Average Medicaid Nursing Facility Care Payments in Santa Rosa, CA: $22.19
Avg. Paid
$22.19
Range
$0.00 – $277.13
Total Claims
22,621
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 Santa Rosa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Susan Lee Ahart
1049 4Th St |
$4.00 | 13 | 12 |
|
Kevin Grierson
2281 Cleveland Ave |
$0.00 | 20 | 20 |
|
Jennifer M. Clark
500 Doyle Park Dr Ste G04 |
$8.09 | 34 | 16 |
|
Nadhan Inc.
850 Sonoma Ave |
$196.41 | 40 | 39 |
|
Ashley Ltc Inc
446 Arrowood Dr |
$277.13 | 42 | 41 |
|
Santa Rosaidence Opco, Llc
4650 Hoen Ave |
$222.38 | 67 | 66 |
|
Ruth Nyamoita Volkenant
2308 Roburta Ln |
$3.99 | 68 | 37 |
|
Traditions Psychiatry Group, P.C
1287 Fulton Rd |
$1.58 | 77 | 38 |
|
Ensign Santa Rosa Llc
1280 Summerfield Rd |
$268.53 | 93 | 91 |
|
Timothy Louis Gieseke
3536 Mendocino Ave |
$30.82 | 138 | 104 |
|
Dr.Jennifer Hubert, Inc
4357 Montgomery Dr Ste G |
$7.03 | 202 | 194 |
|
Maija Carrie Kulp
4704 Hoen Ave |
$13.94 | 263 | 139 |
|
James E Hunt
1140 Sonoma Ave Ste 2 |
$20.73 | 307 | 263 |
|
Dominic Joseph Picetti
30 Mark West Springs Rd |
$18.15 | 319 | 266 |
|
Erin Danial
121 Sotoyome St Ste 201 |
$48.93 | 354 | 146 |
|
John Phillip Hurwitz Md A Professional Corporation
3751 Montgomery Dr |
$6.85 | 374 | 267 |
|
Larry Marianella, Md A Professional Corp.
1515 Montgomery Dr |
$6.57 | 622 | 492 |
|
Cassondra Yvette Hawkins
1165 Montgomery Dr |
$2.47 | 671 | 531 |
|
Jan O Sonander
990 Sonoma Ave Ste 19 |
$13.55 | 696 | 693 |
|
Larry Marianella
1515 Montgomery Dr |
$1.97 | 700 | 546 |
|
Derek Patrick Gong
16319 Third Street |
$8.34 | 852 | 334 |
|
Northern California Medical Assoc Inc
3536 Mendocino Ave |
$10.68 | 857 | 706 |
|
Jennifer Hubert
2751 4Th St |
$9.66 | 868 | 793 |
|
Ensign Montgomery Llc
3751 Montgomery Dr |
$208.29 | 877 | 835 |
|
Jack Waxman
4015 Quartz Dr |
$2.42 | 973 | 343 |
|
Larry Alan Smith
1041 4Th St |
$7.96 | 1,344 | 1,305 |
|
Seema S Rao
3536 Mendocino Ave Ste 300 |
$11.88 | 1,933 | 974 |
|
Eran Matalon
500 Doyle Park Dr |
$16.68 | 2,581 | 2,090 |
|
John Phillip Hurwitz
3751 Montgomery Dr |
$9.06 | 2,727 | 2,042 |
|
Jenelle Gonzalez
2360 Mendocino Ave Ste A4 |
$16.16 | 4,509 | 3,023 |
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 Rosa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Santa Rosa, CA is $22.19 per claim, based on 22,621 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 Santa Rosa, CA?
There are 30 Medicaid providers offering Nursing Facility Care related services in Santa Rosa, CA according to public payment data.
What is the price range for Nursing Facility Care in Santa Rosa, CA?
Medicaid reimbursement for Nursing Facility Care in Santa Rosa, CA ranges from $0.00 to $277.13 per claim, with an average of $22.19. 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 Rosa, CA
Office Visit
Avg $21.94
1,410,868 claims
Emergency Room Visit
Avg $93.87
505,118 claims
Blood Work & Lab Tests
Avg $10.43
454,321 claims
Substance Abuse Treatment
Avg $71.21
265,758 claims
X-Ray
Avg $16.73
255,609 claims
Dental Cleaning & Exam
Avg $50.06
255,325 claims
Non-Emergency Medical Transportation
Avg $40.57
251,882 claims
Psychiatric Evaluation
Avg $37.81
234,328 claims