Average Medicaid Nursing Facility Care Payments in Guilford, CT: $9.01
Avg. Paid
$9.01
Range
$3.20 – $25.96
Total Claims
14,972
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 Guilford, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kevin M Tharakan
1591 Boston Post Rd Ste 100 |
$25.96 | 25 | 25 |
|
Katherine M. Powell
753 Boston Post Rd |
$11.28 | 48 | 26 |
|
Jennifer B Tharakan
1591 Boston Post Rd Ste 100 |
$18.48 | 79 | 78 |
|
Paul Mainella
1057 Boston Post Rd Ste 2 |
$11.51 | 392 | 194 |
|
Roseanne Meyer Martinez
2099 Durham Rd |
$3.20 | 479 | 403 |
|
Joseph Balsamo
1591 Boston Post Rd Ste 100 |
$19.84 | 1,113 | 943 |
|
Erica Mcmillian
5 Durham Rd |
$3.38 | 1,578 | 734 |
|
Xiuling Guo
5 Laurel Ridge Rd |
$8.78 | 11,258 | 5,028 |
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 Guilford, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Guilford, CT is $9.01 per claim, based on 14,972 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 Guilford, CT?
There are 8 Medicaid providers offering Nursing Facility Care related services in Guilford, CT according to public payment data.
What is the price range for Nursing Facility Care in Guilford, CT?
Medicaid reimbursement for Nursing Facility Care in Guilford, CT ranges from $3.20 to $25.96 per claim, with an average of $9.01. 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 Guilford, CT
Office Visit
Avg $45.74
55,789 claims
Psychiatric Evaluation
Avg $50.75
42,560 claims
Eye Exam
Avg $46.32
16,757 claims
Dental Cleaning & Exam
Avg $37.17
16,620 claims
Physical Therapy
Avg $28.25
11,025 claims
Speech Therapy
Avg $42.07
9,370 claims
Home Health Visit
Avg $31.41
6,975 claims
Ambulance Transport
Avg $77.90
6,774 claims