Average Medicaid Nursing Facility Care Payments in Edmond, OK: $23.09
Avg. Paid
$23.09
Range
$1.92 – $33.85
Total Claims
27,644
Providers
18
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 Edmond, OK
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joanna Smith
332 Nw 144Th St |
$33.85 | 11,427 | 11,267 |
|
Denise Beard
1828 Nw 157Th St |
$15.49 | 4,816 | 2,407 |
|
Caitlin Diana Van Buskirk
301 Lilac Dr |
$17.92 | 4,372 | 2,828 |
|
Magesh Sathaiah
3000 Colton Dr |
$13.16 | 1,808 | 1,340 |
|
Shelby Lynn Plotkin
4509 Integris Pkwy Ste 200 |
$19.64 | 1,018 | 435 |
|
Douglas Mukorombindo
5400 E Memorial Rd |
$9.18 | 931 | 639 |
|
Elizabeth Ann Powell
1 S Bryant Ave |
$12.26 | 724 | 508 |
|
John Christopher Martin
105 S Bryant Ave |
$19.32 | 567 | 493 |
|
Catherine Marie Kindt
2177 Venezia Cir |
$20.21 | 428 | 389 |
|
Ali Chaudahry
1 S Bryant Ave |
$11.22 | 377 | 275 |
|
Chad Michael Knight
3125 N Sooner Rd Ste 100 |
$13.80 | 282 | 282 |
|
Carrie A Schmidt Konen
3217 Hunter Crest Dr |
$5.88 | 262 | 223 |
|
Julie Marie Hinchey
2017 W I 35 Frontage Rd |
$10.79 | 186 | 74 |
|
Todd Anthony Krehbiel
2117 N. Kelly Ave. |
$18.55 | 169 | 169 |
|
Bailey Kathleen Dent
2011 W Danforth Rd |
$1.92 | 118 | 71 |
|
Vanama Yerra
820 W Danforth Rd |
$20.37 | 71 | 66 |
|
Charles H Vanaki
2200 W Danforth Rd |
$16.10 | 69 | 66 |
|
Tina Joy
3209 S Broadway Ste 229 |
$8.01 | 19 | 19 |
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 Edmond, OK?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Edmond, OK is $23.09 per claim, based on 27,644 claims from 18 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 Edmond, OK?
There are 18 Medicaid providers offering Nursing Facility Care related services in Edmond, OK according to public payment data.
What is the price range for Nursing Facility Care in Edmond, OK?
Medicaid reimbursement for Nursing Facility Care in Edmond, OK ranges from $1.92 to $33.85 per claim, with an average of $23.09. 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 Edmond, OK
Office Visit
Avg $90.89
333,239 claims
Substance Abuse Treatment
Avg $66.31
264,781 claims
Case Management Services
Avg $60.43
219,819 claims
Dental Cleaning & Exam
Avg $28.35
165,874 claims
X-Ray
Avg $11.17
127,523 claims
Speech Therapy
Avg $64.72
97,851 claims
Vaccines & Immunizations
Avg $16.88
85,855 claims
Physical Therapy
Avg $86.80
56,109 claims