Average Medicaid Physical Therapy Payments in Providence, RI: $27.41
Avg. Paid
$27.41
Range
$4.31 – $164.63
Total Claims
391,517
Providers
65
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Family Service Of Rhode Island Inc.
55 Hope St |
$149.80 | 12 | 12 |
|
University Orthopedics, Inc.
2 Dudley St |
$24.86 | 17 | 14 |
|
Rhode Island Hospital
593 Eddy St |
$56.66 | 31 | 12 |
|
Bay State Physical Therapy Pc
235 Plain St Ste 307 |
$17.36 | 31 | 12 |
|
Elizabeth Costello
1000 Eddy St |
$41.75 | 35 | 12 |
|
Jenna Farrelly
1000 Eddy St |
$49.70 | 42 | 12 |
|
Kapedjanie Bois
154 Waterman St |
$16.17 | 43 | 12 |
|
Susanna Gregorzek
2 Dudley St |
$40.35 | 51 | 37 |
|
Nora Kinslow
2 Dudley St |
$35.34 | 77 | 43 |
|
Steven Bokshan
2 Dudley St Ste 200 |
$52.38 | 83 | 24 |
|
Karen L Carney
2 Dudley St |
$33.49 | 92 | 65 |
|
Trevor Williams
2 Charles St Ste C2 |
$24.30 | 98 | 48 |
|
Elizabeth Anne O'Brien
164 Summit Ave |
$37.05 | 111 | 77 |
|
Paul Cuffee Charter School
459 Promenade St |
$9.78 | 136 | 100 |
|
Joseph Scott Hannouch
1000 Eddy Street |
$27.99 | 161 | 49 |
|
Jenna Petitt
285 Governor St Ste 101 |
$23.14 | 236 | 82 |
|
Ronna Lynn Aldridge-Goldbach
1000 Eddy St |
$72.03 | 242 | 56 |
|
Ryan Johnson
49 Seekonk St |
$33.97 | 259 | 135 |
|
Andrew Cumming Payne
37 Willow St |
$66.19 | 274 | 134 |
|
Stephen Cinquegrana
2 Dudley St |
$33.28 | 297 | 141 |
|
Edward J Wojciechowski
100 Butler Dr |
$40.49 | 311 | 102 |
|
Therese Moreno Toste
2 Dudley St |
$51.85 | 327 | 141 |
|
Kelsey Lynn Bousquet
1 Randall Sq Ste 301 |
$54.98 | 345 | 63 |
|
Kimberly Harvey
49 Seekonk St |
$22.51 | 387 | 118 |
|
Jennifer Cawley
1 Richmond Sq |
$63.04 | 489 | 255 |
|
Achievement First Providence Mayoral Academy Charter School
370 Hartford Aveneue |
$4.31 | 537 | 73 |
|
Sheena Gopal
285 Governor St |
$19.63 | 556 | 246 |
|
Rebecca Butler
1000 Eddy St |
$13.28 | 604 | 253 |
|
Jodi Bergeron
195 Collyer St |
$36.99 | 604 | 327 |
|
Shemaiah Thompson
285 Governor St |
$19.28 | 743 | 210 |
|
Alexander Burke
49 Seekonk St |
$29.40 | 769 | 308 |
|
Nabil Sean Falconer
285 Governor St |
$27.42 | 813 | 309 |
|
Lia Rose Cucinotta
1 Randall Sq Ste 302 |
$53.56 | 901 | 306 |
|
Sophie Gormley
285 Promenade St |
$42.34 | 924 | 445 |
|
Hailey I Shore
49 Seekonk St |
$26.47 | 1,046 | 445 |
|
Kyle Lopresti
49 Seekonk St |
$28.24 | 1,081 | 450 |
|
Nicholas Ford
49 Seekonk St |
$22.97 | 1,252 | 593 |
|
Ellyn Wertella
2 Charles St |
$20.12 | 1,585 | 499 |
|
Erin Nicole Reams
1000 Eddy Street |
$23.63 | 1,696 | 539 |
|
Lindsey Bousquet
55 Hope St |
$33.89 | 1,787 | 588 |
|
Sara Ann Olson
285 Promenade St |
$43.57 | 1,821 | 655 |
|
Laura Degrange
1000 Eddy St |
$93.04 | 1,907 | 395 |
|
Deryl Pace
285 Governor St |
$19.46 | 2,061 | 423 |
|
Conor D. Bray
49 Seekonk St |
$22.33 | 2,265 | 987 |
|
Steven Joseph Rocha
285 Promenade St |
$33.39 | 2,883 | 1,077 |
|
Christine Michele Saleeba
285 Promenade St |
$56.91 | 2,976 | 1,159 |
|
Alexandra Ollerhead
49 Seekonk St |
$23.20 | 3,125 | 1,532 |
|
Kyle Anderson
285 Promenade St |
$52.67 | 3,244 | 1,035 |
|
Brian Elliano
49 Seekonk St |
$26.77 | 4,055 | 1,737 |
|
Mariah Farrell
49 Seekonk St |
$22.83 | 4,251 | 1,876 |
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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Providence, RI is $27.41 per claim, based on 391,517 claims from 65 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 Providence, RI?
There are 65 Medicaid providers offering Physical Therapy related services in Providence, RI according to public payment data.
What is the price range for Physical Therapy in Providence, RI?
Medicaid reimbursement for Physical Therapy in Providence, RI ranges from $4.31 to $164.63 per claim, with an average of $27.41. 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 Providence, RI
Personal Care Services
Avg $125.03
2,057,051 claims
Office Visit
Avg $73.05
1,843,254 claims
Emergency Room Visit
Avg $92.98
754,000 claims
Behavioral & Mental Health Therapy
Avg $129.47
740,415 claims
Dental Cleaning & Exam
Avg $30.60
677,431 claims
Case Management Services
Avg $18.33
599,589 claims
Psychiatric Evaluation
Avg $71.24
531,502 claims
Substance Abuse Treatment
Avg $47.48
496,940 claims