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 |
|---|---|---|---|
|
Teresa Folts
1445 Portland Ave |
$3.72 | 12,321 | 2,840 |
|
Ginel Chontaie Gordon
1555 Long Pond Rd |
$5.23 | 11,790 | 6,235 |
|
Mohammadreza Feizi Lighvan
Strong Memorial Hospital 601 Elmwood Avenue |
$9.52 | 9,341 | 2,092 |
|
Christopher T Barry
601 Elmwood Ave |
$2.90 | 2,218 | 1,483 |
|
Tuyet Khanh Truong
847 Tait Ave |
$9.42 | 1,919 | 980 |
|
Ashley Renea Bullard
4581 Lake Ave Apt C |
$3.30 | 1,802 | 1,060 |
|
Asma R Bawaney
435 East Henrietta Rd |
$13.98 | 1,689 | 1,636 |
|
Michelle Ann Siena
601 Elmwood Ave |
$4.15 | 1,630 | 518 |
|
Marni Alynn Mishler
360 Linden Oaks Ste 300 |
$5.17 | 1,505 | 928 |
|
Claudia Patrice Walker-Lewis
1111 Elmwood Ave |
$10.13 | 1,309 | 1,157 |
|
Michael M. Atkinson
105 Canal Landing Blvd |
$17.27 | 1,200 | 704 |
|
Yasmin Hollowitz
2021 Winton Rd S |
$17.05 | 1,178 | 759 |
|
Iga Ntheketha
125 Lattimore Rd Ste G110 |
$0.47 | 1,173 | 405 |
|
Gloria Strader
1000 South Ave |
$1.13 | 1,032 | 534 |
|
Ziad Alkhoury
1555 Long Pond Rd |
$0.24 | 969 | 481 |
|
Jennifer Ann Hamblin
1000 South Ave |
$5.40 | 956 | 542 |
|
Craig Michael Rightmier
1555 Long Pond Rd |
$23.15 | 916 | 620 |
|
Samuel Yost
1561 Long Pond Rd Ste 133 |
$16.25 | 880 | 388 |
|
Rajaletchumy Sathasivam
435 East Henrietta Rd |
$25.04 | 747 | 712 |
|
Alexander Karlic
105 Canal Landing Blvd. |
$18.88 | 667 | 664 |
|
Galina S Dushuk
1415 Portland Ave |
$6.64 | 649 | 384 |
|
Tyler Van Cura
1415 Portland Ave Ste 200 |
$0.00 | 557 | 230 |
|
Helene Waltz
1415 Portland Ave |
$28.56 | 484 | 347 |
|
Erika Lynne Griffin
601 Elmwood Ave |
$9.33 | 433 | 236 |
|
Nirmala Nicholas
435 E Henrietta Rd |
$19.45 | 425 | 406 |
|
Frank Collins Skurpski
1425 Portland Ave |
$3.94 | 408 | 265 |
|
Alfredo Torres
1425 Portland Ave |
$20.51 | 380 | 378 |
|
Beth M Pannell
1425 Portland Ave |
$7.33 | 376 | 289 |
|
Colleen E. Glazier
601 Elmwood Ave Box 619 |
$9.91 | 352 | 235 |
|
Julie Marie Giles
1415 Portland Ave Ste 200 |
$3.13 | 344 | 188 |
|
Janeen Baxter
292 Troup St |
$5.00 | 340 | 229 |
|
Isaura Menzies
1000 South Ave |
$16.53 | 338 | 261 |
|
Kiethan Lance Boyd
259 Monroe Ave |
$11.99 | 274 | 114 |
|
Iduvina D. Earner
601 Elmwood Ave |
$2.21 | 270 | 216 |
|
Cheleng Q Brifkani
601 Elmwood Ave |
$10.62 | 264 | 206 |
|
Gina M Dutt
1000 South Ave |
$9.29 | 255 | 167 |
|
Pauline Annette Macri
49 Yorkshire Rd |
$0.96 | 223 | 135 |
|
Alyssa Turan
601 Elmwood Ave |
$7.19 | 212 | 125 |
|
Ogechukwu Osigwe-Adiele
19 Mill Run Dr |
$0.61 | 187 | 177 |
|
Andrew Joseph Tubiolo
714 Titus Ave |
$17.81 | 177 | 177 |
|
Dawn G Schmitt
601 Elmwood Ave # 619-13 |
$9.19 | 177 | 106 |
|
Diane Ps Morrison
1000 South Ave |
$5.77 | 176 | 107 |
|
Seth Mensah
1335 Portland Ave |
$1.84 | 174 | 143 |
|
Laurel A Pfeil
2021 Winton Road S. |
$3.15 | 159 | 91 |
|
Misty Lynn Willis
556 Clinton Ave S |
$7.02 | 159 | 124 |
|
Lynn M Wengender
30 Hagen Dr |
$4.98 | 157 | 137 |
|
Diane B Westbrook
300 Meridian Centre Blvd |
$6.58 | 146 | 137 |
|
Amanda Rose Cataldi
300 Meridian Centre Blvd |
$26.98 | 140 | 68 |
|
Jennifer Coleman
435 E Henrietta Rd |
$7.35 | 139 | 92 |
|
Ammar Alkassm
1425 Portland Ave |
$0.00 | 128 | 98 |
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