Average Medicaid Nursing Facility Care Payments in Gallatin, TN: $10.56
Avg. Paid
$10.56
Range
$0.43 – $34.77
Total Claims
58,672
Providers
17
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 Gallatin, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anne Harvey Hudson
438 N Water Ave |
$9.22 | 27,762 | 11,357 |
|
Wardah Khan
405 Steam Plant Rd # 102 |
$10.84 | 10,731 | 6,040 |
|
Mary Ellen Genung
1100 Lock 4 Rd |
$9.14 | 9,486 | 7,284 |
|
Erin Nicole Lucas
612 Hartsville Pike |
$27.74 | 4,226 | 1,818 |
|
Stephanie Lynn Urell
425 E Main St |
$5.78 | 1,657 | 793 |
|
Amanda J Mckenzie
225 Big Station Camp Blvd Ste 201 |
$3.60 | 1,318 | 513 |
|
Jenna Bailey
2011 Nashville Pike |
$6.17 | 1,152 | 576 |
|
Halden Wayne Hooper
1156 Nashville Pike |
$5.25 | 690 | 653 |
|
Jamison Cornett
2011 Nashville Pike |
$13.89 | 634 | 476 |
|
Danielle L. Schroeder
425 E Main St |
$3.09 | 361 | 207 |
|
Stephanie Brooke Duffer
179 Hancock St |
$5.53 | 247 | 168 |
|
Ramesh Alwarappan
300 Steam Plant Road |
$5.41 | 168 | 84 |
|
Jean Carter
1156 Nashville Pike |
$34.77 | 149 | 94 |
|
Margaret F Ikard
425 E Main St |
$0.43 | 35 | 32 |
|
Progressive Care Medical Group Of Tn Pllc
438 N Water Ave |
$14.01 | 24 | 12 |
|
Kathryn Helson
425 E Main St |
$7.53 | 20 | 12 |
|
Kevin Childers
1156 Nashville Pike |
$29.96 | 12 | 12 |
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 Gallatin, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Gallatin, TN is $10.56 per claim, based on 58,672 claims from 17 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 Gallatin, TN?
There are 17 Medicaid providers offering Nursing Facility Care related services in Gallatin, TN according to public payment data.
What is the price range for Nursing Facility Care in Gallatin, TN?
Medicaid reimbursement for Nursing Facility Care in Gallatin, TN ranges from $0.43 to $34.77 per claim, with an average of $10.56. 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
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Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Gallatin, TN
Office Visit
Avg $40.54
388,382 claims
Dental Cleaning & Exam
Avg $30.26
153,814 claims
Vaccines & Immunizations
Avg $18.16
126,457 claims
Emergency Room Visit
Avg $100.84
101,829 claims
Blood Work & Lab Tests
Avg $3.76
91,320 claims
Ambulance Transport
Avg $50.71
88,640 claims
Psychiatric Evaluation
Avg $70.81
75,442 claims
Physical Therapy
Avg $21.85
55,556 claims