Average Medicaid Nursing Facility Care Payments in Burlington, MA: $12.78
Avg. Paid
$12.78
Range
$1.50 – $81.20
Total Claims
17,426
Providers
16
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 Burlington, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anjani Kumar Agarwala
260 Winn St Apt B |
$6.73 | 4,918 | 4,600 |
|
Kenya Hanspard
Lahey Hospital & Medical Center |
$16.30 | 3,055 | 1,924 |
|
Jose Ramon Gutierrez
41 Mall Rd |
$8.13 | 2,869 | 1,815 |
|
Noah Jernegan Finkel
41 Mall Rd |
$6.39 | 1,787 | 983 |
|
Pamela Nankoole
41 Mall Rd |
$24.64 | 1,208 | 651 |
|
Sunil Buddaraju
Lahey Hospital And Medical Center |
$10.58 | 1,079 | 864 |
|
Melanie Roy
41 Mall Rd |
$32.01 | 785 | 489 |
|
Courtney Rae Bearse
41 Mall Rd |
$4.88 | 571 | 347 |
|
Reagan Gagnon
41 Mall Rd |
$43.51 | 253 | 122 |
|
Brenda Claire Keys Beltran
41 Mall Rd |
$81.20 | 237 | 216 |
|
Nina Yaftali
41 Mall Rd |
$18.41 | 137 | 101 |
|
Farah Deeba
41 Mall Rd |
$5.96 | 125 | 120 |
|
Renee April Laurencelle
41 Mall Rd |
$1.50 | 125 | 69 |
|
Melanie Javate Teabo
41 Mall Road |
$7.27 | 121 | 98 |
|
Stephanie J Vamos
41 Mall Rd |
$10.54 | 119 | 93 |
|
Leigh A Pescatore
Lahey Clinic Inc 41 Mall Road |
$2.70 | 37 | 28 |
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 Burlington, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Burlington, MA is $12.78 per claim, based on 17,426 claims from 16 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 Burlington, MA?
There are 16 Medicaid providers offering Nursing Facility Care related services in Burlington, MA according to public payment data.
What is the price range for Nursing Facility Care in Burlington, MA?
Medicaid reimbursement for Nursing Facility Care in Burlington, MA ranges from $1.50 to $81.20 per claim, with an average of $12.78. 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 Burlington, MA
Blood Work & Lab Tests
Avg $10.09
375,899 claims
Office Visit
Avg $95.84
354,634 claims
EKG / ECG (Electrocardiogram)
Avg $5.13
128,245 claims
Emergency Room Visit
Avg $129.97
104,721 claims
X-Ray
Avg $9.87
96,273 claims
Non-Emergency Medical Transportation
Avg $26.15
88,835 claims
Dental Cleaning & Exam
Avg $34.37
51,649 claims
Pathology & Lab Services
Avg $42.69
51,588 claims