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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Portland, ME: $22.64

Avg. Paid

$22.64

Range

$0.00 – $60.17

Total Claims

41,534

Providers

54

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 Portland, ME

Provider Avg. Paid Claims Patients
Ari S Berman

175 Fore River Pkwy

$19.65 3,304 2,360
Caitlin Gabrielle Mckenzie

66 Bramhall St

$23.32 2,809 1,798
Richard T Marino

66 Bramhall St

$26.72 2,728 2,007
Annabelle Rae Chua Norwood

66 Bramhall St

$24.06 2,273 1,862
David A Polisner

144 State St

$28.12 2,108 1,571
Sabrina Loring

Northern Light Mercy Hospital

$16.32 2,082 1,560
Emily P F Delldonna

175 Fore River Pkwy

$19.16 1,698 1,156
June Fitzpatrick

144 State St

$10.55 1,591 685
Brandon E Mccrossin

66 Bramhall St

$26.02 1,483 1,233
Charity Maniates

66 Bramhall St

$31.78 1,480 825
Michelle Atienza

1321 Washington Ave

$25.64 1,406 792
Kathy Dahms

1321 Washington Ave

$23.28 1,264 705
Bart Joseph Decristoforo

66 Bramhall St

$23.18 1,070 734
Stacey R Farrington

66 Bramhall St

$26.94 1,054 734
Amanda Rose Albanese Roberts

22 Bramhall St

$25.75 1,033 753
Sarah A. M. Hallen

66 Bramhall St

$24.79 958 801
Catherine Mcinnis

22 Bramhall St

$23.95 876 574
Bruce G Manley

22 Bramhall St

$21.86 863 474
Sarah Marchand

66 Bramhall St

$20.83 849 651
Anne Merra

66 Bramhall St

$20.67 840 667
Pierre Morneault

66 Bramhall St

$22.64 812 575
Molly Katherine Andreoli

66 Bramhall St Ste G1

$30.21 687 475
Christina Deniord Harvell

66 Bramhall St

$25.67 675 571
Nicholas D Pennell

1321 Washington Ave

$19.98 671 344
Charlotte Paolini

1250 Forest Ave

$9.91 610 292
Laurin Koskinen

1145 Brighton Ave

$15.79 553 458
Jessie Sherwood Nault

66 Bramhall St

$25.79 549 421
Mercy Hospital

175 Fore River Pkwy

$0.00 489 335
Rachael Y Blake

66 Bramhall St

$31.23 488 368
Ashley Rose Anderson

66 Bramhall St Ste G1

$25.92 451 339
Robert J Clinton

144 State St

$21.58 395 243
Ann K Magner

66 Bramhall St

$25.65 334 281
Lane Thomas Beatty

22 Bramhall St

$3.41 315 126
Nicole Rendall

66 Bramhall St Ste G1

$22.02 299 179
Jeffrey Alan Benson

331 Veranda St

$27.79 294 247
Rachel Anne Sluder

66 Bramhall St Ste G1

$31.29 272 210
Leah K Bauer

216 Vaughan St

$8.76 270 109
Kathryn Rose Mclean

66 Bramhall St Ste G1

$26.79 266 230
Erika Lee Cook

66 Bramhall St Ste G1

$21.22 234 182
Kirsten Berman

175 Fore River Pkwy

$18.83 224 154
Moriah Vellani

98 Rackleff St

$18.31 205 89
Julia M Redding

66 Bramhall St

$24.49 199 173
William B Talpey

66 Bramhall St Ste G1

$33.78 137 123
Fred Fridman

335 Brighton Ave

$39.10 65 61
Robert Brian Taylor

1250 Forest Ave

$26.11 50 45
Andrea Palencar

66 Bramhall St

$43.12 48 41
Leah Victoria Mahoney

66 Bramhall St

$21.41 32 25
Jodie L Tompkins

1321 Washington Avenue

$60.17 28 26
Robin Renee Yanguas

22 Bramhall St

$44.24 26 12
Emily Clemetson

175 Fore River Pkwy

$4.12 24 20

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 Portland, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Portland, ME is $22.64 per claim, based on 41,534 claims from 54 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 Portland, ME?

There are 54 Medicaid providers offering Nursing Facility Care related services in Portland, ME according to public payment data.

What is the price range for Nursing Facility Care in Portland, ME?

Medicaid reimbursement for Nursing Facility Care in Portland, ME ranges from $0.00 to $60.17 per claim, with an average of $22.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Nursing Facility Care in Other Cities

Other Procedures in Portland, ME