Average Medicaid Nursing Facility Care Payments in Boston, MA: $13.23
Avg. Paid
$13.23
Range
$0.53 – $58.25
Total Claims
185,676
Providers
116
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 Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alireza Toossi
22 Liberty Dr |
$15.94 | 17,845 | 12,568 |
|
Mussa Mohamed
55 Fruit St |
$10.96 | 17,301 | 6,250 |
|
Hooshang Poor
22 Liberty Dr Unit 6F |
$9.15 | 11,849 | 10,611 |
|
Junnie Angelina Charles
70 Fulton St |
$30.14 | 11,660 | 6,786 |
|
Denise Petrella
780 Albany St |
$17.39 | 10,129 | 6,417 |
|
Stephany Boafo Gyasi
84 State Strret |
$7.42 | 8,751 | 7,374 |
|
Erica Marie Visco
84 State St |
$8.78 | 7,803 | 6,942 |
|
Laura Cline
300 Longwood Ave |
$11.59 | 7,404 | 4,451 |
|
Krista Marshall
155 Federal St Ste 700 |
$9.63 | 5,711 | 3,948 |
|
Steven David Afrow
84 State St |
$8.25 | 4,371 | 3,375 |
|
Phuong My Ho
72 E Concord St # 2 |
$13.33 | 3,587 | 2,499 |
|
John Tuduy Nguyen
110 Francis St |
$8.98 | 3,481 | 2,045 |
|
Albert J Proia
84 State St Ste 660 |
$9.73 | 3,098 | 1,569 |
|
Robert H Wu
65 Harrison Ave Ste 308 |
$4.92 | 3,087 | 2,968 |
|
Kira Mesman-Hallman
49 Brimmer St Apt 9 |
$4.21 | 2,675 | 2,583 |
|
Amanda Rita Hernandez
165 Cambridge St |
$12.80 | 2,575 | 1,636 |
|
Ashley Erin Dimauro
155 Federal St Ste 700 |
$11.71 | 2,537 | 1,398 |
|
Vanny Mclean
72 E Concord Street |
$12.22 | 2,410 | 1,535 |
|
Rebecca Donadio
84 State Stareet, Suite 660 |
$18.05 | 2,315 | 2,086 |
|
Marie F Guerrier
725 Albany Street |
$16.70 | 2,154 | 1,882 |
|
Kelly A Lincoln
84 State St |
$5.43 | 2,100 | 1,725 |
|
Virginia S Barrow
780 Albany St |
$11.93 | 1,907 | 1,166 |
|
Jin Byung Byung Chae
70 Fulton St |
$17.60 | 1,900 | 745 |
|
Tyesha Evelyn Batchelor
90 Canal St Fl 4 |
$7.77 | 1,815 | 798 |
|
Terrence Adams Omalley
70 Fulton St |
$17.11 | 1,806 | 664 |
|
Tricia Lane
55 Fruit St |
$11.26 | 1,770 | 760 |
|
Medoptions Of Massachusetts Llc
84 State St |
$16.40 | 1,628 | 1,435 |
|
Katherine Concilio
72 E Concord Street |
$15.22 | 1,609 | 1,203 |
|
Daphne Robert
732 Harrison Ave Bldg 5Th |
$2.66 | 1,572 | 849 |
|
Sheera Philosophe
55 Fruit St |
$8.92 | 1,553 | 845 |
|
Beth M Cohen
732 Harrison Ave. |
$16.12 | 1,543 | 1,133 |
|
Katherine A. Ladetto
55 Fruit Street |
$17.68 | 1,464 | 900 |
|
Beth Digiammarino
72 E Concord St |
$11.96 | 1,346 | 1,006 |
|
Rossana P Lau-Ng
725 Albany St |
$21.41 | 1,312 | 1,242 |
|
Marie C Germain
7 Avenue De Lafayette Unit 120415 |
$11.11 | 1,279 | 1,001 |
|
Tamara Ebin Bloch
110 Francis St |
$9.66 | 1,180 | 641 |
|
Supportive Behavioral Care Of Ma Llc
44 School St |
$25.65 | 1,125 | 912 |
|
Susan C. Frazier
725 Albany St |
$16.05 | 1,119 | 816 |
|
Brook Ann Donovan
165 Cambridge St |
$0.55 | 1,065 | 282 |
|
Nathaniel Minh Dang
55 Fruit St |
$20.89 | 1,064 | 486 |
|
Xi Liu
72 E. Concord St |
$18.50 | 1,027 | 634 |
|
Alexandra Dziama
265 Franklin St Ste 1702 |
$12.15 | 994 | 600 |
|
Susan Jane Ulery
800 Washington St |
$15.44 | 993 | 889 |
|
Lucineia Tancredo
84 State St |
$15.50 | 943 | 850 |
|
Doris Odion-Ukpebor
150 S Huntington Ave |
$7.38 | 927 | 640 |
|
Kimberlee J Horton
133 Brookline Ave |
$6.23 | 905 | 344 |
|
Meditelecare Of Massachusetts, Pllc
84 State St |
$16.31 | 903 | 751 |
|
Ella Beardsley
450 Brookline Ave |
$6.72 | 900 | 525 |
|
Joanna Machain
84 State St |
$11.51 | 889 | 681 |
|
Kai-Yin Hsu
800 Washington St |
$5.66 | 842 | 789 |
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 Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Boston, MA is $13.23 per claim, based on 185,676 claims from 116 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 Boston, MA?
There are 116 Medicaid providers offering Nursing Facility Care related services in Boston, MA according to public payment data.
What is the price range for Nursing Facility Care in Boston, MA?
Medicaid reimbursement for Nursing Facility Care in Boston, MA ranges from $0.53 to $58.25 per claim, with an average of $13.23. 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 Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims