Average Medicaid Nursing Facility Care Payments in West Pittston, PA: $11.52
Avg. Paid
$11.52
Range
$6.36 – $20.59
Total Claims
2,480
Providers
6
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 Pittston, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Albert David Janerich
901 Wyoming Ave |
$7.77 | 898 | 464 |
|
Michael C Baloga
810 Wyoming Ave |
$16.67 | 828 | 791 |
|
Joseph Radzwilka
901 Wyoming Ave |
$6.42 | 364 | 364 |
|
Felicia Bock
810 Wyoming Ave |
$20.59 | 158 | 157 |
|
Nichole Flynn
225 Parke St |
$6.36 | 140 | 98 |
|
Nicholas Andrew Keefer
810 Wyoming Ave |
$14.24 | 92 | 92 |
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 Pittston, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in West Pittston, PA is $11.52 per claim, based on 2,480 claims from 6 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 Pittston, PA?
There are 6 Medicaid providers offering Nursing Facility Care related services in West Pittston, PA according to public payment data.
What is the price range for Nursing Facility Care in West Pittston, PA?
Medicaid reimbursement for Nursing Facility Care in West Pittston, PA ranges from $6.36 to $20.59 per claim, with an average of $11.52. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Nursing Facility Care in Other Cities
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Avg $21.36
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Bronx, NY
Avg $12.93
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Las Vegas, NV
Avg $32.97
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Brooklyn, NY
Avg $13.63
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Phoenix, AZ
Avg $42.43
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Tampa, FL
Avg $5.95
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Indianapolis, IN
Avg $12.89
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