Average Medicaid Physical Therapy Payments in Waterville, ME: $26.66
Avg. Paid
$26.66
Range
$0.00 – $65.29
Total Claims
63,006
Providers
17
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 Waterville, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eastern Maine Healthcare Systems Inland Hospital
200 Kennedy Memorial Dr |
$17.25 | 35,337 | 13,142 |
|
Hillary Haase
27 Cool St |
$55.80 | 10,036 | 1,905 |
|
Marjorie C Batten
157 First Rangeway |
$17.55 | 3,500 | 1,261 |
|
Carolann Marie Jenkins
58 Drummond Ave |
$65.29 | 2,650 | 942 |
|
Joshua D Hunt
234 College Ave |
$17.87 | 2,279 | 592 |
|
Kelly Ann Hanscom
149 Silver St |
$27.51 | 2,217 | 705 |
|
Marnie Elizabeth Allen
149 Silver St |
$12.08 | 1,539 | 439 |
|
Nicole L Shores
58 Drummond Ave |
$16.89 | 1,178 | 384 |
|
Maureen Martin
7 Highwood St |
$21.61 | 1,165 | 309 |
|
Heather Niemann Worster
27 Cool St |
$47.10 | 931 | 316 |
|
Sally Ann Michaud
325 Kennedy Memorial Dr |
$43.60 | 924 | 376 |
|
Louise S Couillard
220 Kennedy Memorial Dr |
$9.84 | 448 | 157 |
|
Danielle Christine Pettengill
325E Kennedy Memorial Dr |
$32.47 | 374 | 167 |
|
Pamela Perry
149 North St |
$23.77 | 265 | 102 |
|
Carmen Alvarado Bernhardt
30 Chase Ave |
$34.82 | 83 | 37 |
|
Bethany Jean Mosher
234 College Ave |
$10.57 | 56 | 12 |
|
Deborah Jane Packard
325E Kennedy Memorial Dr |
$0.00 | 24 | 13 |
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 Waterville, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Waterville, ME is $26.66 per claim, based on 63,006 claims from 17 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 Waterville, ME?
There are 17 Medicaid providers offering Physical Therapy related services in Waterville, ME according to public payment data.
What is the price range for Physical Therapy in Waterville, ME?
Medicaid reimbursement for Physical Therapy in Waterville, ME ranges from $0.00 to $65.29 per claim, with an average of $26.66. 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
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Avg $95.95
414,652 claims
Home Health Visit
Avg $89.36
308,542 claims
Office Visit
Avg $38.79
197,323 claims
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Avg $3.32
161,692 claims
Case Management Services
Avg $104.18
119,369 claims
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Avg $112.53
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Avg $31.77
46,349 claims
Emergency Room Visit
Avg $114.07
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