Average Medicaid Nursing Facility Care Payments in Ashland, KY: $6.76
Avg. Paid
$6.76
Range
$0.50 – $19.06
Total Claims
51,112
Providers
19
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 Ashland, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sophia T Haleem
2201 Lexington Ave |
$3.25 | 13 | 12 |
|
Julie Lynne Carr
1000 Ashland Dr Ste 103 |
$6.51 | 48 | 43 |
|
Justin William Boyer
King'S Daughters Medical Center |
$10.37 | 187 | 131 |
|
Denise Nicole Carter
12100 Princeland Rd |
$13.24 | 207 | 161 |
|
Andrea Jo Tackett
2500 State Route 5 |
$0.50 | 317 | 156 |
|
Morgan Elkins
432 16Th St |
$10.80 | 354 | 175 |
|
Sonja Lichtenstein-Zayneh
617 23Rd St Ste 215 |
$10.34 | 479 | 234 |
|
Nerria Sheryl Banner
2937 Terrace Ln |
$18.50 | 554 | 453 |
|
Melinda L Elkins-Smith
617 23Rd St Ste 212 |
$19.06 | 669 | 594 |
|
Audrey Renee Smith
1101 Saint Christopher Dr Ste 250 |
$7.33 | 859 | 783 |
|
Erica Rochelle Shumway
332 15Th St |
$4.69 | 1,026 | 729 |
|
James M Detherage
617 23Rd St Ste 212 |
$9.28 | 1,160 | 1,083 |
|
Derek W, Jones
1101 Saint Christopher Dr |
$8.91 | 1,252 | 1,022 |
|
Brian Keith Bailey
500 14Th St |
$7.09 | 1,317 | 1,307 |
|
Katherine D. Carias
2501 Lexington Ave |
$8.27 | 1,889 | 1,697 |
|
Rebecca Priode
330 21St St |
$7.79 | 2,468 | 1,795 |
|
Karri Berlin
613 23Rd St Ste 430 |
$3.41 | 2,477 | 1,094 |
|
Kari D Shields
2500 State Route 5 |
$10.44 | 14,228 | 11,004 |
|
Jessica Whitney Slone
12100 Princeland Spur |
$3.43 | 21,608 | 8,692 |
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 Ashland, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Ashland, KY is $6.76 per claim, based on 51,112 claims from 19 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 Ashland, KY?
There are 19 Medicaid providers offering Nursing Facility Care related services in Ashland, KY according to public payment data.
What is the price range for Nursing Facility Care in Ashland, KY?
Medicaid reimbursement for Nursing Facility Care in Ashland, KY ranges from $0.50 to $19.06 per claim, with an average of $6.76. 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 Ashland, KY
Office Visit
Avg $34.13
1,844,265 claims
Blood Work & Lab Tests
Avg $11.81
1,524,064 claims
Physical Therapy
Avg $82.82
923,839 claims
Psychiatric Evaluation
Avg $56.27
547,575 claims
X-Ray
Avg $23.37
521,680 claims
Substance Abuse Treatment
Avg $95.73
505,064 claims
Emergency Room Visit
Avg $111.02
347,874 claims
Home Health Visit
Avg $98.99
236,594 claims