Average Medicaid Nursing Facility Care Payments in Amherst, NY: $21.85
Avg. Paid
$21.85
Range
$4.05 – $49.36
Total Claims
32,205
Providers
19
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 Amherst, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anne Caroline Banas
3980A Sheridan Dr Ste 200 |
$23.58 | 35 | 28 |
|
Susanne Hazel
1 John James Audubon Pkwy Fl 2 |
$4.05 | 59 | 43 |
|
Farhan Ahmed
4979 Harlem Rd |
$7.40 | 74 | 50 |
|
Corey Costa
3980A Sheridan Dr Ste 200 |
$49.36 | 90 | 69 |
|
Sarina Michelle Mariano
3980 Sheridan Dr |
$5.56 | 90 | 76 |
|
Susan M Domon
1 John James Audubon Pkwy |
$7.37 | 380 | 172 |
|
Nicole Boyd
3980A Sheridan Dr Ste 200 |
$12.62 | 443 | 242 |
|
Madeline Robinson Slisz
3980A Sheridan Dr |
$44.40 | 448 | 323 |
|
M. Sadiqur Rahman
4985 Harlem Road |
$9.15 | 632 | 304 |
|
Rakhi Shah Barkowski
3980A Sheridan Dr Ste 200 |
$18.82 | 834 | 597 |
|
Bridget Morgan Golinski
3980A Sheridan Dr Ste 200 |
$12.57 | 1,034 | 624 |
|
Sarah Evan Mathis
3980A Sheridan Dr Ste 200 |
$13.92 | 1,159 | 796 |
|
Azadeh Hassan-Tehrani
3980A Sheridan Dr Ste 200 |
$10.32 | 1,343 | 867 |
|
Sarah L Toblin
3980A Sheridan Dr Ste 200 |
$47.16 | 1,505 | 830 |
|
Katherine Marie Carletta
113 Chateau Ter |
$9.96 | 2,144 | 948 |
|
Saima Bushra Shaikh
62 Covent Garden Ln |
$16.97 | 3,447 | 2,215 |
|
Cassandra Williams
3980A Sheridan Dr Ste 200 |
$26.71 | 5,256 | 3,652 |
|
Riffat Sadiq
4979 Harlem Rd |
$15.95 | 5,618 | 2,655 |
|
Ryan James Mikac
3980A Sheridan Dr Ste 200 |
$29.35 | 7,614 | 5,030 |
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 Amherst, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Amherst, NY is $21.85 per claim, based on 32,205 claims from 19 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 Amherst, NY?
There are 19 Medicaid providers offering Nursing Facility Care related services in Amherst, NY according to public payment data.
What is the price range for Nursing Facility Care in Amherst, NY?
Medicaid reimbursement for Nursing Facility Care in Amherst, NY ranges from $4.05 to $49.36 per claim, with an average of $21.85. 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 Amherst, NY
Home Health Visit
Avg $110.37
619,390 claims
Office Visit
Avg $70.26
432,666 claims
Substance Abuse Treatment
Avg $34.10
316,484 claims
Ambulance Transport
Avg $100.09
127,155 claims
Physical Therapy
Avg $46.45
79,084 claims
Dental Cleaning & Exam
Avg $37.90
78,431 claims
Pathology & Lab Services
Avg $36.92
71,985 claims
Speech Therapy
Avg $56.38
48,953 claims