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 |
|---|---|---|---|
|
Charles S Mills
630 Plantation St |
$3.17 | 11,278 | 5,223 |
|
Addie Lawrence
416 Belmont St |
$10.52 | 9,425 | 3,703 |
|
Bogdan Nedelescu
405 Grove St |
$14.56 | 8,974 | 6,524 |
|
Abraham Ballah
1 W Boylston St |
$19.42 | 8,378 | 7,477 |
|
Nancy G Said
1 W Boylston St |
$34.74 | 8,186 | 7,694 |
|
Princess A Caesar
11 Gibbs St Unit G104 |
$30.77 | 8,116 | 4,319 |
|
Mary Howard
600 Main St Apt 1004 |
$6.11 | 7,269 | 6,844 |
|
Shideh Amirifeli
281 Lincoln St |
$23.24 | 6,141 | 4,803 |
|
Ralph A Brutus
189 May St |
$9.56 | 5,933 | 5,805 |
|
Naomi Oti
55 Lake Ave N |
$4.12 | 4,654 | 3,951 |
|
Amanda Murray
416 Belmont St |
$5.68 | 4,348 | 2,862 |
|
Saqib N Chaudhary
119 Belmont St |
$22.65 | 4,164 | 3,675 |
|
Maria C Dunn
119 Belmont St |
$14.10 | 3,422 | 2,029 |
|
Darold Trinh
19 Foster St |
$13.16 | 2,745 | 1,024 |
|
Margaret Alice Traynham
100 Grove St Ste 210 |
$8.98 | 2,614 | 1,352 |
|
Chidimma I Okoli
100 Grove St Ste 210 |
$13.90 | 2,447 | 1,786 |
|
Kristen M Derosa
416 Belmont St |
$27.65 | 2,324 | 687 |
|
Juffred Colon
55 Lake Ave N |
$30.25 | 2,127 | 1,408 |
|
Kathleen Marie Spadoni
416 Belmont St |
$5.19 | 2,079 | 1,117 |
|
Adekunle A. Fajana
390 Main St |
$26.89 | 2,024 | 1,767 |
|
Amanda Jane-Bean Clancey
416 Belmont St |
$9.59 | 1,849 | 1,207 |
|
Kathleen M Juchno
291 Lincoln St |
$15.97 | 1,827 | 1,337 |
|
Irfan Asghar
630 Plantation St |
$15.17 | 1,554 | 1,377 |
|
Rita J Semaan
1 W Boylston St |
$12.00 | 1,527 | 1,263 |
|
Helen D. Gilbert
72 Jaques Ave |
$14.14 | 1,502 | 1,459 |
|
Stephanie C. Rondeau
55 Lake Ave N |
$7.21 | 1,438 | 1,299 |
|
Kerrianne O'Brien Barreto
416 Belmont St |
$4.29 | 1,399 | 772 |
|
Jan H Brozovsky
630 Plantation St |
$34.02 | 1,368 | 1,184 |
|
Christine E. Pierre
26 Queen St |
$12.66 | 1,318 | 874 |
|
Karla A. Hanson
475 Pleasant St Ste D |
$8.11 | 1,126 | 927 |
|
Katya Ostrovsky
291 Lincoln St |
$12.52 | 1,096 | 839 |
|
Cara A Simpson
385 Grove St |
$28.38 | 1,038 | 754 |
|
Sarah Tabela
123 Summer St |
$11.76 | 1,028 | 479 |
|
Nancy Schwartz Swayze
630 Plantation St |
$31.90 | 990 | 885 |
|
Paula Flanagan
530 Plantation St |
$23.46 | 969 | 591 |
|
Vicki L Stone
299 Lincoln St Ste 202 |
$4.83 | 857 | 811 |
|
Nicole Tzvetkova
55 Lake Ave N |
$12.42 | 834 | 471 |
|
Rose Marie Nyakako
19 Tacoma St |
$4.23 | 766 | 565 |
|
Jessica Elizabeth Valletta
119 Belmont St |
$20.29 | 707 | 504 |
|
Alfred K Sloss
55 Lake Ave N |
$14.35 | 678 | 468 |
|
Jennifer A. Stanhope
630 Plantation St |
$9.78 | 660 | 443 |
|
Judi Gachunga Machira
366 Shrewsbury St |
$6.07 | 625 | 344 |
|
Charles Z Fang
55 Lake Ave N |
$6.47 | 597 | 440 |
|
Emily B Lachiatto
189 May St |
$26.45 | 525 | 360 |
|
Elizabeth Woodcome Howard
119 Belmont St |
$21.28 | 519 | 383 |
|
Suhasini R Iyer
119 Belmont St |
$11.49 | 518 | 416 |
|
Linda M Pellegrini
291 Lincoln St |
$18.99 | 503 | 410 |
|
Comfort Animah Boampong
425, North Lake Ave |
$49.34 | 458 | 248 |
|
Alice A Fannin
630 Plantation St |
$30.29 | 440 | 399 |
|
Bessie L Hazard
1West Boylston Street |
$14.77 | 435 | 410 |
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.
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 Worcester, MA
Substance Abuse Treatment
Avg $21.52
6,777,067 claims
Office Visit
Avg $63.47
2,032,687 claims
Psychiatric Evaluation
Avg $73.77
1,006,360 claims
Non-Emergency Medical Transportation
Avg $31.12
1,000,136 claims
Home Health Visit
Avg $34.51
979,234 claims
Dental Cleaning & Exam
Avg $35.51
850,672 claims
Blood Work & Lab Tests
Avg $12.59
846,391 claims
Behavioral & Mental Health Therapy
Avg $166.04
808,172 claims