Average Medicaid Nursing Facility Care Payments in Middletown, NY: $6.54
Avg. Paid
$6.54
Range
$0.45 – $78.32
Total Claims
40,700
Providers
29
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, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chiquita Houston-Armstrong
155 Crystal Run Rd |
$3.67 | 10,531 | 3,043 |
|
Osa Christopher Guobadia
707 E Main St |
$12.48 | 4,573 | 1,493 |
|
Balaji Pratap
155 Crystal Run Rd |
$0.84 | 4,133 | 2,622 |
|
Colleen R Moran
155 Crystal Run Rd |
$8.09 | 3,141 | 1,959 |
|
Joanne Frisbie
155 Crystal Run Rd |
$6.40 | 2,837 | 1,871 |
|
Rajan Dey
155 Crystal Run Rd |
$0.61 | 2,656 | 1,844 |
|
Alicia M. Weissman
155 Crystal Run Rd |
$11.97 | 2,415 | 2,026 |
|
Joanne Morency
155 Crystal Run Rd |
$7.41 | 2,117 | 1,573 |
|
Elizabeth U Eckardt
155 Crystal Run Rd |
$6.38 | 1,868 | 627 |
|
Atter M Shahid
155 Crystal Run Rd |
$10.98 | 1,701 | 1,263 |
|
Jessica Machado
707 E Main St |
$5.99 | 1,408 | 1,194 |
|
Saron Fong
280 Route 211 E |
$12.65 | 725 | 704 |
|
Sukhdeep Kaur
120 Highland Ave |
$13.61 | 600 | 515 |
|
Vasyl Pidkaminetskiy
155 Crystal Run Rd |
$8.15 | 348 | 276 |
|
Muhammad A Jaffari
39 Woodlawn Ave |
$17.55 | 341 | 280 |
|
Mrilini M Yeddu
155 Crystal Run Rd |
$8.70 | 297 | 277 |
|
Emir Hodzic
707 E Main St |
$4.39 | 216 | 195 |
|
Cheryl Pollidore
21 Grand Ave |
$0.45 | 208 | 92 |
|
Sheryl Rivera Sulangi-Lorenc
155 Crystal Run Rd |
$1.22 | 174 | 141 |
|
Niranjan K Patel
155 Crystal Run Rd |
$13.35 | 119 | 64 |
|
Uri Napchan
111 Maltese Dr |
$26.29 | 118 | 63 |
|
Sophia S. Lee
155 Crystal Run Rd |
$1.56 | 42 | 41 |
|
Josephine Ann Amarosa
155 Crystal Run Rd |
$36.44 | 31 | 24 |
|
David Alex Jaeger
155 Crystal Run Rd |
$22.23 | 25 | 25 |
|
Veronica Lupian
111 Maltese Dr |
$13.31 | 19 | 12 |
|
Rashmi P Tawil
155 Crystal Run Rd |
$1.50 | 17 | 15 |
|
George Shuxiong Chen
707 E Main St |
$13.78 | 15 | 12 |
|
Arthur Tolis
155 Crystal Run Rd |
$1.84 | 13 | 13 |
|
Jenny Q Lu
75 Crystal Run Rd |
$78.32 | 12 | 12 |
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, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Middletown, NY is $6.54 per claim, based on 40,700 claims from 29 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, NY?
There are 29 Medicaid providers offering Nursing Facility Care related services in Middletown, NY according to public payment data.
What is the price range for Nursing Facility Care in Middletown, NY?
Medicaid reimbursement for Nursing Facility Care in Middletown, NY ranges from $0.45 to $78.32 per claim, with an average of $6.54. 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, NY
Office Visit
Avg $89.34
849,019 claims
Blood Work & Lab Tests
Avg $8.75
466,678 claims
Home Health Visit
Avg $130.57
264,098 claims
Dental Cleaning & Exam
Avg $34.48
202,343 claims
Emergency Room Visit
Avg $124.41
199,236 claims
Psychiatric Evaluation
Avg $105.46
199,025 claims
Substance Abuse Treatment
Avg $67.54
169,986 claims
X-Ray
Avg $9.37
113,864 claims