Average Medicaid Nursing Facility Care Payments in Sewickley, PA: $22.09
Avg. Paid
$22.09
Range
$6.32 – $26.08
Total Claims
8,611
Providers
5
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 Sewickley, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Veronica Baca
720 Blackburn Rd |
$24.74 | 3,659 | 2,473 |
|
Brooke N Kocher
1502 Laplace Point Ct Apt 30 |
$24.18 | 2,765 | 2,125 |
|
Lisa M Dusch
701 Broad St |
$16.38 | 1,392 | 748 |
|
Emad Saad Beshay
2593 Wexford Bayne Rd |
$6.32 | 542 | 537 |
|
Erin Mcdonough-Mayo
701 Broad St |
$26.08 | 253 | 221 |
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 Sewickley, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Sewickley, PA is $22.09 per claim, based on 8,611 claims from 5 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 Sewickley, PA?
There are 5 Medicaid providers offering Nursing Facility Care related services in Sewickley, PA according to public payment data.
What is the price range for Nursing Facility Care in Sewickley, PA?
Medicaid reimbursement for Nursing Facility Care in Sewickley, PA ranges from $6.32 to $26.08 per claim, with an average of $22.09. 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 Sewickley, PA
Office Visit
Avg $49.62
52,358 claims
Case Management Services
Avg $77.20
33,838 claims
Blood Work & Lab Tests
Avg $5.16
18,191 claims
Emergency Room Visit
Avg $87.06
16,982 claims
Podiatry (Foot Care)
Avg $3.55
11,565 claims
Physical Therapy
Avg $79.34
6,304 claims
Vaccines & Immunizations
Avg $12.08
5,964 claims
Hearing Test (Audiometry)
Avg $4.08
5,878 claims