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Based on public Medicaid payment data.

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

Other Procedures in New York, NY