Average Medicaid Nursing Facility Care Payments in Scranton, PA: $12.59
Avg. Paid
$12.59
Range
$0.00 – $47.87
Total Claims
12,788
Providers
27
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 Scranton, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wendy Nicole Bell
531 Mt Pleasant Dr |
$19.96 | 20 | 12 |
|
Jessica Linette Redding
2603 Stafford Ave |
$8.91 | 24 | 12 |
|
Alejandro Fernando
5 Morgan Hwy Ste 4 |
$0.00 | 27 | 16 |
|
Qi Shi
1800 Mulberry St |
$6.33 | 29 | 25 |
|
Hassan Nabil Zaidi
746 Jefferson Ave |
$0.00 | 51 | 25 |
|
Maura Papi
1800 Mulberry St |
$0.04 | 51 | 29 |
|
Tyler Greenberg
1800 Mulberry St |
$37.62 | 66 | 42 |
|
Corinna Jay Kirkpatrick
1141 Moosic St |
$0.00 | 73 | 43 |
|
Yasmeen Natale
5 Morgan Hwy |
$0.00 | 76 | 71 |
|
Megan Elyse Conforti
531 Mt Pleasant Dr |
$14.33 | 84 | 63 |
|
Kyle Peter Woolfolk
531 Mt Pleasant Dr |
$1.80 | 88 | 53 |
|
Daniel Joseph Kazmierski
1789 N Keyser Ave |
$2.04 | 90 | 87 |
|
The Wright Center Medical Group
501 S Washington Ave |
$5.06 | 145 | 132 |
|
Daniel Reese Shust
802 Jefferson Ave |
$5.58 | 188 | 182 |
|
Debbianne Dymek
1800 Mulberry St |
$15.81 | 291 | 144 |
|
Michele Hadley
1800 Mulberry St. |
$14.27 | 384 | 352 |
|
Michael G Gilhooley
821 Oak St |
$17.76 | 413 | 395 |
|
Jaya Gujjarlapudi
1800 Mulberry St |
$4.60 | 415 | 403 |
|
Meghan Ann Walsh
5 Morgan Hwy |
$33.37 | 508 | 207 |
|
Prachiben Patel
1405 Mulberry St |
$4.90 | 546 | 272 |
|
Isis Miller
300 Lackawanna Ave Ste 200 |
$11.66 | 666 | 572 |
|
Yitzchok Barry Kurtzer
1405 Mulberry St |
$22.15 | 669 | 351 |
|
Samuel A Valenti
5 Morgan Hwy |
$47.87 | 764 | 510 |
|
Thomas L Minora
2232 Pittston Ave |
$12.78 | 879 | 851 |
|
Barry A Minora
128-130 W Market St |
$17.31 | 949 | 922 |
|
Victoria Romano
1800 Mulberry St |
$1.89 | 1,162 | 932 |
|
Farrukh Saleem Khokhar
501 Madison Ave |
$6.41 | 4,130 | 1,556 |
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 Scranton, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Scranton, PA is $12.59 per claim, based on 12,788 claims from 27 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 Scranton, PA?
There are 27 Medicaid providers offering Nursing Facility Care related services in Scranton, PA according to public payment data.
What is the price range for Nursing Facility Care in Scranton, PA?
Medicaid reimbursement for Nursing Facility Care in Scranton, PA ranges from $0.00 to $47.87 per claim, with an average of $12.59. 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
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 Scranton, PA
Personal Care Services
Avg $73.39
2,291,778 claims
Office Visit
Avg $32.17
570,589 claims
Blood Work & Lab Tests
Avg $10.57
147,659 claims
Case Management Services
Avg $120.81
90,390 claims
Eye Exam
Avg $25.08
86,941 claims
Vaccines & Immunizations
Avg $2.72
86,662 claims
Emergency Room Visit
Avg $84.18
70,317 claims
Dental Cleaning & Exam
Avg $26.20
52,605 claims