Average Medicaid Nursing Facility Care Payments in Saco, ME: $22.59
Avg. Paid
$22.59
Range
$15.91 – $26.93
Total Claims
5,461
Providers
14
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 Saco, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Karen E Dmytrasz
13 Industrial Park Road |
$26.79 | 1,742 | 1,343 |
|
Elise Scala
655 Main Street |
$19.09 | 1,232 | 853 |
|
Kristen N Mitchell
13 Industrial Park Road |
$23.93 | 581 | 467 |
|
Linda M Malmquist
655 Main St |
$19.64 | 552 | 478 |
|
Cynthia B Menard
655 Main St |
$19.34 | 459 | 386 |
|
Elizabeth Garnett
655 Main St |
$26.93 | 242 | 183 |
|
Daniel M Pierce
655 Main St |
$24.85 | 176 | 164 |
|
Patricia Holt
655 Main St |
$15.91 | 132 | 80 |
|
Catherine Rasco-Robinson
506 Main St |
$17.45 | 124 | 97 |
|
Patricia Rand
655 Main St |
$19.77 | 71 | 55 |
|
Billy Carlton Burge
655 Main St |
$16.65 | 54 | 37 |
|
Stephen A Sokol
655 Main St |
$25.96 | 41 | 36 |
|
Janessa Maurice
655 Main St |
$19.80 | 30 | 25 |
|
Kathryn Brandt
655 Main St |
$18.75 | 25 | 25 |
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 Saco, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Saco, ME is $22.59 per claim, based on 5,461 claims from 14 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 Saco, ME?
There are 14 Medicaid providers offering Nursing Facility Care related services in Saco, ME according to public payment data.
What is the price range for Nursing Facility Care in Saco, ME?
Medicaid reimbursement for Nursing Facility Care in Saco, ME ranges from $15.91 to $26.93 per claim, with an average of $22.59. 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
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Las Vegas, NV
Avg $32.97
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Brooklyn, NY
Avg $13.63
1,130,919 claims · 415 providers
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
832,589 claims · 253 providers
Other Procedures in Saco, ME
Substance Abuse Treatment
Avg $78.28
205,073 claims
Home Health Visit
Avg $129.92
154,918 claims
Behavioral & Mental Health Therapy
Avg $269.66
127,925 claims
Physical Therapy
Avg $27.73
77,193 claims
Office Visit
Avg $38.29
51,702 claims
Speech Therapy
Avg $46.41
18,640 claims
Case Management Services
Avg $178.71
18,056 claims
Podiatry (Foot Care)
Avg $9.01
16,003 claims