Average Medicaid Physical Therapy Payments in Springfield, MA: $43.08
Avg. Paid
$43.08
Range
$0.00 – $175.85
Total Claims
402,739
Providers
66
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 Springfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baystate Medical Center Inc
759 Chestnut St |
$72.50 | 92,297 | 47,383 |
|
The Mercy Hospital Inc
271 Carew St |
$72.71 | 56,020 | 26,266 |
|
City Of Springfield
195 State St |
$6.83 | 55,288 | 21,880 |
|
The Mercy Hospital Inc
271 Carew St |
$57.70 | 35,336 | 14,531 |
|
New England Orthopedics Physical Therapy
300 Birnie Ave |
$27.96 | 30,258 | 10,247 |
|
Timothy K Florek
300 Birnie Ave |
$15.59 | 12,696 | 4,874 |
|
Joao S Afonso
301 Birnie Avenue |
$13.51 | 10,835 | 3,705 |
|
Todd P Pyser
300 Birnie Ave |
$14.10 | 10,340 | 4,342 |
|
Commonwealth Clinical Alliance, Inc
380 Plainfield St |
$0.00 | 8,343 | 4,737 |
|
Futures Healthcore Llc
136 William St |
$9.20 | 7,421 | 1,747 |
|
The Shriners' Hospital For Children
516 Carew St |
$175.85 | 7,047 | 4,248 |
|
Meghan E Bradley
1739 Allen St |
$13.47 | 5,197 | 1,919 |
|
Kristina Cheston
300 Birnie Ave |
$16.57 | 4,981 | 2,205 |
|
Kathryn E Macgregor
300 Birnie Ave |
$18.25 | 4,456 | 1,698 |
|
Steven Courchesne
300 Birnie Ave |
$14.09 | 4,433 | 1,543 |
|
Cody Tsevdos
1150 Hall Of Fame Ave Ste 3 |
$18.20 | 4,104 | 1,236 |
|
Jacob Mastorakis
300 Birnie Ave |
$17.47 | 4,096 | 2,031 |
|
John Dayton
300 Birnie Ave |
$12.13 | 3,951 | 1,393 |
|
Colleen Calvanese
1150 Hall Of Fame Ave |
$15.24 | 3,654 | 1,067 |
|
Geoffrey Zielenski
300 Birnie Ave |
$15.14 | 3,230 | 1,116 |
|
Allison C Falvey
300 Birnie Ave Ste 304 |
$14.01 | 3,198 | 1,338 |
|
Amber Marie Pelletier
136 William St |
$88.32 | 3,150 | 1,561 |
|
Barry J Morin
275 Bicentennial Hwy |
$18.05 | 2,701 | 1,129 |
|
Carolyn Dianne Sterrett
348 Cooley St Unit 10 |
$35.36 | 2,484 | 923 |
|
David J. Goggin
780 Chestnut St |
$13.79 | 2,153 | 879 |
|
Jw Benoit
300 Birnie Ave |
$15.01 | 2,106 | 886 |
|
Innovative Physician Services Llc
490 Page Boulevard |
$21.67 | 2,006 | 517 |
|
Gail Lovett
101 Wason Ave |
$2.05 | 1,858 | 1,775 |
|
Danica Constance-Yang Cooley
348 Cooley St Unit 10 |
$13.63 | 1,814 | 709 |
|
Janelis Rodriguez
300 Birnie Ave |
$13.13 | 1,777 | 825 |
|
James Moran
275 Bicentennial Hwy |
$17.32 | 1,657 | 781 |
|
Chanon Vallas
300 Birnie Ave Ste 304 |
$13.78 | 1,570 | 725 |
|
Rachel Annelise Boynton
348 Cooley St Unit 10 |
$15.24 | 1,496 | 535 |
|
Rodney B Thomas
770 Carew St |
$12.68 | 1,342 | 497 |
|
Stephanie A Carlin
140 High Street |
$75.10 | 1,230 | 292 |
|
Vesha Czuber
80 Congress St |
$11.60 | 1,016 | 259 |
|
Madeline Lynch
348 Cooley St Unit 10 |
$13.12 | 855 | 317 |
|
Hongshin Lee
300 Birnie Ave |
$16.05 | 839 | 324 |
|
Samantha Alejandro
101 Wason Ave Fl 3 |
$0.00 | 835 | 834 |
|
Kathleen Mastorakis
100 Wason Ave |
$0.00 | 746 | 730 |
|
Shellane Prout
348 Cooley St Unit 10 |
$4.48 | 464 | 162 |
|
Heather Marie Moskal
3550 Main St Ste 102 |
$12.12 | 389 | 132 |
|
Erica Vecchioly
1160 Dickinson St |
$13.59 | 314 | 149 |
|
Chelsea E Montello
348 Cooley St Unit 10 |
$7.43 | 286 | 107 |
|
Francisco Serrano
155 Union St |
$5.13 | 261 | 75 |
|
Max Ryan Demartino
348 Cooley St Unit 10 |
$30.42 | 253 | 104 |
|
American Health Management Inc.
80 Congress St |
$16.59 | 237 | 69 |
|
Tina Marie Mcdonald
1150 Hall Of Fame Ave |
$18.87 | 230 | 108 |
|
Joebeth Manzanares Arsolon
348 Cooley St Unit 10 |
$60.17 | 192 | 80 |
|
Stacey Carignan
110 Maple St |
$89.65 | 182 | 45 |
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 Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Springfield, MA is $43.08 per claim, based on 402,739 claims from 66 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 Springfield, MA?
There are 66 Medicaid providers offering Physical Therapy related services in Springfield, MA according to public payment data.
What is the price range for Physical Therapy in Springfield, MA?
Medicaid reimbursement for Physical Therapy in Springfield, MA ranges from $0.00 to $175.85 per claim, with an average of $43.08. 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 Springfield, MA
Substance Abuse Treatment
Avg $20.44
8,386,620 claims
Office Visit
Avg $71.94
2,654,243 claims
Blood Work & Lab Tests
Avg $7.91
2,608,014 claims
Psychiatric Evaluation
Avg $77.04
2,573,099 claims
Behavioral & Mental Health Therapy
Avg $146.55
1,190,715 claims
Emergency Room Visit
Avg $119.65
960,403 claims
Non-Emergency Medical Transportation
Avg $22.82
911,143 claims
Personal Care Services
Avg $86.61
764,746 claims