Average Medicaid Physical Therapy Payments in Somerset, MA: $20.63
Avg. Paid
$20.63
Range
$9.70 – $20.98
Total Claims
16,586
Providers
4
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 Somerset, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joshua John Gurney
67 G.A.R. Highway |
$20.98 | 10,999 | 4,476 |
|
Andrew Murray
1054 County St |
$20.10 | 4,380 | 1,010 |
|
Jessica L Adams
67 Gar Hwy |
$20.31 | 1,111 | 378 |
|
Town Of Somerset
580 Whetstone Hill Rd |
$9.70 | 96 | 27 |
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 Somerset, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Somerset, MA is $20.63 per claim, based on 16,586 claims from 4 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 Somerset, MA?
There are 4 Medicaid providers offering Physical Therapy related services in Somerset, MA according to public payment data.
What is the price range for Physical Therapy in Somerset, MA?
Medicaid reimbursement for Physical Therapy in Somerset, MA ranges from $9.70 to $20.98 per claim, with an average of $20.63. 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 Somerset, MA
Office Visit
Avg $42.94
23,297 claims
Blood Work & Lab Tests
Avg $2.51
17,013 claims
Psychiatric Evaluation
Avg $50.63
7,918 claims
Ambulance Transport
Avg $84.87
7,811 claims
Podiatry (Foot Care)
Avg $6.20
3,923 claims
Nursing Facility Care
Avg $12.49
3,254 claims
Chiropractic Care
Avg $26.81
2,297 claims
Sleep Study (Polysomnography)
Avg $116.62
1,814 claims