Average Medicaid Nursing Facility Care Payments in Berkeley, CA: $27.74
Avg. Paid
$27.74
Range
$0.00 – $131.94
Total Claims
37,606
Providers
18
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 Berkeley, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mikael Langner
3031 Telegraph Ave Ste 235 |
$32.75 | 10,266 | 7,610 |
|
Bruce Silver
1510 4Th St 1 |
$22.19 | 5,571 | 3,040 |
|
Harneet Chopra
2161 Shattuck Ave |
$20.86 | 4,806 | 2,651 |
|
Ann Bich Huyen Nguyen-Traxler
1510 4Th St Ste 1 |
$25.16 | 4,196 | 2,603 |
|
Virgilio Y Baluyut
1510 4Th St |
$18.52 | 4,102 | 2,480 |
|
Anthony E Allen
2512 Telegraph Ave |
$23.15 | 3,742 | 2,304 |
|
Skilledmd, Inc.
2512 Telegraph Ave |
$11.55 | 1,812 | 1,229 |
|
Napoleon Nazareno
837 Addison St |
$131.94 | 1,136 | 653 |
|
Melissa Barbara Allen
3260 Sacramento St |
$3.46 | 609 | 438 |
|
Yonis A Mudey
2288 Fulton St Ste 309 |
$39.80 | 479 | 214 |
|
Dawn M Groten
1510 4Th St |
$26.18 | 316 | 300 |
|
Daiana J Harper
2001 Dwight Way |
$47.36 | 269 | 217 |
|
Michael Lee Goldrich
3260 Sacramento St |
$3.50 | 112 | 98 |
|
Lifelong Medical Care
3260 Sacramento St |
$0.00 | 60 | 39 |
|
David Kagan Md Inc
1829 Monterey Ave |
$26.62 | 57 | 25 |
|
Rachel Joan Fogel
3260 Sacramento St |
$0.00 | 42 | 37 |
|
Ranjana Saxena
1510 4Th St |
$9.62 | 18 | 12 |
|
Hussam I El-Gohary
2001 Dwight Way |
$0.00 | 13 | 13 |
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 Berkeley, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Berkeley, CA is $27.74 per claim, based on 37,606 claims from 18 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 Berkeley, CA?
There are 18 Medicaid providers offering Nursing Facility Care related services in Berkeley, CA according to public payment data.
What is the price range for Nursing Facility Care in Berkeley, CA?
Medicaid reimbursement for Nursing Facility Care in Berkeley, CA ranges from $0.00 to $131.94 per claim, with an average of $27.74. 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 Berkeley, CA
Blood Work & Lab Tests
Avg $7.21
1,019,482 claims
Office Visit
Avg $20.12
524,956 claims
Urinalysis & Urine Tests
Avg $3.28
377,997 claims
Substance Abuse Treatment
Avg $34.05
269,177 claims
Emergency Room Visit
Avg $72.88
161,073 claims
Culture & Microbiology Tests
Avg $3.59
144,863 claims
EKG / ECG (Electrocardiogram)
Avg $11.90
127,855 claims
Pathology & Lab Services
Avg $47.12
108,103 claims