Average Medicaid Nursing Facility Care Payments in Charleston, SC: $25.04
Avg. Paid
$25.04
Range
$0.00 – $50.25
Total Claims
19,862
Providers
31
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 Charleston, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amy Duppstadt - Delambo
171 Ashley Ave |
$0.00 | 17 | 17 |
|
Patrick P. Meehan
9302 Medical Plaza Drive Ste C |
$22.03 | 19 | 17 |
|
Katie Elizabeth Cardwell
171 Ashley Ave |
$0.00 | 28 | 28 |
|
Lauren J Delbridge
27 Gamecock Ave |
$42.57 | 32 | 28 |
|
Marsha L Johnson Williams
109 Bee St |
$17.62 | 37 | 28 |
|
Amanda Riley Flamman
171 Ashley Ave |
$0.00 | 38 | 38 |
|
Mary Hart Bryan
171 Ashley Ave |
$9.03 | 39 | 39 |
|
Janet B Barr
27 Gamecock Ave |
$47.90 | 40 | 30 |
|
Jeffrey Kendal Richards
2060 Charlie Hall Blvd |
$49.44 | 84 | 66 |
|
Preeth A Menon
Charleston Pain &Rehabilitation Center |
$26.03 | 135 | 55 |
|
Alice Cheatham Parker Walter
649 Wampler Dr |
$6.80 | 141 | 30 |
|
Jason Lee Foster
316 Calhoun St |
$29.72 | 154 | 78 |
|
Jerome Lawrence Fay
169 Ashley Ave |
$17.53 | 162 | 159 |
|
Jennifer Lynn Talley
1137 Sam Rittenberg Blvd |
$5.59 | 244 | 180 |
|
Lindsey C Johnson
27 Gamecock Ave |
$50.25 | 266 | 235 |
|
Stacey Lynn Childress
316 Calhoun St |
$9.17 | 291 | 146 |
|
Madelyn Myers
109 Bee St |
$8.41 | 305 | 282 |
|
Laura Caldwell
2095 Henry Tecklenburg Dr |
$7.01 | 361 | 350 |
|
Shilpy Kadian
Conservancy Lane |
$34.97 | 459 | 445 |
|
Jessica Ann Pray-Holmes
1 Bishop Gadsden Way Ste 97 |
$13.48 | 511 | 142 |
|
Kylie Stott
418 Folly Rd |
$11.73 | 582 | 376 |
|
Marc Difronzo
1470 Tobias Gadson Blvd Ste 101 |
$25.02 | 612 | 401 |
|
Ashley Denise Williams
1012 Physicians Dr |
$24.78 | 644 | 618 |
|
Ryan Nicole Law Johnson
9330 Medical Plaza Dr |
$12.20 | 698 | 620 |
|
Angela Brown
171 Ashley Ave |
$7.48 | 811 | 575 |
|
Brigitte Britt Huttemeyer
678 Castle Pinckney Dr |
$17.89 | 1,438 | 686 |
|
Beth Shilepsky Price
171 Ashley Ave |
$33.71 | 1,645 | 1,574 |
|
Randi Katherine Popp
1483 Tobias Gadson Blvd |
$38.87 | 1,728 | 1,440 |
|
Alexandra Parise
151 Rutledge Ave |
$30.96 | 2,679 | 1,676 |
|
Deanna Caveslio
25 Courtenay Dr |
$5.52 | 2,826 | 1,198 |
|
Peter K Maung
9319 Medical Plaza Dr |
$46.41 | 2,836 | 2,478 |
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 Charleston, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Charleston, SC is $25.04 per claim, based on 19,862 claims from 31 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 Charleston, SC?
There are 31 Medicaid providers offering Nursing Facility Care related services in Charleston, SC according to public payment data.
What is the price range for Nursing Facility Care in Charleston, SC?
Medicaid reimbursement for Nursing Facility Care in Charleston, SC ranges from $0.00 to $50.25 per claim, with an average of $25.04. 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 Charleston, SC
Office Visit
Avg $64.67
2,228,092 claims
Blood Work & Lab Tests
Avg $31.73
2,049,584 claims
Emergency Room Visit
Avg $65.50
1,335,995 claims
Vaccines & Immunizations
Avg $12.93
599,641 claims
X-Ray
Avg $21.35
595,983 claims
Psychiatric Evaluation
Avg $153.64
519,793 claims
Urinalysis & Urine Tests
Avg $22.37
515,077 claims
Dental Cleaning & Exam
Avg $33.80
338,813 claims