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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in West Springfield, MA: $15.62

Avg. Paid

$15.62

Range

$1.04 – $39.01

Total Claims

124,081

Providers

40

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 Springfield, MA

Provider Avg. Paid Claims Patients
West Central Family & Counseling, Ltd

103 Myron St

 $39.01 31,388 28,596
Ashley Bullen

103 Myron St

 $4.95 6,893 6,141
Mary Gorski

1132 Westfield St

 $5.91 6,232 5,743
Lucy Wambui Muigai

103 Myron St

 $10.07 6,179 3,126
Nancy W Huggins

103 Myron St

 $14.41 5,542 4,754
Kyle Schilling

103 Myron St Ste A

 $7.83 5,509 5,087
Miriam Paris

103 Myron St

 $5.85 5,374 4,572
Taylor Morgan

103 Myron St Ste A

 $5.63 4,930 4,478
Colleen L Slysz

103 Myron St

 $6.24 4,486 3,967
Jennifer Saari

1132 Westfield St

 $6.82 4,485 4,350
Jennifer Olivier

103 Myron St

 $5.78 4,374 3,901
Kathleen Whitcomb

103 Myron St Ste A

 $5.74 4,354 4,080
More Chingor

103 Myron St Ste A

 $6.86 3,594 3,327
Sun Weaver

103 Myron St

 $7.89 3,546 2,915
Abila Benazea

103 Myron St

 $18.80 3,427 2,086
Nadeem A. Sheikh

249 Westfield St

 $6.57 2,520 2,449
Kayla Elgin

103 Myron St

 $4.05 2,490 2,324
Donna M Whyte

103 Myron St

 $7.26 2,368 1,954
Mercy Mbuthia

103 Myron St

 $3.68 1,985 1,887
Ashley Correll

103 Myron St Ste A

 $3.75 1,752 1,514
Eileen M Berge

30 Capital Dr

 $16.14 1,534 666
Aleena Shakya

103 Myron St Ste A

 $2.20 1,431 1,338
Carol Ann Boyce

103 Myron St

 $3.72 1,349 1,211
Nadine Armelle Collier

103 Myron St Ste A

 $5.11 1,277 1,159
Diane M Murphy

103 Myron St

 $7.58 1,248 1,140
Diana Hanan

103 Myron St

 $5.13 789 708
Olga Gaftanyuk

1132 Westfield St

 $9.46 653 645
Zhibin Fang

103 Myron St Ste A

 $15.06 632 603
Jennifer Bertolasio Mol

134 Capital Dr Ste E

 $16.79 589 426
Finlay Oguku

46 Daggett Drive

 $17.30 548 353
Charles Richard Forbes

103 Myron St Ste A

 $20.21 475 474
Ricardo A Mujica

1132 Westfield St

 $13.01 445 424
Eleni M Klostri

103 Myron St Ste A

 $6.92 438 421
Cassandra Os

103 Myron St Ste A

 $5.07 406 373
Maura Carney Ford

123 Park Ave

 $9.39 301 123
Suzanne T Jorey

46 Daggett Dr

 $5.67 158 129
Lindsay Messina

103 Myron St

 $9.89 137 97
Penina Njeri Marenge

103 Myron St Ste A

 $3.55 128 119
Jessica P. Fleming

103 Myron St Ste A

 $1.04 100 89
Kerry L Bloomingdale

1132 Westfield St

 $16.81 15 13

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 Springfield, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in West Springfield, MA is $15.62 per claim, based on 124,081 claims from 40 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 Springfield, MA?

There are 40 Medicaid providers offering Nursing Facility Care related services in West Springfield, MA according to public payment data.

What is the price range for Nursing Facility Care in West Springfield, MA?

Medicaid reimbursement for Nursing Facility Care in West Springfield, MA ranges from $1.04 to $39.01 per claim, with an average of $15.62. 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 Springfield, MA

Non-Emergency Medical Transportation

Avg $22.81

453,715 claims

Office Visit

Avg $63.17

284,965 claims

Home Health Visit

Avg $38.25

233,518 claims

Psychiatric Evaluation

Avg $57.13

218,326 claims

Physical Therapy

Avg $19.87

140,713 claims

Dental Cleaning & Exam

Avg $41.34

90,729 claims

Behavioral & Mental Health Therapy

Avg $192.98

78,003 claims

Durable Medical Equipment (DME)

Avg $29.84

62,815 claims