Average Medicaid Physical Therapy Payments in Worcester, MA: $38.89
Avg. Paid
$38.89
Range
$2.68 – $101.29
Total Claims
204,245
Providers
83
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 Worcester, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vhs Acquisition Subsidiary Number 7 Inc
123 Summer St |
$45.91 | 38,988 | 18,134 |
|
Jennifer L Gorman
111 Elm St |
$22.53 | 26,869 | 12,341 |
|
Robert Sadowski
111 Elm St |
$24.44 | 19,939 | 11,034 |
|
Umass Memorial Medical Center, Inc.
55 Lake Avenue |
$63.33 | 9,841 | 7,014 |
|
City Of Worcester
20 Irving St |
$11.62 | 7,035 | 2,896 |
|
Charles Carville
112 Harding St |
$42.78 | 6,709 | 2,897 |
|
Sum Yuet Wu
50 Gold Star Blvd |
$69.04 | 5,397 | 2,449 |
|
Shanita Fernandes
50 Gold Star Blvd |
$44.57 | 5,129 | 2,725 |
|
Alexandra King
50 Gold Star Blvd |
$73.94 | 4,833 | 2,558 |
|
Patti A. Delage
30 Glennie St |
$15.26 | 3,672 | 1,391 |
|
Amy E Canole
50 Gold Star Blvd |
$37.82 | 3,509 | 1,685 |
|
William Klunk
30 Glennie St |
$14.40 | 3,269 | 1,229 |
|
Danielle Grondine
111 Elm St Ste 103 |
$27.14 | 3,237 | 1,674 |
|
Katherine A. Kulig
50 Gold Star Blvd. |
$62.71 | 3,226 | 1,394 |
|
Jennifer A. Foley
135 Gold Star Blvd |
$101.29 | 3,159 | 1,587 |
|
Frederick J Burke
640 Lincoln Street |
$38.73 | 3,134 | 1,414 |
|
Kavitha Chand Mamidala
50 Gold Star Blvd. |
$38.48 | 2,993 | 1,710 |
|
Jesse J. Little
135 Gold Star Blvd |
$46.97 | 2,770 | 1,410 |
|
Harriet Bettano
50 Gold Star Blvd |
$75.42 | 2,564 | 1,379 |
|
Rohini Moholkar
50 Gold Star Blvd |
$45.33 | 2,374 | 1,305 |
|
Amanda C Smith
50 Gold Star Blvd |
$70.51 | 2,274 | 1,081 |
|
Nash William Fredette
30 Glennie St |
$15.76 | 2,216 | 766 |
|
Brianna Marion
102 Shore Dr Ste 104 |
$22.38 | 2,180 | 985 |
|
Matthew S Harrison
30 Glennie St |
$11.45 | 2,166 | 756 |
|
Michael Rogan
102 Shore Dr Ste 104 |
$20.98 | 1,898 | 754 |
|
Tammy M Margosian
50 Gold Star Blvd |
$38.31 | 1,870 | 917 |
|
Kimber-Leigh Burkhart-Vozzo
50 Gold Star Blvd |
$39.78 | 1,857 | 1,028 |
|
Brianne Krysiak
112 Harding St |
$50.92 | 1,831 | 723 |
|
Kelly Foley
50 Gold Star Blvd. |
$39.39 | 1,755 | 920 |
|
Worcester Physical Therapy Services, Inc.
30 Glennie St |
$18.17 | 1,689 | 472 |
|
Neeta B Kalappa
50 Gold Star Blvd. |
$38.40 | 1,523 | 749 |
|
Raegan N Moulton
50 Gold Star Blvd |
$46.89 | 1,415 | 758 |
|
Kristin E Dymek
50 Gold Star Blvd |
$43.46 | 1,327 | 578 |
|
Beaumont At University Campus Llc
378 Plantation Street |
$92.29 | 1,219 | 337 |
|
Kaylyn O'Neill
237 Millbury St |
$74.00 | 1,213 | 447 |
|
Joanna Maag
135 Gold Star Blvd Ste 103 |
$50.22 | 1,146 | 403 |
|
Christopher John Gengarelli
102 Shore Dr |
$27.47 | 1,098 | 593 |
|
Margaret Maples
55 Lake Ave N |
$35.41 | 1,028 | 485 |
|
Sophie Neustadt
403 Belmont St |
$12.32 | 1,021 | 396 |
|
John J Lewczyk
112 Harding St |
$58.48 | 964 | 508 |
|
Audrey Alexandra Schmidt
30 Glennie St |
$16.14 | 914 | 423 |
|
Rachael Arbeit
30 Glennie St |
$19.04 | 903 | 367 |
|
Shari Pleiter
799 W Boylston St |
$48.04 | 852 | 356 |
|
Chs Of Worcester, Inc
39 Queen St |
$41.63 | 823 | 187 |
|
Jacob J Lenthall
30 Glennie St |
$18.92 | 767 | 323 |
|
Andrea Lynn Patruno
Saint Vincents Hospital At Worcester Medical Center |
$14.33 | 716 | 346 |
|
Jessica L Orpen
50 Gold Star Blvd |
$35.23 | 613 | 341 |
|
Jean E. Feder-Ewell
135 Gold Star Blvd |
$32.59 | 607 | 278 |
|
Julie L Flaherty
50 Gold Star Blvd |
$30.69 | 605 | 358 |
|
Brittany Christine Falcone
82 Park Ave |
$7.57 | 544 | 299 |
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 Worcester, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Worcester, MA is $38.89 per claim, based on 204,245 claims from 83 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 Worcester, MA?
There are 83 Medicaid providers offering Physical Therapy related services in Worcester, MA according to public payment data.
What is the price range for Physical Therapy in Worcester, MA?
Medicaid reimbursement for Physical Therapy in Worcester, MA ranges from $2.68 to $101.29 per claim, with an average of $38.89. 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 Worcester, MA
Substance Abuse Treatment
Avg $21.52
6,777,067 claims
Office Visit
Avg $63.47
2,032,687 claims
Psychiatric Evaluation
Avg $73.77
1,006,360 claims
Non-Emergency Medical Transportation
Avg $31.12
1,000,136 claims
Home Health Visit
Avg $34.51
979,234 claims
Dental Cleaning & Exam
Avg $35.51
850,672 claims
Blood Work & Lab Tests
Avg $12.59
846,391 claims
Behavioral & Mental Health Therapy
Avg $166.04
808,172 claims