Average Medicaid Nursing Facility Care Payments in Cambridge, MA: $15.26
Avg. Paid
$15.26
Range
$1.15 – $59.77
Total Claims
36,522
Providers
22
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 Cambridge, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nelson Kisob Aweh
255 Garden St |
$21.19 | 15,456 | 10,707 |
|
Kristen Ann Wynott Lipresti
211 Alewife Brook Pkwy |
$6.43 | 6,091 | 5,764 |
|
Cristina Falcione Collins
Youville Hospital |
$14.10 | 3,510 | 1,504 |
|
Cambridge Public Health Commission
1493 Cambridge St |
$18.64 | 2,442 | 2,292 |
|
Maya Berdzenishvili
1575 Cambridge Street |
$16.16 | 1,907 | 1,712 |
|
Emily Anne Phaneuf
5 Newport Rd Apt 3 |
$6.06 | 1,664 | 812 |
|
Peterson Remy
119 Windsor St |
$6.77 | 1,258 | 689 |
|
Asma Tahir
300 Mount Auburn St |
$4.08 | 997 | 683 |
|
Larissa Lucas
237 Hampshire St |
$15.55 | 725 | 627 |
|
Julie J Kim
330 Mount Auburn St |
$14.74 | 449 | 340 |
|
Michelle Rullan Johnson
119 Windsor St |
$10.86 | 394 | 339 |
|
Sophia W Chan
640 Concord Ave |
$2.14 | 373 | 146 |
|
Abbie Paley
6 Jfk St |
$20.62 | 258 | 209 |
|
Doriann Amadi
330 Mount Auburn St Ste 517 |
$1.15 | 238 | 139 |
|
Andrew Dallahan Donnelly
300 Mount Auburn St |
$6.22 | 177 | 109 |
|
Kimberly Ann Goc
300 Mount Auburn St |
$6.99 | 166 | 158 |
|
Cherie Noe
300 Mount Auburn St |
$19.36 | 163 | 133 |
|
Michael Wyman Kwan
1575 Cambridge St |
$59.77 | 111 | 52 |
|
Dennis Tan
300 Mount Auburn St Ste 517 |
$4.40 | 84 | 66 |
|
Narine Avetisyan
300 Mount Auburn St Ste 316 |
$30.09 | 26 | 24 |
|
Kristen Ferreira
625 Mount Auburn St Ste 106 |
$7.05 | 17 | 12 |
|
Lisa A Ferzoco
1493 Cambridge St Dept Of |
$19.86 | 16 | 12 |
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 Cambridge, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Cambridge, MA is $15.26 per claim, based on 36,522 claims from 22 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 Cambridge, MA?
There are 22 Medicaid providers offering Nursing Facility Care related services in Cambridge, MA according to public payment data.
What is the price range for Nursing Facility Care in Cambridge, MA?
Medicaid reimbursement for Nursing Facility Care in Cambridge, MA ranges from $1.15 to $59.77 per claim, with an average of $15.26. 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 Cambridge, MA
Office Visit
Avg $95.08
1,113,324 claims
Blood Work & Lab Tests
Avg $11.10
628,577 claims
Emergency Room Visit
Avg $130.28
400,697 claims
Vaccines & Immunizations
Avg $11.84
293,236 claims
Psychiatric Evaluation
Avg $54.53
227,557 claims
X-Ray
Avg $9.79
212,454 claims
EKG / ECG (Electrocardiogram)
Avg $5.66
168,153 claims
Dental Cleaning & Exam
Avg $38.07
166,876 claims