Average Medicaid Nursing Facility Care Payments in Elyria, OH: $9.52
Avg. Paid
$9.52
Range
$4.88 – $23.18
Total Claims
7,555
Providers
9
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 Elyria, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vijay Kakumanu
630 E River St |
$5.45 | 25 | 22 |
|
Britney M Algood
168 Cleveland St |
$11.38 | 36 | 18 |
|
Bretzyl M Liscoe
630 E River St |
$23.18 | 214 | 181 |
|
William J Scott
10325 Dewhurst Rd |
$6.31 | 616 | 247 |
|
Sana Abumeri
860 E Broad St |
$9.53 | 685 | 455 |
|
Basavarajappa Viswanath
125 E Broad St |
$10.42 | 1,048 | 923 |
|
Ekaterina Kholyavka
1120 E Broad St |
$4.88 | 1,098 | 914 |
|
Patricia Taylor
1120 E Broad St |
$15.44 | 1,217 | 536 |
|
Niraj Chimanbhai Mistry
125 E Broad St |
$8.00 | 2,616 | 2,207 |
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 Elyria, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Elyria, OH is $9.52 per claim, based on 7,555 claims from 9 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 Elyria, OH?
There are 9 Medicaid providers offering Nursing Facility Care related services in Elyria, OH according to public payment data.
What is the price range for Nursing Facility Care in Elyria, OH?
Medicaid reimbursement for Nursing Facility Care in Elyria, OH ranges from $4.88 to $23.18 per claim, with an average of $9.52. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Nursing Facility Care in Other Cities
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Avg $21.36
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Avg $12.93
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Brooklyn, NY
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Phoenix, AZ
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Tampa, FL
Avg $5.95
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Avg $6.44
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Avg $12.89
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Other Procedures in Elyria, OH
Substance Abuse Treatment
Avg $66.92
231,053 claims
Office Visit
Avg $50.80
204,128 claims
Blood Work & Lab Tests
Avg $4.24
194,163 claims
Emergency Room Visit
Avg $92.22
179,884 claims
Ambulance Transport
Avg $58.38
160,203 claims
Home Health Visit
Avg $54.97
105,925 claims
Dental Cleaning & Exam
Avg $26.25
77,765 claims
Psychiatric Evaluation
Avg $72.67
66,068 claims