Average Medicaid Nursing Facility Care Payments in Rochester, NY: $7.46
Avg. Paid
$7.46
Range
$0.00 – $38.85
Total Claims
64,858
Providers
75
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 Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Candice Job
601 Elmwood Ave |
$21.72 | 13 | 12 |
|
Sunkanmi Ajewole
1425 Portland Ave |
$4.56 | 14 | 14 |
|
James P Reidy
435 E Henrietta Rd |
$7.90 | 14 | 14 |
|
Pamela A Rizkalla
1425 Portland Ave |
$15.84 | 14 | 14 |
|
Salman Khan
105 Canal Landing Blvd Ste 1 |
$2.93 | 17 | 17 |
|
Yehuda L Nussbaum
2350 Ridgeway Ave |
$5.69 | 17 | 16 |
|
Stacy Ann Johnson
1415 Portland Ave Ste 200 |
$20.70 | 21 | 13 |
|
Megan Ciocca
435 E Henrietta Rd |
$0.00 | 22 | 13 |
|
Brian Hoon Son
105 Canal Landing Blvd |
$0.00 | 27 | 27 |
|
Lauren O'Connor
1000 South Ave |
$0.89 | 27 | 15 |
|
Resika Ubayawardena
222 Alexander St, Ste 5000 |
$11.28 | 30 | 25 |
|
Geria Lucia Furtuna
435 East Henrietta Rd |
$0.95 | 30 | 28 |
|
Sharon Stone
105 Canal Landing Blvd Ste 1 |
$22.89 | 33 | 24 |
|
Kimberly Joseph
700 Island Cottage Rd |
$13.93 | 34 | 28 |
|
Sarah Michelle Ingalsbe-Geno
1850 E Ridge Rd |
$3.66 | 44 | 39 |
|
Kevin Briceland
601 Elmwood Ave |
$6.30 | 48 | 35 |
|
Jennifer H Cavage
300 Meridian Centre Blvd |
$15.07 | 54 | 46 |
|
Nicole Gise
1000 South Ave |
$20.45 | 57 | 56 |
|
Meredith J Cricco
1415 Portland Ave |
$0.00 | 63 | 57 |
|
Nirmal Kumar
1425 Portland Ave # 287 |
$1.38 | 75 | 71 |
|
Scott L Schabel
1415 Portland Ave |
$15.71 | 81 | 63 |
|
Bruce Stephen Portner
1160 Chili Avenue |
$2.22 | 83 | 81 |
|
Rickell Gordon
528 Augustine St |
$3.23 | 87 | 61 |
|
Naghmeh Pooya
2655 Ridgeway Ave Ste 420 |
$38.85 | 88 | 80 |
|
Ann Elizabeth Magnussen
435 E Henrietta Rd |
$7.92 | 120 | 79 |
|
Ammar Alkassm
1425 Portland Ave |
$0.00 | 128 | 98 |
|
Jennifer Coleman
435 E Henrietta Rd |
$7.35 | 139 | 92 |
|
Amanda Rose Cataldi
300 Meridian Centre Blvd |
$26.98 | 140 | 68 |
|
Diane B Westbrook
300 Meridian Centre Blvd |
$6.58 | 146 | 137 |
|
Lynn M Wengender
30 Hagen Dr |
$4.98 | 157 | 137 |
|
Laurel A Pfeil
2021 Winton Road S. |
$3.15 | 159 | 91 |
|
Misty Lynn Willis
556 Clinton Ave S |
$7.02 | 159 | 124 |
|
Seth Mensah
1335 Portland Ave |
$1.84 | 174 | 143 |
|
Diane Ps Morrison
1000 South Ave |
$5.77 | 176 | 107 |
|
Dawn G Schmitt
601 Elmwood Ave # 619-13 |
$9.19 | 177 | 106 |
|
Andrew Joseph Tubiolo
714 Titus Ave |
$17.81 | 177 | 177 |
|
Ogechukwu Osigwe-Adiele
19 Mill Run Dr |
$0.61 | 187 | 177 |
|
Alyssa Turan
601 Elmwood Ave |
$7.19 | 212 | 125 |
|
Pauline Annette Macri
49 Yorkshire Rd |
$0.96 | 223 | 135 |
|
Gina M Dutt
1000 South Ave |
$9.29 | 255 | 167 |
|
Cheleng Q Brifkani
601 Elmwood Ave |
$10.62 | 264 | 206 |
|
Iduvina D. Earner
601 Elmwood Ave |
$2.21 | 270 | 216 |
|
Kiethan Lance Boyd
259 Monroe Ave |
$11.99 | 274 | 114 |
|
Isaura Menzies
1000 South Ave |
$16.53 | 338 | 261 |
|
Janeen Baxter
292 Troup St |
$5.00 | 340 | 229 |
|
Julie Marie Giles
1415 Portland Ave Ste 200 |
$3.13 | 344 | 188 |
|
Colleen E. Glazier
601 Elmwood Ave Box 619 |
$9.91 | 352 | 235 |
|
Beth M Pannell
1425 Portland Ave |
$7.33 | 376 | 289 |
|
Alfredo Torres
1425 Portland Ave |
$20.51 | 380 | 378 |
|
Frank Collins Skurpski
1425 Portland Ave |
$3.94 | 408 | 265 |
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 Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Rochester, NY is $7.46 per claim, based on 64,858 claims from 75 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 Rochester, NY?
There are 75 Medicaid providers offering Nursing Facility Care related services in Rochester, NY according to public payment data.
What is the price range for Nursing Facility Care in Rochester, NY?
Medicaid reimbursement for Nursing Facility Care in Rochester, NY ranges from $0.00 to $38.85 per claim, with an average of $7.46. 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 Rochester, NY
Home Health Visit
Avg $155.96
4,468,559 claims
Blood Work & Lab Tests
Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Case Management Services
Avg $416.23
1,188,020 claims
Psychiatric Evaluation
Avg $142.49
1,087,559 claims
Substance Abuse Treatment
Avg $66.55
788,422 claims
Physical Therapy
Avg $59.14
727,107 claims