Average Medicaid Nursing Facility Care Payments in Bronx, NY: $12.93
Avg. Paid
$12.93
Range
$0.00 – $92.58
Total Claims
1,370,824
Providers
374
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 Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dean Spellman
3594 E Tremont Ave |
$6.40 | 12 | 12 |
|
Angela Leach
2015 Grand Concourse |
$14.52 | 12 | 12 |
|
Lobsang Tashi
2015 Grand Concourse |
$7.44 | 12 | 12 |
|
Zhi Wei Huang
600 E 233Rd St |
$38.82 | 13 | 13 |
|
Eduardo Espinosa
1619 Pelham Pkwy N |
$47.08 | 13 | 13 |
|
Peter G Sack
3333 Henry Hudson Pkwy |
$3.57 | 13 | 12 |
|
Mordechai Mark Weinreb
2015 Grand Concourse |
$0.00 | 13 | 13 |
|
Regional Neurological Associates, Pc
4234 Bronx Blvd Frnt 1 |
$77.97 | 14 | 12 |
|
Edvard Skripochnik
3219 E Tremont Ave |
$21.53 | 14 | 13 |
|
Matthew Wesley Jackson
2015 Grand Concourse |
$9.77 | 14 | 13 |
|
Erica Slurzberg
3765 Riverdale Ave |
$19.95 | 16 | 14 |
|
Rachel Beth Rosansky Chalmer
One Fordham Plaza Suite 1000 |
$7.24 | 16 | 13 |
|
Throgs Neck Cardiology Pc
3594 E Tremont Ave |
$33.04 | 16 | 16 |
|
Michael Ira Levine
1434 Williamsbridge Rd |
$14.49 | 17 | 13 |
|
Eduardo Canlas Bondoc
522 Courtlandt Ave |
$21.02 | 18 | 18 |
|
Maria Pia De Blasio
3065 Grand Concourse |
$0.00 | 18 | 12 |
|
Kristal Mikesha Pierre
1250 Waters Pl |
$4.11 | 18 | 12 |
|
Parind Manoj Oza
3175 E Tremont Ave |
$8.26 | 19 | 19 |
|
Rubina A Malik
Medical Arts Pavilion |
$5.85 | 19 | 15 |
|
Fern Olympia Davis
731 White Plains Rd |
$24.27 | 21 | 16 |
|
Dr Vezza Medical Services Pc
3594 E Tremont Ave Ste 100 |
$56.94 | 21 | 13 |
|
Maryam Heshami
2975 Independence Ave |
$7.60 | 22 | 12 |
|
Geun Young Kim
2015 Grand Concourse |
$40.44 | 22 | 12 |
|
Shideh Sherafat Kazem Zadeh
2015 Grand Concourse |
$0.00 | 25 | 25 |
|
Marvin L Teich
665 Thwaites Pl |
$17.63 | 25 | 12 |
|
Carl Guillaume
4422 3Rd Ave |
$8.25 | 26 | 24 |
|
Keisha A Ballentine-Cargill
841 Burke Ave |
$0.00 | 26 | 12 |
|
Lisa Rothman
658 E 233Rd St |
$0.00 | 27 | 27 |
|
Amit S Tibb
1400 Pelham Pkwy S |
$1.31 | 28 | 12 |
|
Francis J Porreca
3219 E Tremont Ave |
$1.67 | 28 | 25 |
|
Milica Jovanovic
600 East 233Rd Street |
$6.77 | 33 | 13 |
|
Sadia R Shah
1578 Williamsbridge Rd Apt 3A |
$5.18 | 37 | 37 |
|
Divaker Sharma
2614 Halperin Ave |
$0.00 | 40 | 29 |
|
Perry Zolman Goldenberg
3250 3Rd Ave |
$0.00 | 43 | 43 |
|
Angela Yvonne Thomas
3584 Jerome Ave |
$2.94 | 45 | 33 |
|
Darren Esposito
2960 Grand Concourse |
$91.45 | 47 | 47 |
|
Shalita Clark
234 E 149Th St |
$0.00 | 51 | 49 |
|
Prisca Hans Moky
2015 Grand Concourse |
$0.53 | 56 | 48 |
|
Kossi Acolitse
111 E 210Th St |
$1.54 | 59 | 33 |
|
Mike David
1455 West Ave |
$12.11 | 59 | 57 |
|
Resmi Sulekha
5901 Palisade Ave |
$4.23 | 63 | 40 |
|
Charles A Gropper
4487 3Rd Ave Fl 2 |
$3.57 | 68 | 68 |
|
Nana K Fofana
642 East 227 Street |
$0.00 | 69 | 37 |
|
Nikolaos A Migias
2015 Grand Concourse |
$6.86 | 70 | 65 |
|
Soon Jee Oh
2015 Grand Concourse |
$12.37 | 72 | 55 |
|
Jumoke Betancourt
2015 Grand Concourse |
$10.99 | 72 | 29 |
|
Jaimee Anne Carlos
1309 Fulton Ave |
$14.38 | 73 | 53 |
|
Kyongmi Kim
2015 Grand Concourse |
$11.04 | 73 | 31 |
|
John A Debello
3201 Grand Concourse |
$16.23 | 75 | 75 |
|
Minjung Ji
2015 Grand Concourse |
$5.58 | 76 | 39 |
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 Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Bronx, NY is $12.93 per claim, based on 1,370,824 claims from 374 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 Bronx, NY?
There are 374 Medicaid providers offering Nursing Facility Care related services in Bronx, NY according to public payment data.
What is the price range for Nursing Facility Care in Bronx, NY?
Medicaid reimbursement for Nursing Facility Care in Bronx, NY ranges from $0.00 to $92.58 per claim, with an average of $12.93. 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
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
Miramar, FL
Avg $11.91
830,785 claims · 146 providers
Other Procedures in Bronx, NY
Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
Blood Work & Lab Tests
Avg $9.72
7,432,399 claims
Substance Abuse Treatment
Avg $38.59
6,144,578 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
3,317,284 claims
Emergency Room Visit
Avg $138.65
3,278,500 claims