Average Medicaid Nursing Facility Care Payments in Middletown, CT: $20.07
Avg. Paid
$20.07
Range
$3.79 – $67.80
Total Claims
115,841
Providers
36
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 Middletown, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Healthdrive Behavioral Health Services, Pllc
101 Centerpoint Dr Ste 215 |
$43.38 | 16,802 | 15,281 |
|
Elizabeth Grayce Casey
101 Centerpoint Dr Ste 215 |
$10.79 | 16,497 | 6,259 |
|
Karen Roy
1000 Silver Street |
$16.32 | 11,204 | 4,442 |
|
Emily Despierre
30 Boston Rd |
$22.21 | 9,829 | 4,367 |
|
Faustina Serwah Agyapong
101 Centerpoint Dr Ste 215 |
$27.73 | 8,702 | 3,396 |
|
Eric John Pape
438 Main St |
$4.31 | 5,867 | 5,466 |
|
Shilpa Piyush Kothary
438 Main St |
$4.09 | 5,188 | 4,570 |
|
Cliff R Drechsler-Martell
324 Ridge Rd |
$23.40 | 4,291 | 3,891 |
|
Leslie Stocking-Johnson
101 Centerpoint Dr Ste 215 |
$13.86 | 3,643 | 1,772 |
|
Jason Thomas St Peter
438 Main St |
$3.93 | 3,306 | 3,280 |
|
Christina Vasiuki Urbano
438 Main St |
$4.50 | 2,828 | 2,443 |
|
Gregory Lutkus
28 Crescent St |
$21.79 | 2,395 | 1,304 |
|
Katherine Carol Attong-Jackson
438 Main St |
$4.61 | 2,323 | 1,938 |
|
Christelle Nimba
101 Centerpoint Dr Ste 215 |
$28.48 | 2,206 | 1,319 |
|
Laura Connors
101 Centerpoint Dr Ste 215 |
$29.44 | 2,118 | 876 |
|
Cristina Martinez
101 Centerpoint Dr Ste 215 |
$18.89 | 1,847 | 727 |
|
Matthew J. Raider
645 Saybrook Rd |
$30.09 | 1,803 | 1,419 |
|
Stephane Pady Clermont
363 Main St |
$46.00 | 1,368 | 826 |
|
Rana Singh
1000 Silver Street |
$3.79 | 1,356 | 891 |
|
Heather Elmgren
101 Centerpoint Dr |
$24.88 | 1,269 | 560 |
|
Lance Call Lysiuk
438 Main St |
$5.19 | 1,234 | 1,139 |
|
Halie Martinelli
101 Centerpoint Dr Ste 215 |
$8.73 | 1,215 | 449 |
|
Holly Johnson
101 Centerpoint Dr Ste 215 |
$20.16 | 1,214 | 519 |
|
Japheth Ogamba Mongare
6212 Town Pl |
$8.26 | 1,213 | 1,091 |
|
Ananias Gloria
101 Centerpoint Dr Ste 215 |
$24.88 | 1,192 | 465 |
|
Magdaline Ackers
101 Centerpoint Dr |
$7.73 | 842 | 279 |
|
Hilary Louise Larosa
438 Main St |
$24.58 | 814 | 408 |
|
Marc David Aronson
11 S Main St |
$4.89 | 791 | 540 |
|
Shirley Brunot
101 Centerpoint Dr |
$37.23 | 779 | 261 |
|
Ellen Massey
15 Crescent St |
$26.10 | 515 | 256 |
|
Jeffrey H. Gottlieb
28 Crescent St |
$4.78 | 306 | 161 |
|
Michael D A Cicero
101 Centerpoint Dr Ste 215 |
$3.97 | 301 | 272 |
|
Sasha Danilina
101 Centerpoint Dr Ste 215 |
$10.42 | 260 | 92 |
|
Kismatkumar Detroja
1000 Silver Street |
$47.17 | 183 | 122 |
|
Emmanuel Kenta-Bibi
90 S Main St |
$67.80 | 98 | 78 |
|
Alimatu A Busari
15 Johnson St |
$25.97 | 42 | 38 |
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 Middletown, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Middletown, CT is $20.07 per claim, based on 115,841 claims from 36 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 Middletown, CT?
There are 36 Medicaid providers offering Nursing Facility Care related services in Middletown, CT according to public payment data.
What is the price range for Nursing Facility Care in Middletown, CT?
Medicaid reimbursement for Nursing Facility Care in Middletown, CT ranges from $3.79 to $67.80 per claim, with an average of $20.07. 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 Middletown, CT
Blood Work & Lab Tests
Avg $3.05
690,000 claims
Office Visit
Avg $37.60
635,282 claims
Psychiatric Evaluation
Avg $39.99
459,562 claims
Emergency Room Visit
Avg $218.69
254,571 claims
Physical Therapy
Avg $37.54
228,637 claims
Ambulance Transport
Avg $28.77
159,133 claims
X-Ray
Avg $18.25
157,475 claims
Non-Emergency Medical Transportation
Avg $1.37
149,564 claims