Average Medicaid Nursing Facility Care Payments in Smithtown, NY: $7.25
Avg. Paid
$7.25
Range
$0.13 – $30.20
Total Claims
37,707
Providers
15
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 Smithtown, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Reuben David Burshtein
45 Terry Rd |
$7.23 | 13,280 | 13,232 |
|
Richard Samuel Gold
215 E Main St |
$8.04 | 5,500 | 3,164 |
|
Narinder Dawar
50 Route 25A |
$3.33 | 5,057 | 4,348 |
|
Lawrence Salob
100 Terry Rd Ste 309 |
$9.73 | 4,375 | 1,509 |
|
Devendra A Amin
11 Route 111 |
$12.49 | 3,052 | 2,900 |
|
Liza Gaeta
391 N Country Rd |
$7.23 | 2,201 | 1,032 |
|
Kenneth Eugene Coombs
154 Terry Rd |
$4.84 | 1,981 | 1,966 |
|
Rachel Anne Demaio
994 W Jericho Tpke |
$1.63 | 1,187 | 375 |
|
Keisha Antoinette Mahoney
20 Steven Pl |
$3.96 | 468 | 270 |
|
Barbara-Anne Johnson
100 Maple Ave |
$0.13 | 204 | 92 |
|
Niti Praveen Mohan
285 Middle Country Rd |
$21.67 | 114 | 107 |
|
Navpreet Singh
994 W Jericho Tpke Ste 104 |
$8.31 | 98 | 42 |
|
Kate Aileen Lindstadt
50 Route 25A |
$4.19 | 89 | 87 |
|
Michael Bishai
50 Route 25A |
$30.20 | 87 | 63 |
|
Carole Randi Capparelli
50 Route 25A |
$6.55 | 14 | 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 Smithtown, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Smithtown, NY is $7.25 per claim, based on 37,707 claims from 15 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 Smithtown, NY?
There are 15 Medicaid providers offering Nursing Facility Care related services in Smithtown, NY according to public payment data.
What is the price range for Nursing Facility Care in Smithtown, NY?
Medicaid reimbursement for Nursing Facility Care in Smithtown, NY ranges from $0.13 to $30.20 per claim, with an average of $7.25. 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 Smithtown, NY
Home Health Visit
Avg $181.73
548,593 claims
Office Visit
Avg $102.70
256,273 claims
Blood Work & Lab Tests
Avg $6.43
77,459 claims
EKG / ECG (Electrocardiogram)
Avg $9.94
61,147 claims
Urinalysis & Urine Tests
Avg $2.49
47,277 claims
Dental Cleaning & Exam
Avg $39.64
44,072 claims
Psychiatric Evaluation
Avg $59.79
42,632 claims
Pathology & Lab Services
Avg $14.98
41,667 claims