Average Medicaid Nursing Facility Care Payments in Pittsfield, MA: $9.38
Avg. Paid
$9.38
Range
$1.19 – $36.25
Total Claims
26,527
Providers
20
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 Pittsfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicholas Neme
333 East St |
$36.25 | 14 | 14 |
|
Janet L Mickle
725 North Street |
$9.51 | 17 | 16 |
|
Aleyamma Jacob
610 North St |
$5.07 | 36 | 36 |
|
Susan R Sperry
169 Valentine Rd |
$11.05 | 54 | 50 |
|
Angela Avanzato
20 Elm St |
$1.19 | 57 | 38 |
|
Eugene H Heyman
20 Elm St |
$19.05 | 159 | 144 |
|
Craig R Kirby
20 Elm St |
$22.38 | 165 | 157 |
|
Raya Ariella
999 Dalton Ave |
$12.99 | 229 | 201 |
|
Michael J Murray
20 Elm St |
$16.77 | 277 | 165 |
|
Martha Ofeibea Agbeli
725 North St |
$13.36 | 372 | 362 |
|
Monique Mccleery Hamelrath
66 Wahconah Street |
$13.05 | 639 | 352 |
|
Mehernosh Pheroze Khan
631B North Street |
$20.68 | 652 | 646 |
|
Gabriele P Elston-Ferry
20 Elm St |
$9.33 | 979 | 885 |
|
Jonathan B Grenoble
20 Elm St |
$9.11 | 1,210 | 1,087 |
|
Ellen Asante
725 North St |
$5.51 | 1,211 | 1,119 |
|
Samuel Boateng
999 Dalton Ave |
$5.56 | 2,397 | 1,196 |
|
Serwa Guirand
169 Valentine Rd |
$14.71 | 2,777 | 2,161 |
|
Carolee Rose Harrigan
631B North St |
$11.10 | 3,193 | 2,276 |
|
Ebony A Alexander
631B North St |
$11.22 | 4,732 | 3,802 |
|
Barry Joel Lobovits
163 South St |
$4.99 | 7,357 | 2,669 |
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 Pittsfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Pittsfield, MA is $9.38 per claim, based on 26,527 claims from 20 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 Pittsfield, MA?
There are 20 Medicaid providers offering Nursing Facility Care related services in Pittsfield, MA according to public payment data.
What is the price range for Nursing Facility Care in Pittsfield, MA?
Medicaid reimbursement for Nursing Facility Care in Pittsfield, MA ranges from $1.19 to $36.25 per claim, with an average of $9.38. 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 Pittsfield, MA
Office Visit
Avg $73.14
623,777 claims
Blood Work & Lab Tests
Avg $12.45
463,423 claims
Psychiatric Evaluation
Avg $73.67
226,329 claims
Substance Abuse Treatment
Avg $131.70
211,387 claims
Case Management Services
Avg $115.32
205,804 claims
Emergency Room Visit
Avg $163.41
177,109 claims
Non-Emergency Medical Transportation
Avg $25.61
140,235 claims
Home Health Visit
Avg $214.30
130,001 claims