Physical Therapy Medicare Rates in Puerto Rico (2026)
2026 Medicare rates for 5 common physical therapy codes (97110, 97112, 97140…) in Puerto Rico, office and facility, from CMS data.
On this page 6 sections
Medicare rates in Puerto Rico
All codes in this curated starting bundle. Ranges compare supported rates across payment localities; missing rates are not zero.
Reading this physical therapy bundle
These are unmodified rates for a starting set of therapy services. They help you compare locations and establish a fee-schedule baseline. A visit with several services or units needs additional payment calculations; adding the displayed rates does not produce the payable claim amount.
Therapy MPPR
Same-day therapy units after the practice-expense reduction
Payment notes
- Reduce practice expense, not the whole fee. For eligible same-day therapy services, the unit with the highest practice expense is paid in full. Subsequent units retain their work and malpractice amounts, but receive half their practice-expense amount.
- Repeated units also count. Three units of one eligible therapy code can mean one full-rate unit and two reduced units. Splitting those units across claim rows does not create three full-rate services.
- Assistant reductions are separate. For services with the CQ or CO therapy-assistant modifier, Medicare cuts its own payment by 15% after the MPPR and coinsurance. The allowed amount and the patient's coinsurance don't change, so don't add the two reductions together.
CMS guidance for this service groupCompare a payer offer for these codes97110, 97530 and 97140: how the services differCalculate a therapy visit with MPPR
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- Alaska · AK
- Alabama · AL
- Arkansas · AR
- Arizona · AZ
- Bakersfield, CA · CA
- Chico, CA · CA
- El Centro, CA · CA
- Fresno, CA · CA
- Hanford, CA · CA
- Los Angeles, CA · CA
- Madera, CA · CA
- Merced, CA · CA
- Modesto, CA · CA
- Napa, CA · CA
- Oxnard, CA · CA
- Redding, CA · CA
- Rest of California · CA
- Riverside, CA · CA
- Sacramento, CA · CA
- Salinas, CA · CA
- San Diego, CA · CA
- Marin County, CA · CA
- San Francisco, CA · CA
- San Benito County, CA · CA
- Santa Clara County, CA · CA
- San Luis Obispo, CA · CA
- Santa Cruz, CA · CA
- Santa Maria, CA · CA
- Santa Rosa, CA · CA
- Stockton, CA · CA
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Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
