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 |
|---|---|---|---|
|
Alicia Keenan Hall
1200 Centre St |
$13.32 | 12 | 12 |
|
Lorie Resendes Trainor
30 Northampton Street |
$19.00 | 15 | 13 |
|
Michelle K Martinchek
150 S Huntington Ave |
$23.21 | 15 | 12 |
|
Hung K Do
801 Massachusetts Avenue |
$37.97 | 15 | 15 |
|
Evans Medical Foundation, Inc.
1 Boston Medical Ctr Pl |
$53.95 | 17 | 12 |
|
Nicole M Green
185 Dartmouth St Ste 603 |
$3.17 | 17 | 17 |
|
Olanrewaju Oludotun Onifade
75 Fenwood Rd |
$1.29 | 18 | 15 |
|
Yuan Jia
84 State St Ste 660 |
$18.50 | 18 | 13 |
|
Emily Larkin
330 Brookline Ave |
$11.26 | 19 | 17 |
|
Margaret Weyland Mckenna
1 Boston Medical Ctr Pl |
$28.74 | 20 | 15 |
|
Kathleen M Noe
2100 Dorchester Ave |
$6.33 | 24 | 13 |
|
Linda A. Paniszyn
725 Albany St, Suite 9A |
$20.46 | 29 | 28 |
|
Jade Doolan
1290 Tremont St |
$6.08 | 30 | 25 |
|
Adam Rosendorff
75 Francis Street |
$9.33 | 31 | 25 |
|
Terry L Chin
886 Washington St |
$2.21 | 32 | 32 |
|
Deborah Ann Nolan
100 N Beacon St |
$26.85 | 35 | 31 |
|
Maressa Freitas
450 Brookline Ave |
$4.23 | 36 | 27 |
|
Amanda Hough Berling
330 Brookline Ave |
$28.23 | 41 | 38 |
|
Benjamin Joel Shore
300 Longwood Ave |
$52.88 | 41 | 41 |
|
Melissa Ann Ayer
55 Fruit Street |
$10.48 | 48 | 26 |
|
Yves Renee Frederic
72 E. Concord St |
$28.61 | 54 | 46 |
|
Atrius Health, Inc.
133 Brookline Ave |
$25.55 | 64 | 44 |
|
Marc Emmerich
30 Northampton Street |
$50.21 | 67 | 67 |
|
Samantha Calabrese
55 Fruit St |
$5.65 | 73 | 39 |
|
Paul Phillip Bergeron
2 Northdale Ter |
$0.53 | 87 | 30 |
|
Tom Harry Karson
72 E. Concord St |
$37.54 | 95 | 71 |
|
Nicole Martinez
55 Fruit St |
$7.84 | 103 | 63 |
|
Nikita Shah Hanley
330 Brookline Ave |
$20.89 | 118 | 91 |
|
Monica Latos Hogan
850 Harrison Ave |
$15.68 | 120 | 112 |
|
Timothy P. Cavanaugh
1340 Boylston St |
$5.54 | 121 | 68 |
|
Emily Higgins Holmes Lore
55 Fruit St |
$3.05 | 124 | 100 |
|
Tara Leigh Salstein
72 E. Concord St |
$9.72 | 125 | 110 |
|
Heather Fitzgerald
30 Northampton St |
$14.69 | 131 | 95 |
|
Susan Lee Krupnick
55 Fruit St |
$20.89 | 133 | 128 |
|
Amitabh Gautam
725 Albany St |
$5.54 | 139 | 65 |
|
Robert W Uhrich
55 Fruit St |
$9.64 | 153 | 153 |
|
Christine Kee Liu
850 Harrison Ave |
$16.10 | 179 | 174 |
|
Andrea Beth Kurkul
165 Cambridge St |
$20.19 | 184 | 152 |
|
Siena Catherine Nguyen
55 Fruit St |
$17.07 | 196 | 190 |
|
Masaya Higuchi
165 Cambridge St Ste 502 |
$19.10 | 211 | 166 |
|
Mary Nhan Do
55 Fruit St |
$5.19 | 243 | 132 |
|
Frederic J Gerges
736 Cambridge St |
$17.75 | 247 | 237 |
|
Virginia K Cummings
110 Francis St |
$9.54 | 249 | 184 |
|
Helen Huili Mu
725 Albany Street |
$9.59 | 262 | 158 |
|
Emily Mckinnon
450 Brookline Ave |
$23.63 | 299 | 196 |
|
Helen Ngobidi
729 Mass Ave |
$20.25 | 313 | 290 |
|
Julie M Hauer
44 Binney Street |
$58.25 | 334 | 331 |
|
Nancy M Pearlman
72 E Concord St # R304 |
$10.63 | 356 | 227 |
|
Deborah J Bullard
55 Fruit Street |
$11.71 | 360 | 265 |
|
Sean Feng
800 Washington St |
$18.51 | 364 | 298 |
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