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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Fairmont, WV: $14.06

Avg. Paid

$14.06

Range

$2.01 – $28.65

Total Claims

20,283

Providers

14

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 Fairmont, WV

Provider Avg. Paid Claims Patients
Kristen Cutright

1325 Locust Ave # 32

 $27.23 39 39
Lauren Rochelle Crimm

1539 Country Club Rd

 $15.43 47 26
Gloria Daemi Kayfan

140 Middletown Loop

 $2.01 90 77
James Namsupak

401 Guffey St

 $5.98 101 89
Dailinn C Spitznogle

1539 Country Club Rd

 $28.65 140 64
Kathryn Nicole Preast

1325 Locust Ave

 $27.28 171 105
Chad Ross Marsh

177 Middletown Rd

 $14.84 210 185
Pamela Sue Pritchard

1322 Locust Ave

 $21.36 396 262
Richard E Vasicek

177 Middletown Rd Ste 1

 $7.04 517 478
Randi Dawnielle Davis

1543 Country Club Rd

 $19.34 544 297
Andrea King

1322 Locust Ave

 $8.52 661 411
Sharon Ann Senft

86 Stonewall Rd

 $10.62 1,929 1,259
Erica S Knotts

130 Kaufman Dr

 $17.86 6,833 1,758
Govindbhai M Patel

1844 Locust Ave

 $11.62 8,605 7,314

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 Fairmont, WV?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Fairmont, WV is $14.06 per claim, based on 20,283 claims from 14 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 Fairmont, WV?

There are 14 Medicaid providers offering Nursing Facility Care related services in Fairmont, WV according to public payment data.

What is the price range for Nursing Facility Care in Fairmont, WV?

Medicaid reimbursement for Nursing Facility Care in Fairmont, WV ranges from $2.01 to $28.65 per claim, with an average of $14.06. 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 Fairmont, WV

X-Ray

Avg $8.06

290,319 claims

Physical Therapy

Avg $26.22

144,321 claims

Substance Abuse Treatment

Avg $85.18

141,089 claims

Office Visit

Avg $32.75

120,059 claims

CT Scan (Computed Tomography)

Avg $52.96

108,485 claims

Blood Work & Lab Tests

Avg $28.17

94,772 claims

Emergency Room Visit

Avg $107.25

56,270 claims

Ambulance Transport

Avg $145.54

51,934 claims