Average Medicaid Nursing Facility Care Payments in Demotte, IN: $1.87
Avg. Paid
$1.87
Range
$1.11 – $4.68
Total Claims
14,065
Providers
3
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 Demotte, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Surya K Nallari
417 N Halleck St |
$1.11 | 10,435 | 3,531 |
|
Zachary Lawrence Jesko
221 W Division St |
$4.68 | 2,873 | 1,121 |
|
Arsenio Santiago Favor
10107 N 575 E |
$1.78 | 757 | 594 |
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 Demotte, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Demotte, IN is $1.87 per claim, based on 14,065 claims from 3 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 Demotte, IN?
There are 3 Medicaid providers offering Nursing Facility Care related services in Demotte, IN according to public payment data.
What is the price range for Nursing Facility Care in Demotte, IN?
Medicaid reimbursement for Nursing Facility Care in Demotte, IN ranges from $1.11 to $4.68 per claim, with an average of $1.87. 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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Avg $12.93
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Brooklyn, NY
Avg $13.63
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Phoenix, AZ
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Tampa, FL
Avg $5.95
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Avg $6.44
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Avg $12.89
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Other Procedures in Demotte, IN
Office Visit
Avg $36.90
11,012 claims
Dental Cleaning & Exam
Avg $41.85
4,800 claims
Chiropractic Care
Avg $23.95
4,099 claims
Dental Filling
Avg $101.20
2,446 claims
Ambulance Transport
Avg $136.20
1,440 claims
Physical Therapy
Avg $0.00
1,163 claims
Tooth Extraction
Avg $162.15
770 claims
Eye Exam
Avg $25.77
106 claims