Average Medicaid Nursing Facility Care Payments in Presque Isle, ME: $16.40
Avg. Paid
$16.40
Range
$0.00 – $33.17
Total Claims
177
Providers
4
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 Presque Isle, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Judith Marie Pimental
167 Academy St |
$15.11 | 12 | 12 |
|
Robert Mcfadgen
23 North St |
$33.17 | 28 | 28 |
|
Pines Health Services
66 Spruce St Ste B |
$0.00 | 52 | 39 |
|
Thomas Chege Macharia
23 North St |
$21.08 | 85 | 74 |
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 Presque Isle, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Presque Isle, ME is $16.40 per claim, based on 177 claims from 4 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 Presque Isle, ME?
There are 4 Medicaid providers offering Nursing Facility Care related services in Presque Isle, ME according to public payment data.
What is the price range for Nursing Facility Care in Presque Isle, ME?
Medicaid reimbursement for Nursing Facility Care in Presque Isle, ME ranges from $0.00 to $33.17 per claim, with an average of $16.40. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Nursing Facility Care in Other Cities
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Avg $21.36
1,738,984 claims · 558 providers
Bronx, NY
Avg $12.93
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Las Vegas, NV
Avg $32.97
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Brooklyn, NY
Avg $13.63
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Phoenix, AZ
Avg $42.43
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Tampa, FL
Avg $5.95
973,086 claims · 275 providers
Jacksonville, FL
Avg $6.44
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Indianapolis, IN
Avg $12.89
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Other Procedures in Presque Isle, ME
Blood Work & Lab Tests
Avg $2.02
182,034 claims
Office Visit
Avg $32.81
122,681 claims
Physical Therapy
Avg $30.96
65,094 claims
Home Health Visit
Avg $181.00
61,058 claims
Vaccines & Immunizations
Avg $10.34
54,949 claims
Substance Abuse Treatment
Avg $151.93
53,217 claims
Emergency Room Visit
Avg $144.67
48,032 claims
Case Management Services
Avg $224.03
42,999 claims