Average Medicaid Nursing Facility Care Payments in Bangor, ME: $5.65
Avg. Paid
$5.65
Range
$0.00 – $116.31
Total Claims
69,909
Providers
21
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 Bangor, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura L Matones
992 Union St |
$42.56 | 12 | 12 |
|
William Paul Bassett
489 State St Ste 340 |
$69.57 | 13 | 13 |
|
Scott A. Mclaughlin
302 Husson Ave |
$9.60 | 14 | 14 |
|
Jill C Rockey
1012 Union St |
$8.51 | 27 | 17 |
|
Alexius Enrique Garcia Sandoval
905 Union St |
$116.31 | 27 | 27 |
|
Winston Harper
700 Mount Hope Ave Ste 620 |
$0.00 | 57 | 32 |
|
John L Chase
417 State St |
$17.81 | 84 | 57 |
|
Shelley E Wagner
895 Union St Ste 12 |
$0.00 | 110 | 35 |
|
Catherine Ward
1012 Union St |
$14.14 | 213 | 159 |
|
Timothy Canham
543 Broadway |
$49.76 | 248 | 63 |
|
Dina Lea Cole
900 Broadway |
$21.42 | 297 | 187 |
|
Jessica L Macphail
992 Union St Ste 5 |
$15.54 | 347 | 259 |
|
Elizabeth Duke
700 Main St Ste 3 |
$16.11 | 535 | 309 |
|
Meghann L. Derosier
44 Hogan Rd |
$30.46 | 699 | 605 |
|
Diane Marion Reynolds
417 State Street |
$27.91 | 1,174 | 929 |
|
Jennifer L Harvey
992 Union St |
$26.74 | 1,422 | 1,039 |
|
Sherrie A Downing
992 Union St |
$9.17 | 1,522 | 862 |
|
Dale C Walker
992 Union St Ste 5 |
$16.24 | 2,400 | 1,801 |
|
Nicole K Moore
992 Union St Ste 5 |
$26.94 | 2,518 | 1,710 |
|
Julie P Quinn
992 Union St |
$26.10 | 3,360 | 2,335 |
|
Penobscot Community Health Center
992 Union St |
$0.96 | 54,830 | 33,377 |
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 Bangor, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Bangor, ME is $5.65 per claim, based on 69,909 claims from 21 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 Bangor, ME?
There are 21 Medicaid providers offering Nursing Facility Care related services in Bangor, ME according to public payment data.
What is the price range for Nursing Facility Care in Bangor, ME?
Medicaid reimbursement for Nursing Facility Care in Bangor, ME ranges from $0.00 to $116.31 per claim, with an average of $5.65. 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 Bangor, ME
Blood Work & Lab Tests
Avg $3.09
1,168,393 claims
Office Visit
Avg $27.57
683,589 claims
Substance Abuse Treatment
Avg $105.08
515,120 claims
Case Management Services
Avg $71.67
367,165 claims
Psychiatric Evaluation
Avg $25.99
358,754 claims
Home Health Visit
Avg $176.93
259,524 claims
Emergency Room Visit
Avg $160.57
245,511 claims
X-Ray
Avg $10.16
231,959 claims