Average Medicaid Nursing Facility Care Payments in Fall River, MA: $10.57
Avg. Paid
$10.57
Range
$1.48 – $41.88
Total Claims
92,585
Providers
40
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 Fall River, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paul I Bulat
277 Pleasant St |
$13.93 | 13,251 | 9,069 |
|
Ossama Labib
1200 Robeson St |
$6.69 | 10,902 | 4,988 |
|
Fabian Delgado
277 Pleasant Street |
$12.59 | 7,100 | 4,667 |
|
Candida S Lopes
211 Milliken Blvd. |
$10.16 | 6,845 | 3,612 |
|
Crystal Mendonsa
191 Bedford St |
$4.73 | 5,691 | 3,743 |
|
Christine Costa
191 Bedford St |
$13.05 | 5,100 | 3,581 |
|
Michael A Campbell
191 Bedford St |
$14.76 | 4,598 | 3,360 |
|
Hany Mistikawy
289 Pleasant St |
$4.07 | 4,563 | 1,571 |
|
Christopher S Joncas
203 Plymouth Ave Ste 701 |
$5.25 | 4,432 | 3,306 |
|
Heidi Martins
277 Pleasant St |
$14.56 | 4,128 | 1,984 |
|
Julianne Huynh Hetzler
363 Highland Ave |
$6.61 | 3,815 | 3,074 |
|
Saira Nisar
795 Middle St |
$13.01 | 2,236 | 1,748 |
|
John Charles Pedrotty
277 Pleasant St |
$3.26 | 2,080 | 1,257 |
|
Carla Gomes
203 Plymouth Ave |
$5.20 | 1,693 | 1,320 |
|
Tara Blitz-Herbel
277 Pleasant St Bldg 1 |
$6.73 | 1,614 | 1,566 |
|
Jorge M Andrade
851 Middle St |
$23.74 | 1,501 | 1,458 |
|
Jenny Marie Fonseca
191 Bedford St #501 |
$9.49 | 1,373 | 786 |
|
Rachel Elisabeth Paquette Resendes
851 Middle St |
$11.60 | 1,271 | 1,222 |
|
Amy Kotouch
1030 President Ave |
$6.90 | 1,134 | 1,102 |
|
Ehab Sorial
277 Pleasant St |
$25.93 | 1,128 | 931 |
|
Mckayla Ferreira Alencar
203 Plymouth Ave Ste 701 |
$6.25 | 1,028 | 546 |
|
Rita Martin
117 Valentine St Apt C |
$17.03 | 962 | 730 |
|
Tamim Hinedi
289 Pleasant St |
$9.35 | 899 | 689 |
|
Miguel B Brillantes
1565 North Main Street |
$16.69 | 786 | 732 |
|
Jane Saraiva Camara
277 Pleasant St |
$20.30 | 635 | 434 |
|
Ronald A. Schwartz
1030 President Ave |
$41.88 | 630 | 271 |
|
Joseph A Spirito
101 Sullivan Dr |
$5.90 | 489 | 449 |
|
Obiageli L Ukatu
126 Cove St |
$22.83 | 481 | 407 |
|
Penny Valliere
191 Bedford St |
$10.82 | 458 | 333 |
|
Lisa M. Silvia
1030 President Ave |
$4.87 | 436 | 329 |
|
Alison Gerlach
203 Plymouth Ave Ste 701 |
$5.95 | 336 | 144 |
|
Eliana Decastro Cuellar
1030 President Ave Ste 1001 |
$2.38 | 260 | 189 |
|
Jose A L Monteiro
211 Milliken Blvd |
$29.17 | 205 | 204 |
|
Brianna L Paul
Clinic #00207 |
$2.54 | 113 | 58 |
|
Achilles Romualdo E Alcaraz
277 Pleasant St Ste 204 |
$8.12 | 105 | 93 |
|
Eugene Zak
289 Pleasant St |
$20.86 | 96 | 78 |
|
Christine Auclair
203 Plymouth Ave Ste 701 |
$7.68 | 92 | 72 |
|
Lisa Marie Joyce
170 Pleasant St Ste 100 |
$1.48 | 78 | 73 |
|
Susan P O'Brien
795 Middle St |
$31.59 | 28 | 26 |
|
Wendy Bernadette Morrow
277 Pleasant Street |
$2.86 | 13 | 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 Fall River, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Fall River, MA is $10.57 per claim, based on 92,585 claims from 40 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 Fall River, MA?
There are 40 Medicaid providers offering Nursing Facility Care related services in Fall River, MA according to public payment data.
What is the price range for Nursing Facility Care in Fall River, MA?
Medicaid reimbursement for Nursing Facility Care in Fall River, MA ranges from $1.48 to $41.88 per claim, with an average of $10.57. 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 Fall River, MA
Substance Abuse Treatment
Avg $23.69
1,252,274 claims
Office Visit
Avg $45.39
1,119,590 claims
Blood Work & Lab Tests
Avg $7.34
865,376 claims
Psychiatric Evaluation
Avg $83.13
393,458 claims
Dental Cleaning & Exam
Avg $38.23
302,060 claims
Case Management Services
Avg $59.12
287,270 claims
Emergency Room Visit
Avg $127.54
256,274 claims
Ambulance Transport
Avg $80.01
235,782 claims