Average Medicaid Nursing Facility Care Payments in Erie, PA: $13.45
Avg. Paid
$13.45
Range
$0.00 – $32.36
Total Claims
29,721
Providers
29
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 Erie, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Linda V. Larochel
311 W 24Th St |
$8.49 | 7,519 | 3,878 |
|
Jean M Storm
5535 Peach St |
$12.21 | 5,116 | 2,234 |
|
Ryan Dallas Hancox
153 E 13Th St Ste 1300 |
$19.42 | 3,298 | 2,624 |
|
Mckenna L Holland
4850 Zuck Rd |
$12.74 | 2,313 | 1,249 |
|
John Charles Jageman
4108 Zuck Rd |
$16.73 | 1,839 | 973 |
|
Paul Eugene Shields
2501 W 12Th St |
$20.51 | 1,341 | 938 |
|
Belinda Ann Stillman
4740 Peach St |
$18.11 | 1,186 | 1,098 |
|
Danielle M Hansen
5535 Peach St Fl 1 |
$8.65 | 1,143 | 624 |
|
Douglas Alan Fronzaglia
4002 Schaper Ave |
$15.95 | 1,133 | 1,034 |
|
David C. Lesseski
145 W 23Rd St Ste 202 |
$19.34 | 794 | 732 |
|
James A Gade
3535 Pine Ave |
$17.89 | 713 | 678 |
|
Thomas Mathew
2861 W 26Th St Ste 2 |
$17.13 | 606 | 482 |
|
Amy G Miles
1330 W 26Th St |
$4.68 | 594 | 314 |
|
Bethe Viscuso
2861 W 26Th St |
$13.27 | 513 | 310 |
|
James Y Lin
5401 Peach St Ste 3400 |
$17.06 | 430 | 317 |
|
Bryant E Bojewski
2820 W 12Th St |
$13.99 | 295 | 292 |
|
Seth Hintze Carter
5535 Peach St |
$27.56 | 153 | 139 |
|
John M Ferretti
2010 W 38Th St Lowr Lvl |
$11.53 | 125 | 109 |
|
Julia Heya Karcic
1611 Peach St |
$10.52 | 115 | 113 |
|
Jeffrey Michael Salerno
3854 Wood St |
$19.03 | 109 | 108 |
|
Mubasher Fazal
2500 W 12Th St Ste C |
$7.00 | 83 | 54 |
|
Hannah Rose Kondrlik
300 State St Ste 400A |
$17.54 | 55 | 25 |
|
Melissa L Greene
1202 State St |
$0.00 | 54 | 48 |
|
Eardly K P Wickramasinghe
1227 Timber Ridge Dr |
$19.13 | 48 | 48 |
|
Susan Catherine Maloney
1611 Peach St |
$0.49 | 48 | 48 |
|
Jose Luis Boggio
903 Long Point Dr |
$1.94 | 32 | 26 |
|
Jordan Vroman
5515 Peach St |
$32.36 | 27 | 27 |
|
Tammy Lynn Black
2323 Edinboro Rd |
$7.17 | 24 | 14 |
|
Theresa M Carlucci
300 State St Ste 103A |
$0.00 | 15 | 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 Erie, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Erie, PA is $13.45 per claim, based on 29,721 claims from 29 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 Erie, PA?
There are 29 Medicaid providers offering Nursing Facility Care related services in Erie, PA according to public payment data.
What is the price range for Nursing Facility Care in Erie, PA?
Medicaid reimbursement for Nursing Facility Care in Erie, PA ranges from $0.00 to $32.36 per claim, with an average of $13.45. 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 Erie, PA
Blood Work & Lab Tests
Avg $9.83
855,307 claims
Office Visit
Avg $43.85
611,163 claims
Emergency Room Visit
Avg $80.44
582,207 claims
Case Management Services
Avg $120.40
236,326 claims
Urinalysis & Urine Tests
Avg $4.44
180,798 claims
EKG / ECG (Electrocardiogram)
Avg $6.90
152,614 claims
Physical Therapy
Avg $56.32
146,678 claims
X-Ray
Avg $9.19
101,434 claims