Average Medicaid Nursing Facility Care Payments in Albany, NY: $8.39
Avg. Paid
$8.39
Range
$0.00 – $39.88
Total Claims
20,157
Providers
30
Typical Payment Range
Typical Medicaid Nursing Facility Care payments fall between $5.92 and $20.86 per claim (median: $11.60). The top 10% of payments exceed $35.86.
Based on per-provider averages across all Medicaid claims in this category.
Skilled nursing facility services for patients who need 24-hour nursing care and rehabilitation services.
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 Nursing Facility Care in Albany, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ian A Sherman
63 Shaker Rd Ste 102 |
$9.58 | 17 | 15 |
|
Thomas Lawrence Candara
600 Northern Blvd |
$0.00 | 18 | 18 |
|
Hallie B Brooks
315 S Manning Blvd |
$0.00 | 25 | 12 |
|
Eric Robert Santell
418 Broadway |
$7.00 | 40 | 37 |
|
Lisa Zawalski
1 Pinnacle Place Suite 102 |
$4.23 | 59 | 42 |
|
Doreen Perez Mondelo
400 Patroon Creek Blvd Ste 100 |
$17.78 | 97 | 89 |
|
Jennifer D Barone
4 Central Ave |
$3.10 | 106 | 100 |
|
Metin Cayiroglu
99 Washington Ave Ste 805A |
$16.57 | 112 | 109 |
|
Helen Theresa Mcdonald
326 S Pearl St |
$7.50 | 117 | 98 |
|
Kanwarjit Singh Khera
47 New Scotland Ave |
$39.88 | 162 | 162 |
|
Kenneth E Kent
43 New Scotland Ave |
$10.41 | 162 | 116 |
|
Luiz C Coelho
7 Southwoods Blvd |
$18.70 | 173 | 133 |
|
William Jason Payne
1060 Broadway |
$4.52 | 193 | 140 |
|
Arunima Rajbhandary
315 S Manning Blvd |
$16.94 | 252 | 179 |
|
Lynn D Fabre
1375 Washington Ave |
$6.40 | 299 | 225 |
|
Bushra Naz
113 Holland Ave |
$8.12 | 304 | 290 |
|
Alysaa Ashley Phyars
1365 Washington Ave Ste 300 |
$6.50 | 310 | 143 |
|
Paul B Diala
47 New Scotland Ave |
$20.39 | 326 | 69 |
|
Linda Agyapong
1365 Washington Ave Ste 104 |
$3.91 | 406 | 316 |
|
Ghulam A. Akbari
4 Atrium Dr |
$16.78 | 435 | 306 |
|
Geraldine Mary Lehman
315 S Manning Blvd |
$3.30 | 636 | 247 |
|
Joshua Andrew Malone
43 New Scotland Ave |
$10.37 | 637 | 457 |
|
Edgar R. Henriques
315 S Manning Blvd |
$5.80 | 807 | 545 |
|
Elizabeth Predmore
200 Washington Avenue Ext |
$18.76 | 832 | 388 |
|
Afroza Sultana Liton
315 S Manning Blvd |
$3.35 | 1,113 | 754 |
|
Rohit T Repala
319 S Manning Blvd Ste 304 |
$4.29 | 1,795 | 797 |
|
Edwin Afena
315 S Manning Blvd |
$8.45 | 2,164 | 1,148 |
|
John Algas Potenciano
747 Madison Ave Ste 201 |
$3.16 | 2,459 | 1,470 |
|
Mikram Jafri
40 Andriana Ln |
$16.39 | 2,971 | 2,677 |
|
Natalia Gyorke
121 Everett Rd |
$3.21 | 3,130 | 1,171 |
What to Expect: Nursing Facility Care
Skilled nursing facilities provide 24-hour care including nursing, physical therapy, occupational therapy, and speech therapy. Rooms may be shared or private. Residents receive meals, medications, and assistance with daily activities. Medicaid covers nursing facility care for those who meet medical and financial eligibility criteria. A care plan is developed for each resident.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99309 | Nursing facility subseq mod-hi | $17.88 | 43,693,341 | 34,328 |
| 99308 | Nursing facility subseq mod | $12.62 | 42,495,079 | 33,407 |
| 99307 | Nursing facility subsequent low | $8.86 | 6,770,015 | 11,425 |
| 99310 | Nursing facility subseq high | $31.06 | 4,780,807 | 10,125 |
| 99306 | Nursing facility initial high | $40.91 | 1,364,289 | 6,538 |
| 99305 | Nursing facility initial mod | $25.42 | 1,050,487 | 5,595 |
| 99304 | Nursing facility initial compl | $28.74 | 440,459 | 2,566 |
| 99318 | Nursing facility annual assess | $43.42 | 99,072 | 1,360 |
| 99316 | Nursing facility discharge >30 | $36.42 | 66,463 | 505 |
| 99315 | Nursing facility discharge 30m | $32.35 | 39,754 | 273 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Nursing Facility Care cost in Albany, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Albany, NY is $8.39 per claim, based on 20,157 claims from 30 providers. Typical payments fall between $5.92 and $20.86. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Nursing Facility Care in Albany, NY?
There are 30 Medicaid providers offering Nursing Facility Care related services in Albany, NY according to public payment data.
What is the price range for Nursing Facility Care in Albany, NY?
Medicaid reimbursement for Nursing Facility Care in Albany, NY ranges from $0.00 to $39.88 per claim, with an average of $8.39. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Nursing Facility Care in Other Cities
Chicago, IL
Avg $21.36
1,738,984 claims · 558 providers
Bronx, NY
Avg $12.93
1,370,824 claims · 374 providers
Las Vegas, NV
Avg $32.97
1,247,209 claims · 318 providers
Brooklyn, NY
Avg $13.63
1,130,919 claims · 415 providers
Phoenix, AZ
Avg $42.43
1,002,914 claims · 272 providers
Tampa, FL
Avg $5.95
973,086 claims · 275 providers
Jacksonville, FL
Avg $6.44
918,615 claims · 266 providers
Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Albany, NY
Home Health Visit
Avg $164.04
1,910,190 claims
Office Visit
Avg $75.72
1,010,207 claims
Blood Work & Lab Tests
Avg $10.26
759,592 claims
Emergency Room Visit
Avg $100.90
490,144 claims
Substance Abuse Treatment
Avg $113.47
475,654 claims
Psychiatric Evaluation
Avg $113.81
474,025 claims
EKG / ECG (Electrocardiogram)
Avg $6.06
268,376 claims
Physical Therapy
Avg $51.40
215,450 claims