Average Medicaid Nursing Facility Care Payments in Buffalo, NY: $11.40
Avg. Paid
$11.40
Range
$0.00 – $49.91
Total Claims
122,169
Providers
69
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 Buffalo, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Raymond Miljour
273 Ridge Rd |
$2.09 | 13 | 12 |
|
Marcia A Shiel
50 Lakefront Blvd |
$3.88 | 14 | 12 |
|
Alfredo M Rodes
640 Ellicott St |
$0.00 | 15 | 12 |
|
Teresa R. Edgerton
1 John James Audubon Pkwy Ste 200 |
$14.00 | 21 | 12 |
|
Lorraine Charlotte Narby
899 Main St |
$32.98 | 24 | 12 |
|
Jessica Lee Carey
85 High St |
$44.41 | 36 | 29 |
|
Cathleen Seebald
Elm And Carlton St |
$14.82 | 42 | 28 |
|
Willa Arnet
461 John James Audubon Pkwy |
$21.93 | 42 | 29 |
|
Christina Ann Parkot
Elm And Carlton St |
$3.22 | 50 | 32 |
|
Briana Nicole Freeman
133 Ridgewood Rd |
$1.92 | 60 | 56 |
|
Deborah M Martin
701 Seneca St Ste 646C |
$4.79 | 78 | 60 |
|
Chester Fox
1315 Jefferson Ave |
$2.91 | 81 | 51 |
|
Elizabeth A Spencer
40 La Riviere Dr Ste 201 |
$2.06 | 85 | 73 |
|
Thomas Hargest
100 High St |
$15.00 | 94 | 83 |
|
Emily Irene Van Buren
155 Lawn Ave |
$4.92 | 99 | 58 |
|
Sara J Photiadis
100 High St |
$35.59 | 107 | 42 |
|
Barry J Fitzgerald
843 Mckinley Pkwy |
$7.15 | 129 | 127 |
|
Erin Lynn Carrier
40 La Riviere Dr Ste 140 |
$12.73 | 135 | 130 |
|
James S Collins
40 La Riviere Dr Ste 201 |
$11.80 | 172 | 160 |
|
Leah Katherine Gorsline
1500 Broadway St |
$0.50 | 223 | 140 |
|
Christina Ouellette
3020 Bailey Ave |
$6.12 | 235 | 233 |
|
Patrick Fisher
462 Grider St |
$49.91 | 272 | 155 |
|
Timothy Joseph Giglio
100 High St |
$2.96 | 324 | 194 |
|
Glenn H Fredenburg
40 La Riviere Dr Ste 201 |
$6.02 | 329 | 293 |
|
Margaret M Eberl
40 La Riviere Dr Ste 201 |
$26.25 | 333 | 295 |
|
Tanvir Hoque Shagar
273 Ridge Rd |
$25.93 | 361 | 148 |
|
Alan R Segal
1 Gates Cir Apt 312 |
$43.07 | 383 | 167 |
|
Kristen Ritter
565 Abbott Rd |
$12.86 | 391 | 247 |
|
Mary L Nolan
565 Abbott Rd |
$4.99 | 392 | 219 |
|
Christine Marie Herrmann
40 La Riviere Dr Ste 201 |
$7.94 | 400 | 331 |
|
Kimberly Ann Gruber
640 Ellicott St |
$4.29 | 423 | 245 |
|
Ipc Hospitalist Services Of New York, P.C.
50 Lakefront Blvd |
$2.50 | 467 | 334 |
|
Ju Hoan Joh
511 Farber Lakes Dr |
$12.95 | 542 | 505 |
|
Christopher Schaeffer
701 Seneca St Ste 646C |
$5.70 | 542 | 350 |
|
Dang Tuan Pham
2625 Harlem Rd |
$4.00 | 546 | 329 |
|
Michael Henry Kueker
40 La Riviere Dr Ste 201 |
$11.54 | 549 | 545 |
|
Tamika Marie Jackson
701 Seneca St Ste 646C |
$13.83 | 610 | 287 |
|
Cheryl Brunacci Morrow
50 Lakefront Blvd |
$11.97 | 613 | 538 |
|
Barbara L Jeffers
40 La Riviere Dr Ste 201 |
$14.07 | 677 | 601 |
|
Youn Jea Kim
550 Orchard Park Rd Ste A110 |
$9.90 | 682 | 272 |
|
Amber Raquel Mehta
565 Abbott Rd |
$24.58 | 819 | 285 |
|
Judith Ann Bell
50 Lakefront Blvd |
$12.12 | 883 | 484 |
|
Cynthia Ann Skalyo
462 Grider St |
$22.93 | 1,134 | 538 |
|
Paige Kuehlewind
462 Grider St |
$10.94 | 1,138 | 362 |
|
Stephen J Evans
50 Lakefront Blvd |
$13.60 | 1,372 | 1,199 |
|
Aaron Czekaj
881 Richmond Ave |
$22.53 | 1,411 | 1,373 |
|
Edward J Metzger
40 La Riviere Dr Ste 201 |
$8.16 | 1,443 | 568 |
|
Cheryl Marie Zachewicz
50 Lakefont Blvd |
$4.04 | 1,454 | 604 |
|
Dacia Anastacia Harris
900 Hertel Ave |
$27.21 | 1,514 | 1,203 |
|
Michele Ann Daniels
300 Dorrance Ave |
$8.04 | 1,656 | 958 |
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 Buffalo, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Buffalo, NY is $11.40 per claim, based on 122,169 claims from 69 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 Buffalo, NY?
There are 69 Medicaid providers offering Nursing Facility Care related services in Buffalo, NY according to public payment data.
What is the price range for Nursing Facility Care in Buffalo, NY?
Medicaid reimbursement for Nursing Facility Care in Buffalo, NY ranges from $0.00 to $49.91 per claim, with an average of $11.40. 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 Buffalo, NY
Home Health Visit
Avg $138.93
2,641,639 claims
Office Visit
Avg $60.22
2,438,221 claims
Blood Work & Lab Tests
Avg $8.36
2,385,372 claims
Substance Abuse Treatment
Avg $44.27
1,684,325 claims
Emergency Room Visit
Avg $120.86
1,082,052 claims
Dental Cleaning & Exam
Avg $30.59
790,427 claims
Case Management Services
Avg $250.24
760,219 claims
Psychiatric Evaluation
Avg $135.39
730,584 claims