Average Medicaid Nursing Facility Care Payments in Springfield, MA: $14.71
Avg. Paid
$14.71
Range
$0.46 – $52.64
Total Claims
130,669
Providers
76
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 Springfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anissa H Newman
759 Chestnut St |
$13.99 | 9,926 | 6,774 |
|
Nathaniel Christoph
300 Stafford St Ste 200 |
$16.83 | 7,911 | 4,993 |
|
Christina F Dinis
354 Birnie Ave |
$12.88 | 7,631 | 5,624 |
|
Elizabeth J Woods
354 Birnie Ave |
$7.89 | 6,156 | 2,339 |
|
Caitlin Jones
300 Stafford St Ste 200 |
$12.08 | 6,092 | 3,480 |
|
Shadrack Masoo-Waita Maingi
819 Worcester St Ste 1 |
$20.14 | 5,983 | 3,608 |
|
Marc Evarist Aube
300 Stafford St Ste 200 |
$20.21 | 5,600 | 3,507 |
|
Raul Octaviani
Baystate Medical Ctr |
$11.84 | 5,282 | 3,040 |
|
Jessica L Rodrigues
354 Birnie Ave |
$11.04 | 5,020 | 2,022 |
|
Nicole Hunt
Ipc Hospitalists Of New England, Pc |
$7.50 | 4,995 | 2,806 |
|
Autumn M Fiedler
300 Stafford St Ste 210 |
$14.95 | 4,723 | 2,654 |
|
Maura J Squires
300 Stafford St |
$14.06 | 3,993 | 2,013 |
|
Katharine Badger
354 Birnie Ave |
$19.87 | 3,801 | 2,331 |
|
Jared Anthony Dias
52 Devens St |
$7.87 | 3,622 | 3,335 |
|
Terri Marie Morris
819 Worcester St Ste 1 |
$24.57 | 3,532 | 1,907 |
|
Michelle R. Filiau
819 Worcester St Ste 1 |
$12.39 | 3,287 | 1,170 |
|
Kiana Yazdifard
300 Stafford St Ste 200 |
$17.28 | 3,226 | 2,522 |
|
Betty Cheng
819 Worcester St Ste 1 |
$5.49 | 2,509 | 1,229 |
|
Vanessa Lynnette Veit
819 Worcester St Ste 3 |
$7.91 | 2,505 | 2,080 |
|
Fariyda Mulrain
819 Worcester St |
$8.69 | 2,366 | 1,287 |
|
Charmaine B. Webley
57 Biltmore St |
$4.91 | 2,302 | 1,647 |
|
Rami Antonious Ashkar
354 Birnie Ave, Ste 202 - Attn: Pgreaney |
$23.49 | 2,204 | 2,123 |
|
Paul Pricop
819 Worcester St Ste 3 |
$23.16 | 1,906 | 1,106 |
|
Oliver Johnson
819 Worcester St Ste 1 |
$18.06 | 1,905 | 1,146 |
|
Ipc Hospitalists Of New England, P.C.
819 Worcester St |
$16.05 | 1,889 | 1,007 |
|
Karen S Lucas
3500 Main Street |
$16.54 | 1,876 | 847 |
|
Rohit Rattan
759 Chestnut Street |
$8.62 | 1,337 | 654 |
|
Luybang Trinh
300 Stafford St |
$17.72 | 1,320 | 885 |
|
Gerald S Steinberg
354 Birnie Ave |
$27.51 | 1,276 | 964 |
|
Savitha R Tudi
819 Worcester St Ste 3 |
$16.95 | 1,151 | 819 |
|
Myungjee Kang
125 Liberty St Ste 205 |
$9.77 | 1,137 | 374 |
|
Omar S. Abduljabar
759 Chestnut St |
$44.09 | 950 | 572 |
|
Lauren Cantin
759 Chestnut St |
$19.47 | 930 | 570 |
|
Haley E Fiske
819 Worcester St Ste 1 |
$6.24 | 848 | 358 |
|
Brittany Chew
759 Chestnut St # S6538 |
$8.07 | 779 | 346 |
|
Alfred O Adegboyegun
759 Chestnut St |
$13.94 | 775 | 302 |
|
Curana Health Of Massachusetts Llc
819 Worcester St Ste 1 |
$41.19 | 744 | 269 |
|
Kendra Christine Jarrell
1049 Main St |
$18.56 | 730 | 454 |
|
Joshua Maldonado
819 Worcester St Ste 1 |
$12.65 | 691 | 364 |
|
Tabitha L Harris
3300 Main Street |
$27.32 | 608 | 339 |
|
Matthew Jacob Aronson
819 Worcester St Ste 3 |
$4.66 | 510 | 297 |
|
Tanner Mark Bzdel
759 Chestnut St Ste C3350 |
$8.98 | 478 | 155 |
|
Alyssa Desmarais
3455 Main St Ste 5 |
$4.95 | 471 | 366 |
|
Michelle Ana Figueroa
819 Worcester St Ste 1 |
$9.61 | 469 | 184 |
|
Andrea Hutchins Sickinger
354 Birnie Ave |
$10.46 | 380 | 286 |
|
Jessica D Zepke
759 Chestnut St |
$13.04 | 347 | 172 |
|
Pamela Lynn Hannon
819 Worcester St Ste 1 |
$3.90 | 346 | 185 |
|
Vishal Reddy Kuchaculla
819 Worcester St |
$16.54 | 275 | 247 |
|
Sunders Dorcely
3400 Main St |
$35.61 | 272 | 221 |
|
Shuqin Xing
140 High Street |
$22.11 | 265 | 214 |
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 Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Springfield, MA is $14.71 per claim, based on 130,669 claims from 76 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 Springfield, MA?
There are 76 Medicaid providers offering Nursing Facility Care related services in Springfield, MA according to public payment data.
What is the price range for Nursing Facility Care in Springfield, MA?
Medicaid reimbursement for Nursing Facility Care in Springfield, MA ranges from $0.46 to $52.64 per claim, with an average of $14.71. 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 Springfield, MA
Substance Abuse Treatment
Avg $20.44
8,386,620 claims
Office Visit
Avg $71.94
2,654,243 claims
Blood Work & Lab Tests
Avg $7.91
2,608,014 claims
Psychiatric Evaluation
Avg $77.04
2,573,099 claims
Behavioral & Mental Health Therapy
Avg $146.55
1,190,715 claims
Emergency Room Visit
Avg $119.65
960,403 claims
Non-Emergency Medical Transportation
Avg $22.82
911,143 claims
Personal Care Services
Avg $86.61
764,746 claims