Average Medicaid Nursing Facility Care Payments in Canal Winchester, OH: $16.39
Avg. Paid
$16.39
Range
$0.37 – $20.14
Total Claims
30,127
Providers
7
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 Canal Winchester, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Edward Whitt
7901 Diley Rd |
$18.46 | 21,977 | 15,154 |
|
Anta Fall Sow
6631 Bricegrove Blvd |
$14.35 | 3,250 | 1,578 |
|
Patrick Zamble
6478 Winchester Blvd Unit 441 |
$12.39 | 2,845 | 1,501 |
|
Linda Baker
7901 Diley Rd |
$3.27 | 1,005 | 768 |
|
Lynette Baltas
7901 Diley Rd Ste 260 |
$3.60 | 571 | 439 |
|
Paul J Schorr
7901 Diley Rd Ste 260 |
$0.37 | 436 | 241 |
|
Susan Ann Whitt
7901 Diley Rd |
$20.14 | 43 | 22 |
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 Canal Winchester, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Canal Winchester, OH is $16.39 per claim, based on 30,127 claims from 7 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 Canal Winchester, OH?
There are 7 Medicaid providers offering Nursing Facility Care related services in Canal Winchester, OH according to public payment data.
What is the price range for Nursing Facility Care in Canal Winchester, OH?
Medicaid reimbursement for Nursing Facility Care in Canal Winchester, OH ranges from $0.37 to $20.14 per claim, with an average of $16.39. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Nursing Facility Care in Other Cities
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Avg $21.36
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Bronx, NY
Avg $12.93
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Las Vegas, NV
Avg $32.97
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Brooklyn, NY
Avg $13.63
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Phoenix, AZ
Avg $42.43
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Tampa, FL
Avg $5.95
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Jacksonville, FL
Avg $6.44
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Indianapolis, IN
Avg $12.89
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Other Procedures in Canal Winchester, OH
Office Visit
Avg $56.01
126,071 claims
Physical Therapy
Avg $5.27
40,846 claims
Blood Work & Lab Tests
Avg $5.22
30,803 claims
Vaccines & Immunizations
Avg $17.23
29,861 claims
Emergency Room Visit
Avg $127.60
22,137 claims
Urinalysis & Urine Tests
Avg $1.12
14,293 claims
Speech Therapy
Avg $28.41
12,285 claims
Behavioral & Mental Health Therapy
Avg $81.44
9,541 claims