Skip to content
Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in South Portland, ME: $19.62

Avg. Paid

$19.62

Range

$10.11 – $60.35

Total Claims

29,902

Providers

25

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 South Portland, ME

Provider Avg. Paid Claims Patients
Abbey Ball

50 Foden Rd

 $11.42 5,211 2,285
Casey S Estes

185 Ocean St

 $16.54 5,016 1,993
Mary Catherine Burke

50 Foden Rd

 $21.54 4,341 1,895
Gabriel J Redmond

29 Foden Rd

 $11.19 2,402 895
Seaton Jang

185 Ocean St

 $18.79 2,343 732
Polyxenia J Pantos

32 Hall St

 $27.15 1,920 859
Christina Marie Coppola

130 Wescott Rd

 $42.96 1,508 365
Paul M Brown

161 Ocean St

 $20.88 1,226 504
Daniel Patrick Barry

185 Ocean St

 $29.24 903 336
Carla M. Negrete Martinez

100 Foden Rd Ste 205

 $16.01 828 375
Annelise Maria Depaulo

45 Western Ave

 $14.19 722 218
Rachael Amy Siegel-Berele

236 Gannett Dr

 $39.97 587 177
Lea Guise

50 Foden Rd

 $17.41 486 174
Michaela Stuart

119 Gannett Dr

 $15.25 441 160
Katherine E Whidden

50 Foden Rd

 $60.35 358 122
Nicholas Tyler Whittaker

200 John Roberts Rd

 $10.82 301 86
Patricia Kana

185 Ocean St

 $22.97 282 105
Jeffrey M Thibodeau

180 Waterman Dr

 $15.40 276 115
Neal Hannon Drew

130 Wescott Rd

 $10.11 205 49
Tessa Goldstein

185 Ocean St

 $29.33 168 56
Dustin Blackington

244 Western Avenue

 $20.04 145 74
Nicholas M Adriance

45 Western Ave

 $11.51 81 24
Samantha A Berger

50 Foden Rd

 $12.48 78 25
Sean Dylan Shields

50 Foden Rd

 $12.33 51 12
Eric Roberts Stunkel

244 Western Ave

 $25.16 23 16

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 South Portland, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in South Portland, ME is $19.62 per claim, based on 29,902 claims from 25 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 South Portland, ME?

There are 25 Medicaid providers offering Physical Therapy related services in South Portland, ME according to public payment data.

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

Medicaid reimbursement for Physical Therapy in South Portland, ME ranges from $10.11 to $60.35 per claim, with an average of $19.62. 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 South Portland, ME

Personal Care Services

Avg $126.38

850,870 claims

Home Health Visit

Avg $246.46

379,127 claims

Substance Abuse Treatment

Avg $91.27

297,857 claims

Case Management Services

Avg $68.45

222,206 claims

Office Visit

Avg $43.25

104,221 claims

Behavioral & Mental Health Therapy

Avg $236.70

54,529 claims

Emergency Room Visit

Avg $58.88

20,353 claims

Eye Exam

Avg $54.38

19,121 claims