Average Medicaid Physical Therapy Payments in Upper Marlboro, MD: $41.27
Avg. Paid
$41.27
Range
$10.47 – $145.16
Total Claims
79,527
Providers
16
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 Upper Marlboro, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prince Georges County Public Schools
14201 School Ln |
$40.21 | 36,858 | 23,852 |
|
Prince George'S County Public Schools
14201 School Ln |
$55.85 | 13,816 | 10,768 |
|
Rafik Abdel-Hamid Tarfa
9500 Pennsylvania Ave |
$16.36 | 13,348 | 2,194 |
|
Mvp Fitness And Massage
11604 Bronco Ct |
$63.41 | 6,049 | 1,001 |
|
Paul A. Heath
1401 Mercantile Ln |
$21.91 | 2,867 | 835 |
|
Dawn M Meekins
9400 Midland Turn |
$101.12 | 2,289 | 523 |
|
Renee M. Riley
1401 Mercantile Lane |
$10.47 | 1,804 | 358 |
|
Linda Omole
9916 Pesade Way |
$62.00 | 726 | 257 |
|
Kendra Plummer
11446 Abbottswood Ct |
$46.56 | 659 | 127 |
|
Brianna Wynn
10666 Campus Way S |
$31.42 | 396 | 97 |
|
Adeolu Tolulope Kehinde
10666 Campus Way S |
$29.46 | 334 | 138 |
|
Folasade Bangali
1221 Mercantile Ln |
$35.99 | 145 | 102 |
|
Total Risk
1450 Mercantile Ln Ste 237 |
$18.05 | 136 | 25 |
|
Dimensions Health Corporation
901 Harry S Truman Dr N |
$145.16 | 43 | 40 |
|
Jamila C Rawlings Logan
77 Kettering Dr Ste A1 |
$21.67 | 42 | 12 |
|
Anne C Smith
1221 Mercantile Ln |
$40.32 | 15 | 12 |
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 Upper Marlboro, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Upper Marlboro, MD is $41.27 per claim, based on 79,527 claims from 16 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 Upper Marlboro, MD?
There are 16 Medicaid providers offering Physical Therapy related services in Upper Marlboro, MD according to public payment data.
What is the price range for Physical Therapy in Upper Marlboro, MD?
Medicaid reimbursement for Physical Therapy in Upper Marlboro, MD ranges from $10.47 to $145.16 per claim, with an average of $41.27. 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 Upper Marlboro, MD
Case Management Services
Avg $139.36
498,283 claims
Speech Therapy
Avg $35.62
247,764 claims
Office Visit
Avg $96.70
131,663 claims
Behavioral & Mental Health Therapy
Avg $88.43
73,708 claims
Emergency Room Visit
Avg $282.65
67,713 claims
Blood Work & Lab Tests
Avg $22.06
59,085 claims
Psychiatric Evaluation
Avg $93.51
57,288 claims
Dental Cleaning & Exam
Avg $42.54
28,651 claims