Average Medicaid Nursing Facility Care Payments in New York, NY: $11.05
Avg. Paid
$11.05
Range
$0.00 – $69.66
Total Claims
498,754
Providers
240
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 New York, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Russell Frederick Trahan
247 W 145Th St |
$0.67 | 12 | 12 |
|
Elizabeth Marie Corvino
337 E 17Th St |
$12.47 | 13 | 12 |
|
Michelle Baumeister
1221 Avenue Of The Americas Rm 50073 |
$1.53 | 13 | 12 |
|
Barry Lester Feinberg
750 Park Ave |
$14.73 | 13 | 13 |
|
Satjit Bhusri
45 E End Ave Apt 1C |
$0.00 | 14 | 14 |
|
Wei Angela Liu
400 E 34Th St |
$0.00 | 16 | 16 |
|
Lisa Rudolph
55 Water St Fl 46 |
$0.58 | 16 | 16 |
|
Annamaria Giehl
180 Fort Washington Ave Fl 7 |
$0.00 | 16 | 16 |
|
Devi G Enerio-Ellant
773-775 9Th Avenue |
$69.66 | 17 | 17 |
|
Alex Natanzon
550 1St Ave |
$10.38 | 18 | 18 |
|
Jodene Shwer
44 E 12Th St Apt Md4 |
$22.68 | 19 | 17 |
|
Christine L Go
274 Madison Ave Rm 504 |
$0.00 | 21 | 14 |
|
Zaza J Aivazi
150 E 77Th St |
$29.36 | 21 | 21 |
|
David Mobley
1 Gustave L Levy Pl # 1234 |
$5.33 | 26 | 24 |
|
Maria Paliou
1901 1St Ave |
$8.38 | 26 | 26 |
|
Brighid Armstrong Gannon
952 5Th Ave |
$8.29 | 27 | 26 |
|
Carolina Lopez
550 1St Ave |
$23.53 | 31 | 13 |
|
Stacyann S Smith
1305 York Avenue 2Nd Floor |
$7.28 | 32 | 27 |
|
Lior Mortob
234 E 85Th St Fl 3 |
$34.08 | 32 | 32 |
|
Susan Pyle Guiry
525 E 68Th St |
$0.00 | 32 | 27 |
|
Aluem Tark
241 W 57Th St |
$0.00 | 33 | 30 |
|
Robert Deporto
314 E 30Th St |
$29.34 | 35 | 35 |
|
Rye Family Practice Pc
692 W 204Th St |
$23.84 | 35 | 13 |
|
Ekaterina Dragun
240 E 38Th St |
$39.12 | 35 | 15 |
|
Tyesha Hardwick
2369 2Nd Ave |
$9.13 | 36 | 33 |
|
Howard Bennett Goldsmith
233 W 14Th St |
$7.01 | 39 | 39 |
|
Guoqiong Qu
100 E Broadway Unit 1C |
$13.79 | 42 | 32 |
|
Jaclyn Nicole Churchill
200 W 58Th St |
$0.00 | 47 | 41 |
|
Daniel Sussman
1090 Amsterdam Ave |
$25.34 | 48 | 45 |
|
Raphael Lilker
291 Broadway Rm 810 |
$7.16 | 52 | 51 |
|
Jincy Manash Mathew
622 W 168Th St |
$0.38 | 53 | 29 |
|
Ruby Mathew
1111 Amsterdam Ave |
$0.00 | 53 | 44 |
|
Judith M Parker
570 Grand St |
$0.95 | 55 | 26 |
|
Dina Tsentserensky
80 Maiden Ln |
$6.79 | 56 | 49 |
|
Muhammad Faisal Riaz
506 Lenox Ave # Mlk11101 |
$9.30 | 59 | 58 |
|
Sonia S. Vathapally
1752 Park Ave |
$2.33 | 60 | 52 |
|
Edward J. Matta
170 Williams Street |
$11.19 | 62 | 53 |
|
Dhaval Bhanusali
483 10Th Ave Rm 310 |
$23.90 | 62 | 55 |
|
Johnson Pereira
140 W 69Th St |
$25.77 | 62 | 59 |
|
Joseph S Winik
1000 Park Ave |
$33.39 | 62 | 54 |
|
Hilary B Kern
30 E 40Th St |
$0.00 | 64 | 12 |
|
Angel Alcantara
2360 Amsterdam Ave Apt M2 |
$23.29 | 67 | 64 |
|
Flavia Robotti
247 3Rd Ave Rm 401 |
$14.28 | 73 | 69 |
|
Lisanne Catherine Cruz
1450 Madison Ave |
$2.84 | 74 | 72 |
|
Manish Zinzuvadia
1049 Park Ave |
$5.35 | 75 | 74 |
|
Sonia N. Thomas
1 Penn Plaza |
$37.96 | 76 | 66 |
|
Roselyn Marza Wroblewski
Po Box 286245 |
$6.51 | 78 | 78 |
|
Filza Sultan
990 Avenue Of The Americas |
$31.73 | 82 | 72 |
|
Charles C Kleinberg
1000 Park Ave |
$15.81 | 84 | 81 |
|
Heidi N Fusco
240 E 38Th St Fl 15 |
$18.37 | 88 | 82 |
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 New York, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in New York, NY is $11.05 per claim, based on 498,754 claims from 240 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 New York, NY?
There are 240 Medicaid providers offering Nursing Facility Care related services in New York, NY according to public payment data.
What is the price range for Nursing Facility Care in New York, NY?
Medicaid reimbursement for Nursing Facility Care in New York, NY ranges from $0.00 to $69.66 per claim, with an average of $11.05. 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 New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims