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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Gaithersburg, MD: $33.14

Avg. Paid

$33.14

Range

$2.55 – $92.40

Total Claims

19,282

Providers

8

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 Gaithersburg, MD

Provider Avg. Paid Claims Patients
John P Casey

201 Russell Ave

 $27.11 10,622 4,002
Legacy Physiatry Group Maryland, Llc

9711 Washingtonian Blvd Ste 550

 $46.40 4,234 1,675
Raman Tuli, Md, P.C.

10810 Darnestown Rd

 $36.40 3,352 2,136
Raman R Tuli

10810 Darnestown Rd

 $42.77 478 276
Ramesh Kumar Thapar Mdpa

604 S Frederick Ave Ste 213

 $2.55 371 316
Narayanan Ramesh

610 Professional Dr

 $19.15 117 96
Aline Antoinette Kadji-Tedjeu

10810 Darnestown Rd

 $92.40 88 47
Ginette Flore Ndingue

10810 Darnestown Rd Ste 202

 $35.01 20 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 Gaithersburg, MD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Gaithersburg, MD is $33.14 per claim, based on 19,282 claims from 8 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 Gaithersburg, MD?

There are 8 Medicaid providers offering Nursing Facility Care related services in Gaithersburg, MD according to public payment data.

What is the price range for Nursing Facility Care in Gaithersburg, MD?

Medicaid reimbursement for Nursing Facility Care in Gaithersburg, MD ranges from $2.55 to $92.40 per claim, with an average of $33.14. 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 Gaithersburg, MD

Office Visit

Avg $81.43

583,421 claims

Psychiatric Evaluation

Avg $110.54

412,044 claims

Dental Cleaning & Exam

Avg $40.23

222,806 claims

Ambulance Transport

Avg $44.47

220,202 claims

Physical Therapy

Avg $24.72

184,105 claims

Vaccines & Immunizations

Avg $28.91

99,780 claims

Molecular & Genetic Testing

Avg $179.29

78,884 claims

Eye Exam

Avg $34.25

57,543 claims