Average Medicaid Nursing Facility Care Payments in Shamokin, PA: $1.80
Avg. Paid
$1.80
Range
$0.00 – $5.86
Total Claims
2,530
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 Shamokin, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wayne Robert Miller
255 W Spruce St |
$0.00 | 1,361 | 854 |
|
Peter Abraham Evans
23 E Independence St |
$5.86 | 777 | 763 |
|
Paul William Hixon
255 W Spruce St |
$0.02 | 242 | 172 |
|
Miller Donmoyer Family Health Center Llc
255 W Spruce St |
$0.00 | 135 | 85 |
|
Duane R. Donmoyer
255 W Spruce St |
$0.00 | 15 | 14 |
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 Shamokin, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Shamokin, PA is $1.80 per claim, based on 2,530 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 Shamokin, PA?
There are 5 Medicaid providers offering Nursing Facility Care related services in Shamokin, PA according to public payment data.
What is the price range for Nursing Facility Care in Shamokin, PA?
Medicaid reimbursement for Nursing Facility Care in Shamokin, PA ranges from $0.00 to $5.86 per claim, with an average of $1.80. 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
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Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Shamokin, PA
Office Visit
Avg $11.12
23,495 claims
Physical Therapy
Avg $18.48
14,933 claims
Speech Therapy
Avg $5.60
11,680 claims
Durable Medical Equipment (DME)
Avg $35.75
9,762 claims
Ambulance Transport
Avg $174.24
9,257 claims
Eye Exam
Avg $30.11
6,472 claims
Chiropractic Care
Avg $11.41
5,295 claims
Podiatry (Foot Care)
Avg $5.01
2,930 claims