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
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 Portland, ME
Blood Work & Lab Tests
Avg $1.50
622,485 claims
Office Visit
Avg $36.14
593,977 claims
Home Health Visit
Avg $319.11
499,937 claims
Case Management Services
Avg $67.60
459,038 claims
Substance Abuse Treatment
Avg $116.83
397,924 claims
Emergency Room Visit
Avg $145.93
357,964 claims
X-Ray
Avg $10.50
304,258 claims
Behavioral & Mental Health Therapy
Avg $199.04
231,478 claims