Average Medicaid Physical Therapy Payments in Prince Frederick, MD: $35.15
Avg. Paid
$35.15
Range
$14.91 – $101.57
Total Claims
19,387
Providers
16
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 Prince Frederick, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Oladipupo Sam Ajayi
497 Main St Fl 1 |
$24.26 | 36 | 25 |
|
Elizabeth Garner
130 Hospital Rd Ste 103 |
$43.36 | 53 | 25 |
|
Erin L Buhler
130 Hospital Rd Ste 103 |
$38.47 | 90 | 37 |
|
Samantha Dumesnil
220 Solomons Island Rd N |
$24.97 | 121 | 50 |
|
Christina Mccomb
130 Hospital Rd |
$96.36 | 124 | 44 |
|
Amy Shearer Williams
100 Hospital Rd |
$30.25 | 140 | 49 |
|
Sarah Elizabeth Nessel
130 Hospital Rd Ste 103 |
$30.92 | 156 | 65 |
|
Shannon Smith
130 Hospital Rd Ste 103 |
$101.57 | 306 | 127 |
|
Diana Christine Adamson
130 Hospital Rd Ste 103 |
$31.50 | 500 | 206 |
|
Calverthealth Medical Center, Inc.
130 Hospital Rd |
$14.91 | 621 | 214 |
|
Christine Fratantuono
130 Hospital Rd |
$59.95 | 697 | 380 |
|
Calvert County Public School
1305 Dares Beach Rd |
$53.70 | 799 | 388 |
|
Ryan A Hunsicker
130 Hospital Rd |
$16.45 | 1,091 | 230 |
|
Loren Lynn Roberts
220 Solomons Island Rd N |
$26.69 | 1,153 | 300 |
|
Lynn Kulig Hoyle
130 Hospital Rd Ste 103 |
$29.09 | 4,504 | 1,455 |
|
Calvert County Public Schools
1305 Dares Beach Rd |
$36.72 | 8,996 | 2,784 |
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 Prince Frederick, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Prince Frederick, MD is $35.15 per claim, based on 19,387 claims from 16 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 Prince Frederick, MD?
There are 16 Medicaid providers offering Physical Therapy related services in Prince Frederick, MD according to public payment data.
What is the price range for Physical Therapy in Prince Frederick, MD?
Medicaid reimbursement for Physical Therapy in Prince Frederick, MD ranges from $14.91 to $101.57 per claim, with an average of $35.15. 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
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Bronx, NY
Avg $33.00
3,372,618 claims · 312 providers
Indianapolis, IN
Avg $33.23
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Las Vegas, NV
Avg $41.92
2,229,957 claims · 556 providers
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