Average Medicaid Nursing Facility Care Payments in Pikesville, MD: $30.85
Avg. Paid
$30.85
Range
$6.27 – $94.54
Total Claims
121,153
Providers
12
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 Pikesville, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lifebridge Community Physicians, Inc.
1838 Greene Tree Rd |
$6.27 | 39 | 37 |
|
Lifebridge Community Physicians, Inc
4000 Old Court Rd |
$67.80 | 41 | 38 |
|
Christiana N Ikome
600 Reisterstown Rd Ste 302 |
$66.49 | 73 | 40 |
|
Moses Kariuki Njoki
1314 Bedford Ave Ste A |
$94.54 | 88 | 66 |
|
Sanjay Panalal Shah
1838 Greene Tree Rd Ste 350 |
$38.34 | 126 | 61 |
|
Caroline Ekey
1314 Bedford Ave Ste 113 |
$55.26 | 204 | 86 |
|
K S Rao Md Llc
4000 Old Court Rd Ste 301 |
$46.61 | 235 | 179 |
|
Basiratu Bello
1314 Bedford Ave |
$19.85 | 373 | 313 |
|
John Kamau Ngugi
1314 Bedford Ave Ste 113 |
$24.12 | 1,509 | 898 |
|
Lifebridge Community Pulmonology, Llc
1838 Greene Tree Rd |
$21.06 | 5,185 | 956 |
|
Benjamin Frizner
1777 Reisterstown Rd Ste 288 |
$49.52 | 43,685 | 7,761 |
|
Optimize Medical Group
1314 Bedford Ave Ste 113 |
$19.80 | 69,595 | 31,378 |
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 Pikesville, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Pikesville, MD is $30.85 per claim, based on 121,153 claims from 12 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 Pikesville, MD?
There are 12 Medicaid providers offering Nursing Facility Care related services in Pikesville, MD according to public payment data.
What is the price range for Nursing Facility Care in Pikesville, MD?
Medicaid reimbursement for Nursing Facility Care in Pikesville, MD ranges from $6.27 to $94.54 per claim, with an average of $30.85. 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
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Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Pikesville, MD
Psychiatric Evaluation
Avg $94.97
291,660 claims
Office Visit
Avg $89.07
158,446 claims
Speech Therapy
Avg $62.91
90,345 claims
Physical Therapy
Avg $65.62
77,097 claims
Substance Abuse Treatment
Avg $267.96
47,297 claims
Podiatry (Foot Care)
Avg $4.75
19,923 claims
Blood Work & Lab Tests
Avg $19.01
17,246 claims
Vaccines & Immunizations
Avg $20.59
17,229 claims