 2,984 1,034
Yvonne Mary Swanson

21 Division St

$21.22 2,606 1,288
Erik Bou

21 Division St

$27.92 2,574 973
Margaret Taylor

21 Division St

$22.26 2,536 988
Mara Hochman

21 Division St

$23.78 2,291 982
Sidra Ethier

21 Division St

$32.89 1,879 474
Juan David Moncayo

21 Division St

$22.43 1,827 780
Aaron Ulvestad

21 Division St

$29.60 1,784 652
David Pavao

21 Division St

$25.94 1,421 758
Jodie Humphrey

111 Brewster St

$14.79 1,317 462
Avery Carrara

21 Division St

$20.29 1,229 546
Victoria E Moitoso

100 Smithfield Ave

$42.92 1,188 429
Gregory Michael Yakimec

21 Division St

$28.63 1,002 437
Brittany Polk

21 Division St

$22.51 832 295
Ross Levine

21 Division St

$25.01 782 361
Han Keat Low

21 Division St

$26.28 774 290
Matthew Ricketson

588 Pawtucket Ave

$26.33 668 338
Brian Hay

21 Division St

$22.88 640 299
Jonathan Howard

21 Division St

$26.00 574 216
Cynthia Kay Wisted

21 Division St

$51.12 517 193
Elizabeth Demers

407 East Ave Ste 150

$21.33 337 126
Orthopedics Rhode Island, Inc

588 Pawtucket Ave

$18.47 303 175
Hargun Khanna

21 Division St

$26.76 299 154
Rovena Prekulaj

21 Division St

$27.55 228 118
Brady Flynn

21 Division St

$32.62 127 69
Beth Peterson

588 Pawtucket Ave

$31.84 100 28
Denise L Leclaire

407 East Ave Ste 150

$34.76 50 24
Lisa Marie Decoste

21 Division St

$20.17 41 37

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 Pawtucket, RI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Pawtucket, RI is $42.03 per claim, based on 419,253 claims from 51 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 Pawtucket, RI?

There are 51 Medicaid providers offering Physical Therapy related services in Pawtucket, RI according to public payment data.

What is the price range for Physical Therapy in Pawtucket, RI?

Medicaid reimbursement for Physical Therapy in Pawtucket, RI ranges from $11.13 to $530.84 per claim, with an average of $42.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Physical Therapy in Other Cities

Other Procedures in Pawtucket, RI