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
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
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Avg $87.82
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Avg $40.18
393,238 claims
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Avg $58.11
389,301 claims
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Avg $147.50
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Avg $51.61
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