Average Medicaid Nursing Facility Care Payments in Providence, RI: $18.46
Avg. Paid
$18.46
Range
$0.00 – $69.93
Total Claims
25,166
Providers
30
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adebola Adelaiye
10 Dorrance St |
$18.58 | 4,524 | 2,938 |
|
Elisabeth Marie Butler
114 Swift St |
$37.95 | 3,940 | 1,579 |
|
Kristen Ellsworth
50 Maude St |
$11.23 | 3,470 | 1,656 |
|
Juliana Michelle Plante
345 Blackstone Blvd |
$12.49 | 3,464 | 2,919 |
|
Thomas John Dolan
245 Waterman St Ste 202 |
$8.01 | 1,429 | 1,304 |
|
Cynthia Ann Fahey
799 Hope St |
$23.50 | 1,162 | 408 |
|
Bonita Irene Demello
17 Adelphi Ave |
$16.55 | 1,137 | 794 |
|
Darling Romulus
593 Eddy St |
$10.45 | 1,055 | 996 |
|
Nadia Dotrice Horton
166 Valley St Bldg 6M |
$18.24 | 946 | 530 |
|
Deena Hartley
593 Eddy St |
$34.77 | 786 | 373 |
|
Allison K Seelig
300 Richmond St |
$6.76 | 497 | 309 |
|
Nicole Breting
593 Eddy Street |
$6.33 | 399 | 148 |
|
Marcy Ellen Bernstein
10 Dorrance St Ste 700 |
$7.48 | 373 | 209 |
|
Alan Miller
79 11Th St |
$28.27 | 326 | 312 |
|
Carrie M Reynolds
50 Maude St |
$2.49 | 247 | 113 |
|
Romina Smulever
164 Summit Ave |
$3.74 | 233 | 194 |
|
Susan Diane Weinman
17 Adelphi Ave |
$5.77 | 221 | 181 |
|
Lisa Melville
2 Dudley St |
$10.32 | 195 | 127 |
|
Richard Joseph Ruggieri
160 Wayland Ave |
$20.84 | 181 | 160 |
|
Naomie Robert
712 Broad St |
$23.83 | 132 | 118 |
|
Gabriel Abella
455 Douglas Ave |
$21.12 | 77 | 28 |
|
Giovanna Fischer
825 Chalkstone Ave |
$9.26 | 74 | 62 |
|
Debbie Mendelsohn
164 Summit Ave |
$4.62 | 64 | 62 |
|
Hannah Alice Bansil
668 Eddy St |
$20.54 | 55 | 26 |
|
Rachel E. Hutchins
235 Plain St Ste 201 |
$0.00 | 46 | 46 |
|
Khadijat Momoh
6 Barone Ct |
$14.65 | 46 | 41 |
|
Catherine Noble Heart
164 Summit Ave |
$1.35 | 32 | 31 |
|
Carolyn Ruth Blackman
10 Dorrance St Ste 700 |
$19.58 | 30 | 29 |
|
Michael Ellis Stern
46 Barnes St |
$0.00 | 13 | 12 |
|
Anthony Carl Rodrigues
2 Dudley St Ste 200 |
$69.93 | 12 | 12 |
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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Providence, RI is $18.46 per claim, based on 25,166 claims from 30 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 Providence, RI?
There are 30 Medicaid providers offering Nursing Facility Care related services in Providence, RI according to public payment data.
What is the price range for Nursing Facility Care in Providence, RI?
Medicaid reimbursement for Nursing Facility Care in Providence, RI ranges from $0.00 to $69.93 per claim, with an average of $18.46. 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 Providence, RI
Personal Care Services
Avg $125.03
2,057,051 claims
Office Visit
Avg $73.05
1,843,254 claims
Emergency Room Visit
Avg $92.98
754,000 claims
Behavioral & Mental Health Therapy
Avg $129.47
740,415 claims
Dental Cleaning & Exam
Avg $30.60
677,431 claims
Case Management Services
Avg $18.33
599,589 claims
Psychiatric Evaluation
Avg $71.24
531,502 claims
Substance Abuse Treatment
Avg $47.48
496,940 claims