Average Medicaid Nursing Facility Care Payments in Du Bois, PA: $15.76
Avg. Paid
$15.76
Range
$0.00 – $30.38
Total Claims
15,289
Providers
12
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 Du Bois, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brandon M Roscoe
33 Beaver Dr |
$30.38 | 3,628 | 2,845 |
|
Amy J Whitsel
33 Beaver Dr Ste 1 |
$12.47 | 3,480 | 2,786 |
|
Nico D Roscoe
33 Beaver Dr |
$16.28 | 2,942 | 2,703 |
|
Thomas J. Herzing
20 Industrial Dr |
$8.31 | 2,458 | 2,070 |
|
Erin Beth Wood
621 S Main St |
$5.66 | 1,551 | 1,162 |
|
Margo Rusich
100 Hospital Ave |
$1.15 | 381 | 264 |
|
Steven W, Graeca
145 Hospital Ave |
$13.74 | 327 | 275 |
|
Mark Adam Theodore Molckovsky
33 Beaver Dr Ste 1 |
$18.80 | 183 | 153 |
|
Lori Schaffer
529 Sunflower Dr |
$12.08 | 149 | 127 |
|
Cydnee Sankey-Deemer
135 Midway Dr Ste B |
$0.00 | 107 | 75 |
|
Jeri Bell
33 Beaver Dr Ste 1 |
$1.78 | 68 | 55 |
|
Deborah Lynn Rummel
33 Beaver Dr |
$0.00 | 15 | 15 |
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 Du Bois, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Du Bois, PA is $15.76 per claim, based on 15,289 claims from 12 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 Du Bois, PA?
There are 12 Medicaid providers offering Nursing Facility Care related services in Du Bois, PA according to public payment data.
What is the price range for Nursing Facility Care in Du Bois, PA?
Medicaid reimbursement for Nursing Facility Care in Du Bois, PA ranges from $0.00 to $30.38 per claim, with an average of $15.76. 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
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Brooklyn, NY
Avg $13.63
1,130,919 claims · 415 providers
Phoenix, AZ
Avg $42.43
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Tampa, FL
Avg $5.95
973,086 claims · 275 providers
Jacksonville, FL
Avg $6.44
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Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Du Bois, PA
Office Visit
Avg $40.55
127,708 claims
Emergency Room Visit
Avg $88.65
59,529 claims
Home Health Visit
Avg $215.63
47,080 claims
Blood Work & Lab Tests
Avg $14.83
44,534 claims
Speech Therapy
Avg $5.93
33,996 claims
Chiropractic Care
Avg $12.04
29,473 claims
EKG / ECG (Electrocardiogram)
Avg $7.65
28,538 claims
Physical Therapy
Avg $24.12
22,504 claims