Average Medicaid Physical Therapy Payments in West Springfield, MA: $19.87
Avg. Paid
$19.87
Range
$9.92 – $86.06
Total Claims
140,713
Providers
23
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 West Springfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David A Bowers
1275 Elm St |
$20.02 | 36 | 28 |
|
Brett Moody
1111 Elm St Ste 9 |
$14.97 | 153 | 86 |
|
Christina M Goncalves
1275 Elm St |
$16.24 | 155 | 64 |
|
Melinda Acevedo
309 Poplar Ave |
$15.76 | 210 | 73 |
|
Southern Berkshire Regional School District
174 Brush Hill Ave |
$9.92 | 421 | 103 |
|
Scott R Cooper
271 Park St |
$20.85 | 716 | 400 |
|
Andrey Okhrimenko
89 Humphrey Ln |
$15.03 | 758 | 301 |
|
Luberta M Bradley
1275 Elm St |
$13.82 | 893 | 433 |
|
Alexander Garlo
1111 Elm St Ste 9 |
$13.85 | 1,412 | 406 |
|
Sharon A Polastry
124 Myron St |
$15.11 | 1,731 | 548 |
|
Kristina Cartier
124 Myron St |
$14.54 | 1,761 | 562 |
|
Jamie Mackie
124 Myron St |
$18.49 | 3,312 | 1,043 |
|
Emily Roussi
271 Park St |
$22.60 | 3,521 | 1,474 |
|
Rehab Resolutions, Inc.
1111 Elm St Ste 9 |
$27.18 | 3,912 | 1,042 |
|
Alexandria Viera
1111 Elm St Ste 7 |
$86.06 | 3,991 | 1,103 |
|
Elizabeth Mcintire
271 Park St Bldg Suite |
$13.57 | 4,086 | 2,092 |
|
Town Of West Springfield
26 Central St |
$11.58 | 4,231 | 1,090 |
|
Ronald N Paasch
271 Park St |
$21.70 | 5,338 | 2,362 |
|
Tomas E Lund
1111 Elm St Ste 9 |
$16.22 | 7,594 | 2,913 |
|
Sofia Zanzarella
1111 Elm Street |
$16.87 | 7,976 | 3,208 |
|
Bailing Li Kean
425 Union St #15 |
$13.77 | 8,361 | 1,237 |
|
Amy Tredo
1111 Elm St |
$14.59 | 10,692 | 3,346 |
|
Performance Rehabilitation Of Western New England Llc
124 Myron St |
$19.19 | 69,453 | 22,058 |
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 West Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in West Springfield, MA is $19.87 per claim, based on 140,713 claims from 23 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 West Springfield, MA?
There are 23 Medicaid providers offering Physical Therapy related services in West Springfield, MA according to public payment data.
What is the price range for Physical Therapy in West Springfield, MA?
Medicaid reimbursement for Physical Therapy in West Springfield, MA ranges from $9.92 to $86.06 per claim, with an average of $19.87. 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 West Springfield, MA
Non-Emergency Medical Transportation
Avg $22.81
453,715 claims
Office Visit
Avg $63.17
284,965 claims
Home Health Visit
Avg $38.25
233,518 claims
Psychiatric Evaluation
Avg $57.13
218,326 claims
Nursing Facility Care
Avg $15.62
124,081 claims
Dental Cleaning & Exam
Avg $41.34
90,729 claims
Behavioral & Mental Health Therapy
Avg $192.98
78,003 claims
Durable Medical Equipment (DME)
Avg $29.84
62,815 claims