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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Scarborough, ME: $20.84

Avg. Paid

$20.84

Range

$0.00 – $32.78

Total Claims

20,373

Providers

19

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 Scarborough, ME

Provider Avg. Paid Claims Patients
Ann M Altavilla

9 Equestrian Way

$32.78 4,337 952
Morgan Rose Glazer

55 Spring St

$21.02 3,900 1,561
Mainehealth

300 Professional Dr

$12.18 3,482 1,766
Katelyn Patricia Taft

55 Spring St Ste B

$14.08 2,355 1,061
Natalie Johnson

55 Spring St Unit B

$11.64 2,178 808
Jamee Shinn

60 Chamberlain Rd

$31.07 1,004 269
Michael Cyr

400 Enterprise Dr Ste 4

$31.07 963 406
Katherine Heller

400 Enterprise Dr Ste 4

$18.22 594 211
Ryan B Cyr

55 Spring St

$17.90 393 158
Marijana Mitrovic

144 Us Route 1 Ste 4

$25.54 247 67
Casey Poirier

400 Enterprise Dr Ste 4

$16.32 176 83
Sarah P Morin

25 Plaza Dr.

$17.69 166 85
Jason Adour

400 Enterprise Dr

$11.35 124 66
Mainehealth

49 Spring St

$9.42 96 89
Lisa Ann Connolly

7 Plaza Dr

$26.54 92 43
Marcela Criado

400 Enterprise Dr Ste 4

$20.73 77 40
Caitlyn Dyer

60 Chamberlain Rd

$0.00 77 24
Samuel Lasher

55 Spring St

$13.28 73 24
Erin Frances Lovell

400 Enterprise Dr Ste 4

$29.17 39 24

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 Scarborough, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Scarborough, ME is $20.84 per claim, based on 20,373 claims from 19 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 Scarborough, ME?

There are 19 Medicaid providers offering Physical Therapy related services in Scarborough, ME according to public payment data.

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

Medicaid reimbursement for Physical Therapy in Scarborough, ME ranges from $0.00 to $32.78 per claim, with an average of $20.84. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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