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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in La Jolla, CA: $16.41

Avg. Paid

$16.41

Range

$0.00 – $33.43

Total Claims

10,275

Providers

19

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 La Jolla, CA

Provider Avg. Paid Claims Patients
Kasey Cheyenne Bamel

3855 Health Sciences Dr

 $11.42 13 13
Shaw Shahriar Eslamian

5906 Rutgers Rd

 $17.66 16 14
Scripps Clinic Medical Group, Inc

10666 N. Torrey Pines Rd.

 $25.58 29 13
Alan Sit

10666 N Torrey Pines Rd

 $9.52 45 30
Ali Mirza

9350 Campus Point Dr

 $0.00 46 30
Simone Narges Borghei

1120 Silverado St Ste 203

 $10.90 64 58
Mirza Raheem

9850 Genesee Ave Ste 320

 $14.51 71 61
Yuichiro Sato

10666 N Torrey Pines Rd

 $0.68 76 28
Seymour Myers

9850 Genesee Ave Ste 320

 $7.67 78 76
Colby Berger

9850 Genesee Ave Ste 510

 $5.27 123 123
Marshall I. Ravden

6335 Via Maria

 $29.95 147 95
Christa Steffensmeier

9850 Genesee Ave Ste 320

 $8.59 217 77
John Lee Otis

4150 Regents Park Row

 $11.20 278 243
Taylor Mattioli

9850 Genesee Ave Ste 320

 $8.55 380 288
David James Clayton

10666 N Torrey Pines Rd

 $2.79 399 133
Daniel Jonathan Brown

9850 Genesee Ave

 $33.43 507 311
Scripps Health

10666 N Torrey Pines Rd

 $23.04 728 423
Caleb Ugaitafa

10710 N Torrey Pines Rd

 $17.36 1,067 575
Jesus Sabala

9229 Regents Rd Unit 106

 $16.36 5,991 3,373

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 La Jolla, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in La Jolla, CA is $16.41 per claim, based on 10,275 claims from 19 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 La Jolla, CA?

There are 19 Medicaid providers offering Nursing Facility Care related services in La Jolla, CA according to public payment data.

What is the price range for Nursing Facility Care in La Jolla, CA?

Medicaid reimbursement for Nursing Facility Care in La Jolla, CA ranges from $0.00 to $33.43 per claim, with an average of $16.41. 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 La Jolla, CA

Office Visit

Avg $47.42

400,355 claims

X-Ray

Avg $9.48

195,991 claims

Emergency Room Visit

Avg $75.86

141,788 claims

Blood Work & Lab Tests

Avg $7.53

117,443 claims

EKG / ECG (Electrocardiogram)

Avg $12.31

77,431 claims

CT Scan (Computed Tomography)

Avg $57.83

61,848 claims

Psychiatric Evaluation

Avg $36.00

50,998 claims

Urinalysis & Urine Tests

Avg $2.93

49,341 claims