Average Medicaid Nursing Facility Care Payments in Santa Monica, CA: $51.77
Avg. Paid
$51.77
Range
$0.00 – $129.79
Total Claims
135,686
Providers
39
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 Santa Monica, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Oceanside Medical Group, A Medical Corporation
701 Santa Monica Blvd |
$129.79 | 30,461 | 28,197 |
|
Elliot L. Goldman
1301 20Th St |
$37.62 | 26,824 | 1,971 |
|
Respiratory Consultants Of Santa Monica
1301 20Th St |
$40.67 | 24,065 | 1,573 |
|
Jimmy C. Huang, D.O. A Professional Corp.
2210 Santa Monica Blvd. |
$24.79 | 13,761 | 10,366 |
|
Sharwin Tafazoli
1819 Washington Ave Apt A |
$16.27 | 10,673 | 3,829 |
|
Niceto Lopez, M.D., A.P.C.
2121 Santa Monica Blvd |
$24.66 | 6,925 | 2,774 |
|
Hugo Gozos
701 Santa Monica Blvd Ste 230 |
$6.06 | 2,910 | 2,811 |
|
Hossein Babaali
2428 Santa Monica Blvd Ste 402 |
$33.00 | 2,779 | 1,386 |
|
Misbah Akbar
2121 Wilshire Blvd Ste 303 |
$4.14 | 2,478 | 1,057 |
|
James E. Burrows
1301 20Th St |
$18.16 | 2,400 | 2,224 |
|
Bernard Weintraub Md Inc
2001 Santa Monica Blvd |
$23.24 | 1,816 | 452 |
|
Jacob Daniel Hattenbach
2021 Santa Monica Blvd Ste 200E |
$5.30 | 1,731 | 871 |
|
Gadson John Johnson
701 Santa Monica Blvd |
$46.54 | 1,582 | 1,407 |
|
Catherine Lee
928 11Th St Apt 4 |
$4.12 | 1,124 | 340 |
|
Bernard S Weintraub
2001 Santa Monica Blvd |
$19.13 | 1,082 | 264 |
|
Neil Patel
2001 Santa Monica Blvd Ste 465W |
$4.08 | 974 | 961 |
|
Susanna Ovsepyan
701 Santa Monica Blvd Ste 230 |
$12.08 | 649 | 472 |
|
Margarita Maghtesyan
2001 Santa Monica Blvd |
$21.31 | 542 | 538 |
|
Navid Darouian
2424 Wilshire Blvd |
$31.24 | 422 | 256 |
|
Fawad Zafar-Khan
2021 Santa Monica Blvd Ste 710E |
$14.21 | 396 | 220 |
|
Christine Sun
1250 16Th St # C2304 |
$29.52 | 347 | 254 |
|
Suchir Ketan Sheth
2001 Santa Monica Blvd Ste 465W |
$3.17 | 331 | 328 |
|
Providence Saint Johns Medical Foundation
2121 Santa Monica Blvd |
$26.74 | 256 | 128 |
|
Ocean Physiatry, P.C.
928 11Th St Apt 4 |
$0.00 | 186 | 58 |
|
John Rabin
171 Pier Ave # 253 |
$10.04 | 161 | 157 |
|
Alanna Chau
1250 16Th Street |
$39.12 | 149 | 93 |
|
Jeanney Kang
1250 16Th St # C2304 |
$25.93 | 104 | 87 |
|
Li Zhou
1250 16Th St # C2304 |
$39.50 | 99 | 80 |
|
Roger Ming-Huang Lee
124516Th St |
$25.21 | 81 | 44 |
|
Jelissa Ashley Mooyin
1250 16Th St |
$21.90 | 77 | 58 |
|
Sunil G. Sujan
838 19Th St Apt 5 |
$8.05 | 77 | 71 |
|
Jacqueline L. Kraetzer
625 Montana Ave Ste E |
$21.22 | 68 | 40 |
|
Amy Adams
1328 Twenty Second Street |
$7.54 | 27 | 27 |
|
Jessica Finley
1811 Wilshire Blvd Ste 201 |
$30.83 | 26 | 18 |
|
Noelle Boctor
1250 16Th St # C2304 |
$33.85 | 26 | 12 |
|
Sydney Karl Yau
2121 Wilshire Blvd |
$0.00 | 23 | 14 |
|
Sean Delshad
1250 16Th St # C2304 |
$38.09 | 20 | 14 |
|
Retha Goodglick
2121 Santa Monica Blvd |
$29.82 | 17 | 13 |
|
Alexander Bryce Williams Niculescu
2021 Santa Monica Blvd Ste 245E |
$31.38 | 17 | 17 |
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 Santa Monica, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Santa Monica, CA is $51.77 per claim, based on 135,686 claims from 39 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 Santa Monica, CA?
There are 39 Medicaid providers offering Nursing Facility Care related services in Santa Monica, CA according to public payment data.
What is the price range for Nursing Facility Care in Santa Monica, CA?
Medicaid reimbursement for Nursing Facility Care in Santa Monica, CA ranges from $0.00 to $129.79 per claim, with an average of $51.77. 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 Santa Monica, CA
Office Visit
Avg $22.57
373,557 claims
Blood Work & Lab Tests
Avg $4.49
329,206 claims
X-Ray
Avg $8.96
258,632 claims
Emergency Room Visit
Avg $63.11
219,456 claims
Dental Cleaning & Exam
Avg $54.55
178,189 claims
Ultrasound
Avg $30.17
163,467 claims
CT Scan (Computed Tomography)
Avg $61.05
127,182 claims
Urinalysis & Urine Tests
Avg $3.24
89,293 claims