Average Medicaid Nursing Facility Care Payments in Hialeah, FL: $6.25
Avg. Paid
$6.25
Range
$0.00 – $75.22
Total Claims
159,202
Providers
63
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 Hialeah, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ivan David Rodriguez
7100 W 20Th Ave |
$6.50 | 25,293 | 10,425 |
|
Javier Reyna
18300 Nw 62Nd Ave Ste 100 |
$3.04 | 12,259 | 4,427 |
|
Sergio Hernandez Borges
1475 W 49Th Pl |
$10.90 | 9,574 | 4,531 |
|
Jorge Alexander Sanchez-Milian
1435 W 49Th Pl |
$5.95 | 9,115 | 4,548 |
|
William Eduardo Sanchez
2095 W 76Th St |
$3.19 | 8,583 | 1,481 |
|
Fonglan Luong
6720 Nw 174Th Ter Apt 18K |
$3.62 | 7,446 | 4,755 |
|
Eduardo Antonio Reyes
6450 W 21St Ct Ste 204 |
$3.20 | 7,346 | 3,897 |
|
Gilberto Jose Acosta
613 E 49Th St |
$2.75 | 7,129 | 3,297 |
|
Derrick Henry Diaz
219 E 8Th Ave |
$8.82 | 6,946 | 3,154 |
|
Rafael Abreu
1435 W 49Th Pl Ste 500 |
$9.19 | 5,519 | 2,118 |
|
Yves V Lafortune
1435 W 49Th Pl |
$4.13 | 4,000 | 1,822 |
|
Juan Sarol
85 E 49Th St |
$4.77 | 3,977 | 2,366 |
|
Marisol Llamera
3580 E 8Th Ct |
$5.81 | 3,702 | 2,225 |
|
Lazaro Humberto Cordoves
5951 Nw 173Rd Dr |
$7.40 | 3,638 | 3,045 |
|
Juan Barroso
1435 W 49Th Pl |
$5.48 | 3,298 | 1,448 |
|
Ruben D Felhandler Dpm Pa
935 W 49Th St Ste 106 |
$0.82 | 2,970 | 2,116 |
|
Orestes Mederos Trujillo
7000 W 12Th Ave Ste 4 |
$4.02 | 2,928 | 341 |
|
Juan Cancio
777 E 25Th St |
$1.62 | 2,415 | 1,077 |
|
Reyna Health Trust Inc
18300 Nw 62Nd Ave Ste 100 |
$37.40 | 2,262 | 1,389 |
|
Sandra M Garcia-Ortiz
250 W 49Th St |
$9.59 | 2,237 | 2,095 |
|
Wilfred P Fernandez
5380 Palm Ave |
$3.85 | 2,103 | 1,213 |
|
Miami Feet Llc
18296 Nw 61St Pl |
$10.99 | 1,868 | 1,070 |
|
Bertha M. Olazabal
1435 W 49Th Pl |
$5.34 | 1,547 | 1,046 |
|
Ricardo Dominguez
777 E 25Th St |
$2.34 | 1,508 | 1,260 |
|
Eduardo A. Reyes Md Pa
6450 W 21St Ct Ste 204 |
$0.00 | 1,440 | 910 |
|
Agustin Martinez
250 E 49Th St |
$5.84 | 1,371 | 1,197 |
|
Mayte Solange Ruiz Santiago
900 W 49Th St Ste 502 |
$1.79 | 1,295 | 819 |
|
Ivan D Rodriguez D O P A
7100 W 20Th Ave |
$9.46 | 1,292 | 473 |
|
Elizabeth Caridad Hernandez
344 W 65Th St Ste 203 |
$4.68 | 1,187 | 785 |
|
Antonio Mora
1435 W 49Th Pl |
$8.61 | 1,147 | 970 |
|
Alan Fred Shader
3800 West 12Th Ave |
$7.10 | 1,123 | 942 |
|
Lazaro H Cordoves Md Pa
5951 Nw 173Rd Dr |
$0.00 | 1,022 | 765 |
|
Ivan Saavedra
85 E 49Th St |
$3.24 | 1,011 | 762 |
|
Ruben Daniel Felhandler
935 W 49Th St |
$2.23 | 1,005 | 774 |
|
Maydelin Navarro
8208 Nw 201 St |
$9.92 | 984 | 552 |
|
Rosalia Y Alvarez
1401 E 4Th Ave |
$8.65 | 915 | 679 |
|
Enrique L. Rosario Aloma
777 E 25Th St Ste 112 |
$2.32 | 674 | 433 |
|
Jay Diaz
3415 W 100Th Ter |
$7.41 | 667 | 350 |
|
R. Abreu M.D., P.A.
1435 W 49Th Pl Ste 500 |
$11.23 | 625 | 422 |
|
Margarita Fabelo
19701 E Lake Dr |
$2.97 | 613 | 368 |
|
Juan C Sarol Md Pa
85 E 49Th St |
$55.72 | 446 | 362 |
|
Agustin Martinez M D P A
250 E 49Th St |
$4.74 | 430 | 411 |
|
Juan M Cancio Md Pa
777 E 25Th St |
$0.00 | 421 | 142 |
|
Great Health Medical Fl Pa
5300 W 16Th Ave |
$0.00 | 401 | 340 |
|
Alejandro Pla Md Pa
218 E 49Th St |
$4.85 | 354 | 180 |
|
Bluecare Inc
1475 W 49Th Pl |
$75.22 | 354 | 203 |
|
Rossana Lopez
600 E 25Th St Ste A |
$2.96 | 331 | 183 |
|
Enma Santin
7000 W 12Th Ave |
$7.89 | 308 | 142 |
|
Amado Cruz
18638 Nw 78Th Ct |
$2.46 | 292 | 126 |
|
Jose Edgardo Gamez
7100 West 20Th Avenue |
$1.50 | 279 | 258 |
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 Hialeah, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Hialeah, FL is $6.25 per claim, based on 159,202 claims from 63 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 Hialeah, FL?
There are 63 Medicaid providers offering Nursing Facility Care related services in Hialeah, FL according to public payment data.
What is the price range for Nursing Facility Care in Hialeah, FL?
Medicaid reimbursement for Nursing Facility Care in Hialeah, FL ranges from $0.00 to $75.22 per claim, with an average of $6.25. 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 Hialeah, FL
Home Health Visit
Avg $45.78
6,110,568 claims
Personal Care Services
Avg $26.96
4,301,517 claims
Case Management Services
Avg $57.62
1,437,779 claims
Office Visit
Avg $31.22
1,061,174 claims
Behavioral & Mental Health Therapy
Avg $76.84
945,390 claims
Speech Therapy
Avg $57.69
603,545 claims
Physical Therapy
Avg $53.82
597,771 claims
Blood Work & Lab Tests
Avg $5.35
516,319 claims