Skilled Nursing Facility
Nursing & Custodial Care Facilities › Skilled Nursing Facility
About this specialty
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.
Highest Medicare-paid providers
| Provider | Location | Medicare paid |
|---|---|---|
| ELSIE JUSTILIEN, NP | PLANTATION, FL | $776,970 |
| OLUWASEGUN ADEPOJU, OTR/L | SILVER SPRING, MD | $170,239 |
| JAIMIE FORBES, MSPT | PEORIA, AZ | $75,380 |
| ALICIA BELL | ATLANTA, GA | $55,008 |
| TRI- COUNTY MOBILE X RAY INC. | VINEMONT, AL | $54,838 |
| SARAH COULTER, MSPT | LEBANON, KY | $52,888 |
| REBECCA WOLD, OTR/L | RAPID CITY, SD | $15,911 |
| LEON HASTINGS, MOT/L | BRIDGEPORT, WV | $13,665 |
| CHARMAIN LAVENDER, OTR/L | TAMPA, FL | $12,008 |
| JENNIFER HOWLAND, MA CCC/SLP | ANDERSON, SC | $11,655 |
Ranked by total Medicare payments — a measure of billing volume, not care quality.
Taxonomy definitions from the NUCC Health Care Provider Taxonomy (public domain). Provider counts derived from NPPES; payment figures from CMS Medicare data. Not affiliated with CMS, NPPES, NUCC, or any government agency.