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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Portland, ME: $17.07

Avg. Paid

$17.07

Range

$0.00 – $130.84

Total Claims

212,610

Providers

58

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 Portland, ME

Provider Avg. Paid Claims Patients
Mercy Hospital

175 Fore River Pkwy

$20.44 75,991 33,651
Mainehealth

22 Bramhall St

$9.26 48,629 24,929
New England Rehabilitation Hospital Of Portland, Llc

335 Brighton Ave Ste 201

$8.64 26,539 5,886
Hannah Luken

1041 Brighton Ave

$17.99 7,603 2,566
Caitlin A. Wood

125 Presumpscot St

$52.76 4,376 1,580
Edward Scott Greeley

33 Sewall St

$26.78 3,832 1,437
Robert R. Denton

1250 Forest Ave

$6.56 3,787 649
Catherine A Heath

33 Sewall St

$14.87 3,530 1,243
Dawn Fischer

353 Cumberland Ave

$19.87 3,445 1,209
Wendy A Richards

94 Auburn St

$12.40 3,435 866
Mainehealth

272 Congress St

$15.11 3,123 1,617
Kira Deveau

901 Washington Ave

$11.71 2,846 850
Daniel R Clark

1041 Brighton Ave

$17.85 2,792 528
Natalie Margaret Petrone

22 Bramhall St

$10.72 1,914 721
Timothy Kasper

432 Stevens Ave

$10.72 1,810 621
Emily Wasina

37 Andover Road

$26.32 1,504 428
Daniel Spencer

22 Bramhall St

$25.71 1,292 494
Breanna M Copp

125 Presumpscot St

$39.00 1,242 351
William S St.George

1600 Congress Street

$7.53 1,214 404
Kevin Baker

55 Baxter Blvd

$20.54 1,105 383
Savannah Bernardin

1577 Congress St Ste 2

$17.98 1,055 459
Alison Thaxter

37 Andover Road

$40.07 1,042 292
Meredith Merin Ivers

125 Presumpscot St

$49.64 905 258
Linda Herling

125 Presumpscot St

$30.98 800 259
Marianne Ritterova

33 Sewall St

$11.60 711 132
Branden George

1041 Brighton Ave

$17.04 684 197
Julia Integlia Welter

12 Saint Lawrence St Unit 1

$48.86 667 222
Caroline Landry

254 Commercial St Ste 245

$14.72 595 240
Shane Smith

587 Ocean Ave

$25.07 556 180
Hilary Dianne Terhune

331 Veranda St.

$22.35 545 155
Susan Latshaw Jones

959 Congress St, Suite 1

$83.15 502 199
Grace Marie Trainor

131 State St Apt 10

$51.48 461 167
Lisa Anne Legare

1011 Forest Ave

$43.52 426 123
Carolyn Virginia Menges

1601 Congress St

$14.71 324 211
Jillian R O'Brien

125 Presumpscot St

$48.33 316 114
Ashley Mercier

125 Presumpscot St

$46.96 304 95
Chelsea Osgood

125 Presumpscot St

$29.53 244 79
Emily Jean Goodhile

69 Euclid Ave

$39.88 239 62
Christina Noel Reville

1041 Brighton Ave

$21.37 219 78
Tracey Anne Falla

196 Allen Ave

$22.21 219 87
Jessica L. Sterling

1274 Congress St

$19.66 204 99
Hannah Nicole Reidman

119 Winter St Apt 4

$47.56 201 64
Kelly Fritz

1011 Forest Ave

$22.46 195 45
Michelle E Segovias

125 Presumpscot St

$48.81 184 124
Joan Caldwell

196 Allen Ave

$22.35 150 62
Julie Catherine Pettit-Lane

561 Congress St

$16.44 144 77
Michael Keogh

1041 Brighton Ave

$21.97 120 56
Joseph Boutin

901 Washington Ave Ste 100

$35.77 109 39
Lisa Steiner

1685 Congress St

$26.47 87 24
Roann J Harlow

587 Ocean Ave

$10.78 63 32

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 Portland, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Portland, ME is $17.07 per claim, based on 212,610 claims from 58 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 Portland, ME?

There are 58 Medicaid providers offering Physical Therapy related services in Portland, ME according to public payment data.

What is the price range for Physical Therapy in Portland, ME?

Medicaid reimbursement for Physical Therapy in Portland, ME ranges from $0.00 to $130.84 per claim, with an average of $17.07. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Physical Therapy in Other Cities

Other Procedures in Portland, ME