Average Medicaid Nursing Facility Care Payments in West Covina, CA: $28.35
Avg. Paid
$28.35
Range
$1.01 – $211.89
Total Claims
16,096
Providers
18
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 West Covina, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Globe Nursing Np Prof Corp
933 S. Sunset Ave |
$17.46 | 15 | 15 |
|
Eurie Ahn
919 N Sunset Ave |
$1.91 | 42 | 26 |
|
Jair Wong
906 S Sunset Ave Ste 102 |
$7.92 | 62 | 54 |
|
Nelia Bautista Bulos
1626 S Willow Ave |
$35.85 | 70 | 68 |
|
Moeiz Khankhanian
933 S Sunset Ave |
$1.01 | 78 | 70 |
|
Frank Choe
1115 S Sunset Ave |
$3.35 | 88 | 85 |
|
Henry Rick Tseng
2707 E Valley Blvd Ste 303 |
$9.23 | 125 | 125 |
|
Alice Wambui
933 S Sunset Ave Ste 105 |
$15.68 | 220 | 219 |
|
Moiez Khankhanian, M.D. Inc
933 S Sunset Ave Ste 105 |
$9.05 | 256 | 253 |
|
Henry Tseng Dpm A Podiatric Medical Corporation
2707 E Valley Blvd Ste 303 |
$17.32 | 268 | 267 |
|
Lakshman D Makandura Md Inc
910 S Sunset Ave |
$7.78 | 296 | 258 |
|
Bimlesh Garg Md, Inc
1135 S Sunset Ave Ste 401 |
$211.89 | 1,242 | 1,241 |
|
Hemalatha R Parekh
333 N Sunset Ave |
$18.90 | 1,435 | 1,395 |
|
Hazel Abalos Evalle
1567 Reef |
$4.06 | 1,561 | 1,559 |
|
Lakshman D Makandura
910 S Sunset Ave |
$14.19 | 1,625 | 1,310 |
|
Bimlesh Garg
1135 S Sunset Ave Ste 401 |
$7.52 | 2,842 | 2,777 |
|
Anil Gupta Md Inc
1535 W Merced Ave Ste 301 |
$20.02 | 2,935 | 2,788 |
|
Anil Gupta
1535 W Merced Ave Ste 301 |
$13.26 | 2,936 | 2,790 |
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 West Covina, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in West Covina, CA is $28.35 per claim, based on 16,096 claims from 18 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 West Covina, CA?
There are 18 Medicaid providers offering Nursing Facility Care related services in West Covina, CA according to public payment data.
What is the price range for Nursing Facility Care in West Covina, CA?
Medicaid reimbursement for Nursing Facility Care in West Covina, CA ranges from $1.01 to $211.89 per claim, with an average of $28.35. 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 West Covina, CA
Office Visit
Avg $18.59
1,073,885 claims
Blood Work & Lab Tests
Avg $3.18
398,597 claims
Dental Cleaning & Exam
Avg $49.90
383,558 claims
Vaccines & Immunizations
Avg $2.95
312,564 claims
Physical Therapy
Avg $14.46
222,916 claims
Urinalysis & Urine Tests
Avg $1.39
183,574 claims
Emergency Room Visit
Avg $46.31
173,869 claims
Ultrasound
Avg $60.42
156,802 claims