Average Medicaid Nursing Facility Care Payments in Edinburg, TX: $8.49
Avg. Paid
$8.49
Range
$0.35 – $49.34
Total Claims
28,123
Providers
20
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 Edinburg, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rosa Lina Aguirre
24210 Jackpot Blvd |
$4.43 | 8,472 | 2,838 |
|
Rafael J Rafols
5509 Doctors Dr |
$4.26 | 4,895 | 2,137 |
|
Jose Ricardo Sobrevilla
4302 S Sugar Rd Ste 101 |
$8.31 | 3,999 | 1,913 |
|
Crystal Marie Castillo
3121 W Alberta Rd |
$3.56 | 2,630 | 891 |
|
Guadalupe Rosas
1156 W Monte Cristo Rd |
$33.79 | 2,138 | 480 |
|
Eistle Marie Reguyal Uy
5215 S Sugar Rd |
$6.01 | 1,857 | 1,149 |
|
Daniel Tamez Gonzalez
2717 Michaelangelo Dr Ste 200 |
$1.14 | 970 | 361 |
|
Moses Tarhsong Ashukem
4302 S Sugar Rd Ste 200 |
$49.34 | 779 | 716 |
|
Jaime Ruiz-Perez
3303 W Alberta Rd |
$13.69 | 612 | 118 |
|
Michael Warren
5501 S Mccoll Rd |
$0.79 | 383 | 217 |
|
Manuel Antonio Seas
5501 S Mccoll Rd |
$2.31 | 306 | 157 |
|
Amer Alanbari
502 S Closner Blvd |
$0.48 | 303 | 180 |
|
Daniel Ayala
5501 S Mccoll Rd |
$19.00 | 216 | 86 |
|
Enrique Nordman Silva
5501 S Mccoll Rd |
$0.96 | 154 | 93 |
|
Raul Francis Panopio Ledesma
5501 S Mccoll Rd |
$0.35 | 104 | 66 |
|
Basilisa S Vela
218 Baltic Ave |
$1.08 | 104 | 87 |
|
Ruben Gustavo Mohme
5501 S Mccoll Rd |
$1.17 | 84 | 51 |
|
Dulce Aida Cano
5520 Leonardo Da Vinci Ste 100 |
$2.22 | 80 | 64 |
|
Roel Juarez
2715 W Trenton Rd |
$1.35 | 24 | 13 |
|
Rebecca Rivera
122 W Champion St |
$48.75 | 13 | 13 |
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 Edinburg, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Edinburg, TX is $8.49 per claim, based on 28,123 claims from 20 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 Edinburg, TX?
There are 20 Medicaid providers offering Nursing Facility Care related services in Edinburg, TX according to public payment data.
What is the price range for Nursing Facility Care in Edinburg, TX?
Medicaid reimbursement for Nursing Facility Care in Edinburg, TX ranges from $0.35 to $49.34 per claim, with an average of $8.49. 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 Edinburg, TX
Office Visit
Avg $39.60
1,601,805 claims
Blood Work & Lab Tests
Avg $8.03
994,855 claims
Personal Care Services
Avg $66.62
932,589 claims
Vaccines & Immunizations
Avg $6.07
492,039 claims
Dental Cleaning & Exam
Avg $43.69
427,789 claims
Physical Therapy
Avg $59.61
294,805 claims
Speech Therapy
Avg $81.81
279,480 claims
Urinalysis & Urine Tests
Avg $3.46
217,843 claims