Average Medicaid Nursing Facility Care Payments in Pittsburgh, PA: $17.82
Avg. Paid
$17.82
Range
$0.00 – $59.77
Total Claims
186,338
Providers
141
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 Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pcma Palliative Division Llc
2000 Cliffmine Rd Ste 500 |
$1.82 | 26,021 | 18,604 |
|
Kaushik P Patel
2409 Brownsville Rd |
$18.12 | 19,416 | 8,290 |
|
Dean E Kross
155 N Craig St |
$13.81 | 13,012 | 1,567 |
|
Fabio Alberto Barrera Pena
320 E North Ave |
$18.79 | 6,583 | 1,915 |
|
Amir H Fahid
1307 Federal St |
$36.78 | 6,085 | 1,740 |
|
Michelle Lynn Kubatka
3459 5Th Ave |
$30.39 | 6,047 | 2,851 |
|
Laura M Mantine
4815 Liberty Ave |
$16.88 | 5,463 | 4,353 |
|
Umesh Golani
200 Delafield Rd |
$31.43 | 5,256 | 4,628 |
|
Margaret A Newman
2000 Cliffmine Rd Ste 500 |
$17.46 | 4,203 | 3,033 |
|
Caroline Tobin
1848 Greentree Rd |
$13.66 | 3,924 | 1,837 |
|
Amanda Lummay Thompson
788 Washington Rd |
$16.77 | 3,781 | 2,173 |
|
Emily A Culpepper
550 S Negley Ave |
$20.51 | 3,767 | 1,842 |
|
Hope Marie Miles
2000 Cliffmine Rd Ste 500 |
$28.41 | 3,091 | 1,815 |
|
Amy C Horvat
107 Gamma Dr |
$13.74 | 2,856 | 1,113 |
|
Elizabeth Marchese
107 Gamma Dr |
$11.68 | 2,579 | 1,059 |
|
Leigh Ann Hohmann
788 Washington Rd |
$16.93 | 2,542 | 1,859 |
|
Albert Richard Fogle
4727 Friendship Ave |
$18.21 | 2,408 | 1,590 |
|
Michael A Okoye
1614 Michael Dr |
$11.49 | 2,328 | 2,082 |
|
Caitlin Marie Warner
200 Cedar Ridge Dr Ste 211 |
$21.89 | 2,264 | 1,584 |
|
James Martin Kreshon
2585 Freeport Road |
$31.45 | 2,253 | 1,535 |
|
David Gerard Thimons
2000 Cliffmine Rd Ste 500 |
$37.05 | 2,142 | 1,548 |
|
Patricia M Gordon
4610 Centre Ave |
$22.87 | 2,090 | 1,648 |
|
Diana Reed
788 Washington Rd |
$14.20 | 2,084 | 1,135 |
|
Scott Heyl
1020 Center Ave |
$27.50 | 2,004 | 833 |
|
Lindsay Nicole Sokol
2000 Cliffmine Rd Ste 500 |
$22.23 | 1,974 | 1,059 |
|
Amanda Louise Leonard
5609 5Th Ave |
$22.50 | 1,813 | 966 |
|
Michelle Elizabeth Zavage
330 S 9Th St |
$11.46 | 1,646 | 1,033 |
|
Brooke Jauna Heinle
550 S Negley Ave |
$43.97 | 1,620 | 998 |
|
Debra L Davis
107 Fall Run Road |
$34.98 | 1,603 | 1,006 |
|
Sarah Kathleen Seelnacht
1020 Center Ave |
$9.74 | 1,588 | 775 |
|
Elizabeth A Hribik
550 S Negley Ave |
$16.87 | 1,515 | 630 |
|
Caitlin E Cafaro
1848 Greentree Rd |
$30.07 | 1,511 | 1,165 |
|
Janelle Hurd
3471 5Th Ave Bldg Suite900 |
$11.34 | 1,469 | 1,066 |
|
Osahon John Obakpolor
4727 Friendship Ave Ste 200 |
$9.08 | 1,428 | 1,005 |
|
Kristy Desomma
107 Gamma Dr Ste 210 |
$39.67 | 1,417 | 776 |
|
Joseph E Simpson
2000 Cliffmine Rd Ste 500 |
$34.59 | 1,360 | 842 |
|
Julia Luczkow
2000 Cliffmine Rd Ste 500 |
$33.06 | 1,356 | 707 |
|
Jorjette M. Mahoney
788 Washington Rd |
$12.41 | 1,295 | 1,024 |
|
Vish V Iyer
30 High St |
$9.24 | 1,250 | 736 |
|
Soni Lynn Elliott
200 Lothrop St. |
$12.84 | 1,151 | 522 |
|
Shelana Marie Gibbs-Mcelvy
2585 Freeport Rd Ste 105 |
$8.00 | 1,118 | 604 |
|
Heather Nellis Orluske
5609 5Th Ave |
$15.84 | 1,114 | 626 |
|
Samuel Joseph Tallerico
4815 Liberty Ave |
$8.71 | 1,011 | 524 |
|
Stephani Schutt
2000 Cliffmine Rd Ste 500 |
$11.24 | 935 | 842 |
|
Matthew Ehman
788 Washington Rd |
$16.05 | 909 | 702 |
|
William Monroe Rivers
3601 5Th Ave Bldg 7Th |
$8.97 | 873 | 362 |
|
Sofia Senak
2000 Cliffmine Rd Ste 500 |
$30.39 | 858 | 450 |
|
Alexandra Christine Graham
2000 Cliffmine Rd Ste 500 |
$54.33 | 842 | 364 |
|
Jody Lynn Madden
2000 Cliffmine Rd Ste 500 |
$8.65 | 841 | 517 |
|
Matthew Koperwas
5889 Forbes Ave |
$16.46 | 841 | 486 |
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 Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Pittsburgh, PA is $17.82 per claim, based on 186,338 claims from 141 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 Pittsburgh, PA?
There are 141 Medicaid providers offering Nursing Facility Care related services in Pittsburgh, PA according to public payment data.
What is the price range for Nursing Facility Care in Pittsburgh, PA?
Medicaid reimbursement for Nursing Facility Care in Pittsburgh, PA ranges from $0.00 to $59.77 per claim, with an average of $17.82. 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 Pittsburgh, PA
Blood Work & Lab Tests
Avg $12.74
5,898,610 claims
Office Visit
Avg $58.11
1,594,344 claims
Emergency Room Visit
Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
Culture & Microbiology Tests
Avg $5.35
530,883 claims
Physical Therapy
Avg $57.35
415,480 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
404,951 claims