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Based on public Medicaid payment data.

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

Other Procedures in Bronx, NY