Average Medicaid Nursing Facility Care Payments in Appleton, WI: $17.96
Avg. Paid
$17.96
Range
$5.59 – $62.12
Total Claims
7,922
Providers
25
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 Appleton, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Syed Taimur Ali
1818 N Meade St |
$29.98 | 1,261 | 1,171 |
|
Deborah L Schultz
229 S Morrison St |
$6.47 | 974 | 792 |
|
Sutira Ann Scheef
1818 N Meade St |
$13.76 | 727 | 485 |
|
Michael L Mitchell
2600 S Heritage Woods Dr |
$22.88 | 724 | 396 |
|
Shayna Kamin
2600 S Heritage Woods Dr |
$14.21 | 660 | 588 |
|
Suzanne L Dupont
229 S Morrison St |
$18.26 | 636 | 578 |
|
Jennifer Haen
2809 N Park Drive Ln |
$9.75 | 387 | 228 |
|
Debra Kay Degroot
2600 S Heritage Woods Dr |
$17.78 | 386 | 362 |
|
Ronald T Schreiber
2600 S Heritage Woods Dr |
$16.35 | 318 | 290 |
|
Kelly Marie Bechard
2600 S Heritage Woods Dr |
$18.45 | 296 | 280 |
|
Deborah Ann Bartmann
1501 S Madison St |
$15.44 | 284 | 189 |
|
Sarah A Truesdale
2600 S Heritage Woods Dr |
$20.82 | 259 | 246 |
|
Dawn R Kempen
2600 S Heritage Woods Dr |
$18.84 | 251 | 234 |
|
Daniel L Lavoie
2600 S Heritage Woods Dr |
$20.15 | 220 | 189 |
|
Madhavi Reddy Cherukula
2600 S Heritage Woods Dr |
$16.07 | 192 | 180 |
|
Patricia Ann Angelucci
2600 S Heritage Woods Dr |
$23.46 | 109 | 89 |
|
Michelle M Hermes
2600 S Heritage Woods Dr |
$24.23 | 94 | 85 |
|
Michelle A Lopez
2600 S Heritage Woods Dr |
$11.85 | 37 | 29 |
|
Kathleen M Peterson
4517 N Windingbrook Dr |
$8.87 | 23 | 12 |
|
Abisoye A Adebayo
2600 S Heritage Woods Dr |
$11.94 | 17 | 16 |
|
Christie S. Henke
3925 N Gateway Dr |
$5.59 | 15 | 15 |
|
Timothy Wycoff
2500 E Capitol Dr |
$30.15 | 14 | 12 |
|
Mary Jo Stastny
10 Tri Park Way |
$62.12 | 13 | 13 |
|
Jamie L Lodes
1818 N Meade St |
$8.20 | 13 | 12 |
|
Shannon Andrews
2600 S Heritage Woods Dr |
$17.47 | 12 | 12 |
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 Appleton, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Appleton, WI is $17.96 per claim, based on 7,922 claims from 25 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 Appleton, WI?
There are 25 Medicaid providers offering Nursing Facility Care related services in Appleton, WI according to public payment data.
What is the price range for Nursing Facility Care in Appleton, WI?
Medicaid reimbursement for Nursing Facility Care in Appleton, WI ranges from $5.59 to $62.12 per claim, with an average of $17.96. 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
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Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Appleton, WI
Blood Work & Lab Tests
Avg $16.55
608,141 claims
Substance Abuse Treatment
Avg $11.15
589,242 claims
Office Visit
Avg $33.88
465,504 claims
Behavioral & Mental Health Therapy
Avg $78.04
417,838 claims
Personal Care Services
Avg $10.20
379,580 claims
Emergency Room Visit
Avg $51.76
230,945 claims
Speech Therapy
Avg $12.24
206,735 claims
Non-Emergency Medical Transportation
Avg $10.28
167,243 claims