Average Medicaid Nursing Facility Care Payments in Hagerstown, MD: $33.75
Avg. Paid
$33.75
Range
$0.00 – $68.11
Total Claims
54,963
Providers
21
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 Hagerstown, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kevin Curlis
19414 Leitersburg Pike |
$60.00 | 27 | 15 |
|
William Edward Daniel Yeaman
372 Mill St |
$0.71 | 32 | 32 |
|
Allegeny Medical Llc
324 East Antietam Str. |
$68.11 | 47 | 30 |
|
Aryeh L Herrera
324 E Antietam St Ste 306B |
$22.69 | 55 | 13 |
|
Jemima Blackmon
1126 Opal Court |
$25.73 | 81 | 43 |
|
Christeena Brown
1183 Luther Dr |
$8.68 | 110 | 49 |
|
Ghazala Nmn Qadir
1190 Mount Aetna Rd Ste 202 |
$0.00 | 148 | 98 |
|
Sophy Karigo Kamau
1126 Opal Ct |
$9.58 | 227 | 163 |
|
Farid Murshed
1126 Opal Court |
$35.03 | 322 | 278 |
|
April Holtry
11110 Medical Campus Rd Ste 150 |
$3.13 | 419 | 400 |
|
Hanan Kallash
10 East Wilson Blvd |
$4.31 | 457 | 313 |
|
Malik & Qadir Md Pa
1190 Mount Aetna Rd Ste 202 |
$54.15 | 461 | 351 |
|
Cara Beth Burker
1710 Underpass Way Ste 300 |
$16.69 | 645 | 302 |
|
Valerie Theodora Simon
1126 Opal Ct |
$38.28 | 926 | 573 |
|
Vasant Datta
340 Mill St |
$11.08 | 952 | 576 |
|
Manzar J Shafi Md Pa
368 Mill St |
$65.20 | 2,312 | 1,430 |
|
Medical Practices Of Antietam, Llc
11110 Medical Campus Road |
$25.58 | 2,504 | 1,676 |
|
Shahid Mahmood Md Family Practice Pa
1124 Opal Ct |
$20.60 | 3,294 | 2,137 |
|
Teal Hutzler
201 Prospect Ave |
$17.19 | 3,724 | 2,125 |
|
Muhammad K Waseem
1126 Opal Ct |
$30.09 | 12,428 | 6,441 |
|
Opal Medical Group, P.A.
1126 Opal Court |
$39.80 | 25,792 | 12,610 |
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 Hagerstown, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Hagerstown, MD is $33.75 per claim, based on 54,963 claims from 21 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 Hagerstown, MD?
There are 21 Medicaid providers offering Nursing Facility Care related services in Hagerstown, MD according to public payment data.
What is the price range for Nursing Facility Care in Hagerstown, MD?
Medicaid reimbursement for Nursing Facility Care in Hagerstown, MD ranges from $0.00 to $68.11 per claim, with an average of $33.75. 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 Hagerstown, MD
Office Visit
Avg $78.99
1,200,926 claims
Substance Abuse Treatment
Avg $77.30
697,922 claims
Psychiatric Evaluation
Avg $102.16
509,775 claims
Blood Work & Lab Tests
Avg $10.40
456,369 claims
Physical Therapy
Avg $46.83
246,188 claims
Case Management Services
Avg $156.99
236,417 claims
Speech Therapy
Avg $42.48
159,888 claims
X-Ray
Avg $9.05
139,975 claims