Average Medicaid Nursing Facility Care Payments in Detroit, MI: $35.38
Avg. Paid
$35.38
Range
$5.29 – $83.45
Total Claims
98,659
Providers
26
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 Detroit, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Riverview Neuromuscular Pain Center Pllc
7633 E Jefferson Ave Ste 170 |
$83.45 | 12 | 12 |
|
Lawrence B Rubin Dpm Pc
18530 Grand River |
$19.33 | 14 | 14 |
|
Tu Le
2799 W Grand Blvd |
$6.13 | 22 | 14 |
|
Primedical Healthcare Associates Pllc
6501 Greenfield Rd |
$37.91 | 34 | 24 |
|
Henry Ford Health System
2799 W Grand Blvd |
$35.85 | 46 | 42 |
|
Michelle Lynn Moore
17731 E Warren Ave |
$10.28 | 58 | 41 |
|
Isharon Benyette Reynolds
2111 Woodward Ave Ste 1200 |
$7.51 | 129 | 63 |
|
Bazzi Podiatry
7633 E Jefferson Ave |
$26.37 | 180 | 176 |
|
Rana Tabassum
6071 W Outer Dr |
$5.29 | 187 | 137 |
|
A Ahmad Md Plc
6501 Greenfield Rd |
$13.94 | 272 | 137 |
|
Mahin Fatima Siddiqui
22201 Moross Rd Ste 150 |
$15.44 | 272 | 242 |
|
Garrett Clark Martin
13901 E Jefferson Ave |
$53.10 | 342 | 162 |
|
Curana Health Of Michigan Pllc
400 Renaissance Ctr Ste 2600 |
$35.43 | 487 | 319 |
|
Horizon Care Medical Group
18276 Stansbury St |
$63.88 | 522 | 508 |
|
University Physician Group
4201 St. Antoine St. |
$52.98 | 538 | 513 |
|
Neighborhood Service Organization
882 Oakman Blvd |
$72.08 | 1,473 | 1,397 |
|
Ribhi Hazin Md Pc
4777 E Outer Dr Ste 1147 |
$54.84 | 2,569 | 2,447 |
|
Jeffrey A Morgan
2799 W Grand Blvd |
$7.09 | 2,843 | 1,991 |
|
Calvin T Peters
6071 W Outer Dr |
$6.44 | 2,978 | 650 |
|
Henr Y Ford Health System
2799 W Grand Blvd |
$48.01 | 4,638 | 3,867 |
|
Henry Ford Health System
2799 W Grand Blvd |
$40.54 | 5,096 | 3,927 |
|
Michigan Rehabilitation Physicians
17187 Schaefer Hwy |
$45.45 | 5,690 | 4,189 |
|
Henry Ford Health System
2799 W Grand Blvd |
$46.92 | 7,939 | 6,934 |
|
Mdslivenow Pllc
4100 Woodward Ave |
$37.44 | 12,370 | 7,853 |
|
Procare Partners Health Pllc
3611 Carpenter St Ste 5 |
$52.42 | 14,051 | 12,207 |
|
Detroit Medical Consultants Pc
4100 Woodward Ave |
$23.05 | 35,897 | 19,421 |
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 Detroit, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Detroit, MI is $35.38 per claim, based on 98,659 claims from 26 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 Detroit, MI?
There are 26 Medicaid providers offering Nursing Facility Care related services in Detroit, MI according to public payment data.
What is the price range for Nursing Facility Care in Detroit, MI?
Medicaid reimbursement for Nursing Facility Care in Detroit, MI ranges from $5.29 to $83.45 per claim, with an average of $35.38. 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 Detroit, MI
Emergency Room Visit
Avg $110.55
4,694,783 claims
Office Visit
Avg $56.69
4,680,416 claims
Blood Work & Lab Tests
Avg $3.68
4,416,700 claims
Substance Abuse Treatment
Avg $28.79
3,445,158 claims
Home Health Visit
Avg $57.99
2,886,533 claims
X-Ray
Avg $10.17
1,790,332 claims
Psychiatric Evaluation
Avg $99.11
1,494,151 claims
Behavioral & Mental Health Therapy
Avg $129.03
1,324,733 claims