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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Durham, NC: $17.27

Avg. Paid

$17.27

Range

$0.00 – $31.61

Total Claims

89,857

Providers

64

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 Durham, NC

Provider Avg. Paid Claims Patients
Manuel Edwardo Cantillo

3916 Ben Franklin Blvd

$21.17 13 12
Julonda Nicole Williams

2511 Old Cornwallis Rd

$3.66 26 13
Eyefujirin Endurance Ukponmwan

2645 Meridian Pkwy Ste 323

$12.10 26 13
Delethia Lemar Lloyd

2600 Croasdaile Farm Pkwy

$13.63 30 24
Sarah Leyhew

2645 Meridian Pkwy Ste 323

$25.78 30 14
Chassidy Sharp

2100 Erwin Rd

$0.00 36 30
Andrea Gilroy

2511 Old Cornwallis Rd Ste 200

$2.34 40 19
Vivian Jill Lowery

2511 Old Cornwallis Rd Ste 200

$0.35 50 48
Alexandria Faye Nicole Mcneill

2511 Old Cornwallis Rd Ste 200

$6.12 53 25
Pamela Ann Galvin

5306 Nc Highway 55 Ste 105

$15.62 54 25
Delisa M. Ordronneau

5306 Nc Highway 55

$31.31 57 57
Tangee Renee Harris

411 S Lasalle St

$6.86 59 42
Fong Wong

2400 Pratt St

$12.76 64 44
Sara Jayne Alexander

2301 Erwin Rd

$4.66 72 47
Carol Minnette Gibbs

5306 Nc Highway 55

$11.70 80 59
Tracey Dapper

2600 Croasdaile Farm Pkwy

$12.20 112 87
Zenebwork Gobean

411 S Lasalle St

$0.00 156 90
Erin Robyn Robles-Sherman

120 William Penn Plz

$0.00 173 169
Milta Oyola Little

3003 Dumc

$22.52 204 183
Osie Amanda Brigman

1413 Southpoint Crossing Dr

$21.88 305 197
Malka Sinwany

2530 Meridian Pkwy Ste 300

$31.61 309 145
Aruodo Ukpai

411 S Lasalle St

$0.00 316 260
Nicole Nazon Donnelly

5306 Nc Highway 55 Ste 105

$22.37 341 217
Vashonda Ann Foust-Brown

2645 Meridian Pkwy Ste 323

$15.87 341 108
Regina Ngozi Eze

4528 Hillsborough Rd Ste 295

$9.16 393 253
Karen Watson Vickers

2530 Meridian Pkwy Ste 300

$12.26 407 251
Kimberly Elizabeth Potter

3573 Hillsborough Rd

$28.14 433 263
Rama Devi Boppana

4230 N Roxboro St

$16.44 457 128
Holly Jarrell O'Sullivan

40 Duke Medicine Cir # 1L

$25.63 556 314
Jennifer Goble

508 Fulton St

$17.91 596 365
Sylvia L Coley

540 Smallwood Dr

$10.78 662 302
Kathryn Wriggelsworth

910 Broad St

$0.57 733 394
Amy J Rosenthal

508 Fulton St

$13.02 829 334
Serena Ivy-May Kaylor

5301 Erwin Rd

$10.37 920 248
Parul Dwijesh Bhagalia-Patel

2511 Old Cornwallis Rd Ste 200

$24.12 942 720
Karen Elaine Powell-Boone

Senior Health And Education Partners

$19.64 945 707
Trina Dugger Prather

2645 Meridian Pkwy Ste 323

$21.94 996 695
Robert Wesley Jester

2645 Meridian Pkwy Ste 323

$20.84 1,004 720
Jessica Dawn Breaux

5306 Nc Highway 55 Ste 105

$22.29 1,122 861
Weiwei Wang

6301 Herndon Rd

$18.79 1,296 657
Tremika Rene Woodley

5306 Nc Highway 55 Ste 105

$18.19 1,379 753
Sandra J Johnson

4022 Stirrup Creek Dr

$13.82 1,387 577
Barbara L. Trapp-Moen

5407 Sky Lane Dr

$20.22 1,415 1,144
Catina Michelle Alford

40 Duke Medicine Cir

$19.24 1,638 1,245
Darrina O'Neal Milton

5306 Nc Highway 55 Ste 105

$15.78 1,702 1,689
Jade Yearby Henderson

4020 N Roxboro St Ste 100

$7.87 1,831 442
Kimberly Gann Burkhart

2645 Meridian Pkwy Ste 323

$23.68 1,872 1,464
Sean Amery Scott Smith

3100 Erwin Rd

$25.02 1,999 1,576
Barbara Ostiguy

5407 Sky Lane Dr

$18.76 2,011 1,648
Daleen L Lewis

2645 Meridian Pkwy Ste 323

$7.25 2,228 1,202

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 Durham, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Durham, NC is $17.27 per claim, based on 89,857 claims from 64 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 Durham, NC?

There are 64 Medicaid providers offering Nursing Facility Care related services in Durham, NC according to public payment data.

What is the price range for Nursing Facility Care in Durham, NC?

Medicaid reimbursement for Nursing Facility Care in Durham, NC ranges from $0.00 to $31.61 per claim, with an average of $17.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Nursing Facility Care in Other Cities

Other Procedures in Durham, NC