Average Medicaid Nursing Facility Care Payments in Utica, NY: $8.96
Avg. Paid
$8.96
Range
$0.00 – $24.07
Total Claims
57,016
Providers
22
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 Utica, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cynthia Santiago
1001 Noyes St |
$0.00 | 13 | 12 |
|
Vivian Lee Greenfield
100 Seymour Rd |
$6.28 | 30 | 17 |
|
Soe Lwin Aye
120 Hobart St |
$24.07 | 44 | 21 |
|
Jeffery Ficano
120 Hobart St |
$12.20 | 169 | 168 |
|
Cathy Ella Jimmerson
1676 Sunset Ave |
$0.00 | 202 | 93 |
|
Dennis Blom
2202 Genesee St |
$3.28 | 208 | 128 |
|
Patrick C Keenan
2211 Genesee St Ste 200 |
$0.55 | 261 | 189 |
|
Hamerton David Jeanty
1656 Champlin Ave |
$1.84 | 304 | 284 |
|
Ashley Ross
1676 Sunset Ave Fl 1 |
$1.06 | 471 | 171 |
|
Mangala Patil
35 Riverside Dr. |
$8.22 | 582 | 577 |
|
Kareem Hamad
120 Hobart St |
$15.46 | 678 | 678 |
|
Joseph Michael Dimaria
120 Hobart St |
$11.13 | 1,050 | 971 |
|
Sudershan Kumar Dang
2701 Genesee St |
$14.85 | 1,758 | 1,326 |
|
Jessica Notte
40 Freedom Ct Apt L |
$6.04 | 1,909 | 1,391 |
|
Rachel A Colino
101 Herkimer Rd |
$7.69 | 1,949 | 1,446 |
|
Amina Djozo
230 N Genesee St |
$7.29 | 2,867 | 1,303 |
|
Jonathan Daniel Colino
101 Herkimer Rd |
$8.39 | 2,920 | 2,193 |
|
Amanda Pratt
1676 Sunset Ave # 4 |
$8.38 | 6,094 | 3,784 |
|
Elizabeth Cooley
35 Riverside Dr |
$11.19 | 6,707 | 6,568 |
|
Marilyn Davey Hubbard
502 Court St |
$7.66 | 7,227 | 6,390 |
|
Brittany Elizabeth Husnay
1676 Sunset Ave Fl 1 |
$7.23 | 9,576 | 5,791 |
|
Lisa Marie Holmes
2211 Genesee St |
$10.85 | 11,997 | 7,468 |
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 Utica, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Utica, NY is $8.96 per claim, based on 57,016 claims from 22 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 Utica, NY?
There are 22 Medicaid providers offering Nursing Facility Care related services in Utica, NY according to public payment data.
What is the price range for Nursing Facility Care in Utica, NY?
Medicaid reimbursement for Nursing Facility Care in Utica, NY ranges from $0.00 to $24.07 per claim, with an average of $8.96. 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 Utica, NY
Home Health Visit
Avg $146.48
1,418,271 claims
Blood Work & Lab Tests
Avg $8.00
866,904 claims
Office Visit
Avg $81.63
464,991 claims
Psychiatric Evaluation
Avg $105.72
272,745 claims
Case Management Services
Avg $314.51
242,895 claims
Emergency Room Visit
Avg $214.25
190,597 claims
Behavioral & Mental Health Therapy
Avg $80.73
172,741 claims
Urinalysis & Urine Tests
Avg $3.59
119,563 claims