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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Kingston, PA: $17.41

Avg. Paid

$17.41

Range

$0.87 – $47.60

Total Claims

14,981

Providers

11

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 Kingston, PA

Provider Avg. Paid Claims Patients
James Andrew Tricarico

499 Wyoming Ave Ste 105

$47.60 21 13
Arthur B Mitchell

141 S Maple Ave

$0.87 42 42
Polly Ann Schaefer

560 Pierce St

$17.42 78 51
Joritta L Walton

511 Pierce St

$26.72 94 68
John W Rosencrans

200 2Nd Ave

$3.40 134 106
Basant Kumar Mittal

511 Pierce St

$15.05 239 203
Jamil Jawaid Bashir

615 Wyoming Ave

$1.73 409 121
Joseph P Chollak

560 Pierce St

$22.09 434 270
Rebecca Gresh

200 2Nd Ave

$16.67 833 496
Ibrahim M Almeky

511 Pierce St

$23.98 5,761 4,397
Dhirendra Kumar

2 Sharpe St

$12.90 6,936 3,939

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 Kingston, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Kingston, PA is $17.41 per claim, based on 14,981 claims from 11 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 Kingston, PA?

There are 11 Medicaid providers offering Nursing Facility Care related services in Kingston, PA according to public payment data.

What is the price range for Nursing Facility Care in Kingston, PA?

Medicaid reimbursement for Nursing Facility Care in Kingston, PA ranges from $0.87 to $47.60 per claim, with an average of $17.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Nursing Facility Care in Other Cities

Other Procedures in Kingston, PA