Average Medicaid Nursing Facility Care Payments in Galion, OH: $15.51
Avg. Paid
$15.51
Range
$0.00 – $86.37
Total Claims
10,173
Providers
8
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 Galion, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erica Lynn Clinker
269 Portland Way S |
$0.00 | 18 | 16 |
|
Guillermo V Amurao
269 Portland Way S |
$86.37 | 26 | 25 |
|
Mark A Wood
955 Bucyrus Rd |
$22.66 | 54 | 51 |
|
Kara Shafer
955 Bucyrus Rd |
$0.00 | 295 | 274 |
|
Justin Thomas Mabry
900 Wedgewood Cir |
$0.00 | 296 | 50 |
|
Michael David Stormont
800 Portland Way N |
$32.89 | 897 | 778 |
|
Jason Allen Atwell
955 Bucyrus Rd |
$25.89 | 1,178 | 1,071 |
|
Ripal A Parikh
269 Portland Way S |
$12.72 | 7,409 | 3,795 |
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 Galion, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Galion, OH is $15.51 per claim, based on 10,173 claims from 8 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 Galion, OH?
There are 8 Medicaid providers offering Nursing Facility Care related services in Galion, OH according to public payment data.
What is the price range for Nursing Facility Care in Galion, OH?
Medicaid reimbursement for Nursing Facility Care in Galion, OH ranges from $0.00 to $86.37 per claim, with an average of $15.51. 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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Bronx, NY
Avg $12.93
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Las Vegas, NV
Avg $32.97
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Brooklyn, NY
Avg $13.63
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Phoenix, AZ
Avg $42.43
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Tampa, FL
Avg $5.95
973,086 claims · 275 providers
Jacksonville, FL
Avg $6.44
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Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Galion, OH
Office Visit
Avg $54.97
257,282 claims
Blood Work & Lab Tests
Avg $9.63
115,869 claims
Emergency Room Visit
Avg $82.94
76,535 claims
Physical Therapy
Avg $39.20
41,525 claims
Speech Therapy
Avg $39.64
27,355 claims
Urinalysis & Urine Tests
Avg $4.24
18,517 claims
X-Ray
Avg $10.65
11,135 claims
Home Health Visit
Avg $41.23
10,994 claims