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 |
|---|---|---|---|
|
Barry J Weinberg
19 E 80Th St |
$22.08 | 24,730 | 5,204 |
|
Esther Ugonma Chijioke
101 W 147Th St Apt 2E |
$18.54 | 22,623 | 13,512 |
|
Adrian Balestra
8 E 3Rd St |
$7.81 | 21,587 | 20,665 |
|
Yoav Borsuk
167 Madison Ave |
$13.51 | 14,688 | 10,411 |
|
Emmanuel N Rodriguez
165 E 83Rd St |
$2.50 | 13,899 | 3,892 |
|
Michael Jay Rothstein
55 E 124Th St |
$17.44 | 13,430 | 7,150 |
|
Emily R Yurberg
140 E 81St St |
$16.98 | 12,045 | 3,444 |
|
Kumud Jindal
515 Audubon Ave |
$8.67 | 11,036 | 6,628 |
|
Crysti Mincey
152 E 118Th St Apt S1 |
$8.40 | 10,931 | 5,340 |
|
Timothy D Segal
1435 Lexington Ave |
$12.31 | 10,272 | 10,007 |
|
Neriy Yakubov
150 Broadway Rm 714 |
$3.69 | 8,856 | 2,505 |
|
Keisha Mack
1 Penn Plz Fl 8 |
$25.13 | 8,738 | 3,257 |
|
Hyram David Stephens
27 Barrow St |
$8.76 | 8,644 | 8,076 |
|
Elva Naco
203 W 12Th St |
$11.62 | 8,622 | 7,673 |
|
Michael E Rosen
425 W 59Th St |
$7.46 | 8,606 | 5,238 |
|
Sharon Lynne Bronner
1 Penn Plz |
$9.80 | 8,483 | 2,967 |
|
Andrew Weissman
801 W 190Th St |
$20.49 | 8,057 | 7,632 |
|
Tatyana N. Zaytseva
525 E 68Th St |
$10.23 | 7,328 | 3,693 |
|
Saima Sultan
515 Audubon Ave |
$10.20 | 7,318 | 5,059 |
|
Alvaro Genao
30 W 138Th St |
$4.12 | 7,153 | 4,827 |
|
Edgar Andrew Pimentel
570 W 204Th St |
$10.55 | 6,968 | 4,058 |
|
Erik K Johnson
1275 York Ave |
$4.08 | 6,934 | 3,784 |
|
New York General Medical Services Pc
1060 Amsterdam Ave |
$14.46 | 6,751 | 4,576 |
|
Ramin Hodjati
515 Audubon Ave |
$8.18 | 6,376 | 3,047 |
|
Alex R Pavon
534 W 135Th St |
$12.61 | 5,945 | 2,950 |
|
Daniel P Klein
229 E 79Th St |
$2.35 | 5,756 | 2,821 |
|
Elizabeth Mary Musto
1 Penn Plz Fl 8 |
$8.27 | 5,316 | 2,494 |
|
Michael Perez
4915 Broadway |
$15.00 | 5,308 | 3,734 |
|
Ashley Seo
33 Irving Pl Fl 11 |
$19.37 | 5,213 | 2,860 |
|
Olga Kiriluk
1060 Amsterdam Ave |
$4.99 | 5,178 | 2,112 |
|
Nilufer Guleyupoglu
369 Lexington Ave |
$4.41 | 4,899 | 1,256 |
|
Eelin Wilson
1000 10Th Ave |
$6.84 | 4,883 | 2,310 |
|
Eunjeong Jeon
241 W 57Th St |
$6.75 | 4,881 | 2,691 |
|
Catherine Ossei
695 Park Ave |
$2.54 | 4,588 | 1,132 |
|
Girish Patel
765 Amsterdam Ave |
$10.66 | 4,491 | 3,990 |
|
Jennifer Peace Polatchek
535 East 70Th Street |
$7.16 | 4,489 | 2,403 |
|
Gavriil Ilizarov
240 E 38Th St Fl 15 |
$8.78 | 4,428 | 1,902 |
|
Nellye V Dankov
211 E 79Th St |
$4.14 | 4,313 | 1,893 |
|
Michael Hawthorne
80 5Th Ave |
$4.14 | 4,173 | 3,198 |
|
Catherine Gawronski
1060 Amsterdam Ave |
$6.85 | 4,058 | 1,896 |
|
Steve Arrieta
2257 Adam Clayton Powell Jr Blvd |
$5.03 | 3,883 | 2,118 |
|
Scott S Weissman
340 E 49Th St |
$11.19 | 3,729 | 3,693 |
|
Lovely Faith Suficiencia Rubio
522 W 134Th St Apt 24 |
$2.78 | 3,333 | 1,271 |
|
Naomi Molner
1085 Park Ave |
$12.92 | 3,255 | 1,331 |
|
Yocheved Fogel
39 Broadway |
$1.37 | 3,241 | 1,899 |
|
John Vincent Dellosso
314 W 14Th St |
$3.81 | 3,222 | 484 |
|
Jared Tannenbaum
150 Riverside Dr |
$1.46 | 3,078 | 1,608 |
|
Tarana Malikova
107 E 70Th St |
$2.35 | 3,072 | 1,459 |
|
Dijon Yvonne Nelson-Rhem
622 W 168Th St |
$7.60 | 3,020 | 2,820 |
|
Yasmin Collazo
936 5Th Ave |
$17.14 | 3,014 | 2,964 |
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