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

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
Carole Jane Worthington 5407 Skylane Drive	$18.76	12,333	8,487
Michelle Lynn Strickland 5407 Sky Lane Dr	$16.38	6,207	4,946
Mark C Chandler 3713 University Dr	$21.16	5,018	3,239
Gerardo E Arnaez Zapata 5306 Nc Highway 55 Ste 105	$20.86	4,954	3,210
Mark Hollandsworth 2511 Old Cornwallis Rd Ste 200	$8.97	4,488	1,574
Nanette Louise Lavoie-Vaughan 5407 Sky Lane Dr	$29.12	3,691	3,186
Kate Mcgettrick Hess 120 William Penn Plz	$18.34	3,218	1,757
Robert E Williams 5407 Sky Lane Dr	$12.51	2,823	2,117
Susan F. Bell 120 William Penn Plz	$21.95	2,697	1,094
Lisa Mesmer Barnes 5309Hwy 55	$9.82	2,480	1,934
Brandy Hunter Clark 2511 Old Cornwallis Rd Ste 200	$10.48	2,354	1,431
Eileen Marie Quilty 2645 Meridian Pkwy Ste 323	$16.19	2,333	748
Carole P Maclellan 1 E Bridlewood Trl	$7.29	2,296	903
Lalita V Sidana 2511 Old Cornwallis Rd	$23.58	2,265	1,734
Daleen L Lewis 2645 Meridian Pkwy Ste 323	$7.25	2,228	1,202
Barbara Ostiguy 5407 Sky Lane Dr	$18.76	2,011	1,648
Sean Amery Scott Smith 3100 Erwin Rd	$25.02	1,999	1,576
Kimberly Gann Burkhart 2645 Meridian Pkwy Ste 323	$23.68	1,872	1,464
Jade Yearby Henderson 4020 N Roxboro St Ste 100	$7.87	1,831	442
Darrina O'Neal Milton 5306 Nc Highway 55 Ste 105	$15.78	1,702	1,689
Catina Michelle Alford 40 Duke Medicine Cir	$19.24	1,638	1,245
Barbara L. Trapp-Moen 5407 Sky Lane Dr	$20.22	1,415	1,144
Sandra J Johnson 4022 Stirrup Creek Dr	$13.82	1,387	577
Tremika Rene Woodley 5306 Nc Highway 55 Ste 105	$18.19	1,379	753
Weiwei Wang 6301 Herndon Rd	$18.79	1,296	657
Jessica Dawn Breaux 5306 Nc Highway 55 Ste 105	$22.29	1,122	861
Robert Wesley Jester 2645 Meridian Pkwy Ste 323	$20.84	1,004	720
Trina Dugger Prather 2645 Meridian Pkwy Ste 323	$21.94	996	695
Karen Elaine Powell-Boone Senior Health And Education Partners	$19.64	945	707
Parul Dwijesh Bhagalia-Patel 2511 Old Cornwallis Rd Ste 200	$24.12	942	720
Serena Ivy-May Kaylor 5301 Erwin Rd	$10.37	920	248
Amy J Rosenthal 508 Fulton St	$13.02	829	334
Kathryn Wriggelsworth 910 Broad St	$0.57	733	394
Sylvia L Coley 540 Smallwood Dr	$10.78	662	302
Jennifer Goble 508 Fulton St	$17.91	596	365
Holly Jarrell O'Sullivan 40 Duke Medicine Cir # 1L	$25.63	556	314
Rama Devi Boppana 4230 N Roxboro St	$16.44	457	128
Kimberly Elizabeth Potter 3573 Hillsborough Rd	$28.14	433	263
Karen Watson Vickers 2530 Meridian Pkwy Ste 300	$12.26	407	251
Regina Ngozi Eze 4528 Hillsborough Rd Ste 295	$9.16	393	253
Vashonda Ann Foust-Brown 2645 Meridian Pkwy Ste 323	$15.87	341	108
Nicole Nazon Donnelly 5306 Nc Highway 55 Ste 105	$22.37	341	217
Aruodo Ukpai 411 S Lasalle St	$0.00	316	260
Malka Sinwany 2530 Meridian Pkwy Ste 300	$31.61	309	145
Osie Amanda Brigman 1413 Southpoint Crossing Dr	$21.88	305	197
Milta Oyola Little 3003 Dumc	$22.52	204	183
Erin Robyn Robles-Sherman 120 William Penn Plz	$0.00	173	169
Zenebwork Gobean 411 S Lasalle St	$0.00	156	90
Tracey Dapper 2600 Croasdaile Farm Pkwy	$12.20	112	87
Carol Minnette Gibbs 5306 Nc Highway 55	$11.70	80	59

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.

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

Providers Offering Nursing Facility Care in Durham, NC

What to Expect: Nursing Facility Care

Cost Components

Frequently Asked Questions

Nursing Facility Care in Other Cities

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Jacksonville, FL

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Other Procedures in Durham, NC

Office Visit

Dental Cleaning & Exam

Substance Abuse Treatment

X-Ray

Blood Work & Lab Tests

Speech Therapy

Psychiatric Evaluation

Emergency Room Visit