Average Medicaid Nursing Facility Care Payments in Waltham, MA: $14.67
Avg. Paid
$14.67
Range
$0.00 – $44.17
Total Claims
21,336
Providers
13
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 Waltham, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rosemary A Storer
950 Winter St |
$10.17 | 6,181 | 3,932 |
|
Jan M Hutton
950 Winter St |
$15.69 | 4,556 | 2,998 |
|
Roya Leigh Clements
950 Winter St |
$12.00 | 4,108 | 2,726 |
|
Kristen Marie Shoar
950 Winter St |
$8.47 | 1,820 | 1,246 |
|
Francisca Monterola Adams
950 Winter St |
$23.54 | 1,635 | 1,599 |
|
Veenu Thakur
20 Hope Ave Ste 204 |
$12.86 | 1,094 | 909 |
|
Miriam Lopes Nakasi
33 Lexington St |
$44.17 | 1,090 | 685 |
|
Beatrice Kamya
4206 Stearns Hill Rd |
$14.16 | 436 | 271 |
|
Priscilla I Nwachukwu
200 Trapelo Rd |
$20.87 | 135 | 122 |
|
John David Hackett
9 Hope Aveneu |
$13.54 | 115 | 107 |
|
Richard Joseph Waitt
950 Winter St |
$23.69 | 98 | 50 |
|
Caroline Claire O'Donnell
9 Hope Ave |
$7.78 | 52 | 50 |
|
Jacquelyn Nestor
271 Waverley Oaks Rd Ste 402 |
$0.00 | 16 | 12 |
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 Waltham, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Waltham, MA is $14.67 per claim, based on 21,336 claims from 13 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 Waltham, MA?
There are 13 Medicaid providers offering Nursing Facility Care related services in Waltham, MA according to public payment data.
What is the price range for Nursing Facility Care in Waltham, MA?
Medicaid reimbursement for Nursing Facility Care in Waltham, MA ranges from $0.00 to $44.17 per claim, with an average of $14.67. 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 Waltham, MA
Non-Emergency Medical Transportation
Avg $33.95
260,807 claims
Dental Cleaning & Exam
Avg $38.21
163,622 claims
Behavioral & Mental Health Therapy
Avg $108.98
65,023 claims
Office Visit
Avg $51.98
64,014 claims
Blood Work & Lab Tests
Avg $4.02
57,809 claims
Vaccines & Immunizations
Avg $10.90
36,552 claims
Personal Care Services
Avg $73.66
36,404 claims
Speech Therapy
Avg $40.00
23,845 claims