Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Worcester, MA: $15.59

Avg. Paid

$15.59

Range

$1.44 – $49.34

Total Claims

144,972

Providers

102

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 Worcester, MA

Provider	Avg. Paid	Claims	Patients
Mispa Shurri Sango 435 Shrewsbury St	$20.44	12	12
Emil L Tigas 55 Lake Ave N	$7.78	12	12
Exta Oppong Tweneboa 100 Century Dr	$23.55	12	12
Jessica L. Boatman Dray 291 Lincoln St	$35.26	12	12
Christina Boulet 309 Belmont St	$6.49	18	17
Gina Decene 123 Summer St	$13.43	28	28
Jayanthi Kumar 291 Lincoln St	$11.82	30	24
Gerald S Gleich 279 Lincoln St	$16.41	34	31
Anna G. Rudnicki 55 Lake Ave N	$20.19	41	40
Randall J. Morse 291 Lincoln St	$33.43	43	38
Shirley Pak So 291 Lincoln St	$9.35	46	40
Maria C Kim 55 Lake Ave N	$16.47	49	36
Robert Shertick 366 Shrewsbury St	$4.49	59	28
Saurabh Sharma 119 Belmont St	$5.34	65	48
Jessica Noga 55 Lake Ave N	$2.03	67	56
Community Healthlink Inc 12 Queen Street	$12.06	75	74
Erika N Zimmons 291 Lincoln St	$21.51	80	78
Cynthia Hall Sachs 630 Plantation St	$27.29	87	74
Margaret Oluwabamike Akintan 309 Belmont St	$8.18	87	85
Joseph Michael Laconte 1078 W Boylston St Ste 201	$13.68	95	93
Thomas R Patnaude 405 Grove St	$16.91	104	49
Erica Paulino 55 Lake Ave N	$4.66	112	70
Sophia Rose Hantzis 6 Congress St Apt 3	$6.54	113	76
Anthony Clive Bartley 123 Summer St	$17.20	123	122
Steven Peter West 405 Grove St	$16.98	159	156
Sudesh Kaul 123 Summer St	$11.40	172	78
Alyssa Simmarano 108 Grove St Ste 307-310	$16.58	174	127
Tara L Deso 385 Grove St	$21.60	176	112
Kristen A Prophet 25 Oriol Dr	$1.44	178	107
Nancyver Evraudy Lafleur-Omeler 115 Ne Cutoff Ste 200	$4.36	191	178
Sabine Erica Charles-Arbouet 25 Oriol Drive	$9.51	206	138
Faustina Odoi 47 Wilbur St	$20.38	224	150
Jonathan F. Ketchum 488 Pleasant St	$15.07	229	229
Madison Rae Dewolfe 67 Millbrook St	$11.16	230	144
Wynford Valentine Brome 55 Lake Ave N	$13.77	234	137
Hannah Liebman 119 Belmont St	$6.23	236	208
Megan Lynn Gajewski 10 Mechanic St	$9.19	237	223
Naomi A Baidoo 123 Summer St Ste 521	$16.34	251	196
Louisa Obenewa Asiamah 100 Grove St Ste 115	$4.37	255	181
Everlyne Njoroge 281 Lincoln St	$7.73	263	251
Kayla Hill 67 Millbrook St Ste 406A	$9.98	297	189
Cynthia Geronimo 26 Queen St	$29.44	305	117
Lauren R Pankiw 55 Lake Ave N	$8.23	305	117
Roberta Johnson 416 Belmont St	$11.02	314	195
Marylu Garrow 630 Plantation St	$30.93	351	258
Brittany Marie Westerman 189 May St	$3.22	378	116
Zahra Sardar Sheikh 291 Lincoln St	$18.24	383	346
Jamie M. Piette 630 Plantation St	$24.83	385	296
Grace Waithiegeni Muriithi 60A Apthorp St	$11.96	386	179
Anne M Crowell 630 Plantation St	$27.83	388	284

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 Worcester, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Worcester, MA is $15.59 per claim, based on 144,972 claims from 102 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 Worcester, MA?

There are 102 Medicaid providers offering Nursing Facility Care related services in Worcester, MA according to public payment data.

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

Medicaid reimbursement for Nursing Facility Care in Worcester, MA ranges from $1.44 to $49.34 per claim, with an average of $15.59. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Nursing Facility Care Payments in Worcester, MA: $15.59

Providers Offering Nursing Facility Care in Worcester, MA

What to Expect: Nursing Facility Care

Cost Components

Frequently Asked Questions

Nursing Facility Care in Other Cities

Chicago, IL

Bronx, NY

Las Vegas, NV

Brooklyn, NY

Phoenix, AZ

Tampa, FL

Jacksonville, FL

Indianapolis, IN

Other Procedures in Worcester, MA

Substance Abuse Treatment

Office Visit

Psychiatric Evaluation

Non-Emergency Medical Transportation

Home Health Visit

Dental Cleaning & Exam

Blood Work & Lab Tests

Behavioral & Mental Health Therapy