Average Medicaid Nursing Facility Care Payments in Gastonia, NC: $21.46
Avg. Paid
$21.46
Range
$0.00 – $59.88
Total Claims
21,711
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 Gastonia, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shakeer Mahmood
211 S Chestnut St |
$26.60 | 10,094 | 6,141 |
|
Funmilola Akingbala
1337 E Garrison Blvd |
$22.70 | 2,877 | 2,357 |
|
April Marie Mahrle-Henson
1021 X Ray Dr |
$18.34 | 2,817 | 2,220 |
|
Azemobo Charles Akhimien
1021 X Ray Dr |
$13.67 | 1,731 | 1,224 |
|
Janet Winslow Kelchner
1021 X Ray Dr |
$16.93 | 1,292 | 862 |
|
Felicia Jenkins
2550 Court Dr Ste 103 |
$11.97 | 1,037 | 574 |
|
Solace Elikplim Ninyeh-Assimeh
2525 Court Dr |
$17.73 | 544 | 346 |
|
Thomas J Calogero
1860 W Franklin Blvd |
$11.72 | 322 | 265 |
|
Colin Lee Moffett
111 E 3Rd Ave |
$0.00 | 254 | 72 |
|
Elaine Ambrosio
660 Summit Crossing Pl |
$1.31 | 248 | 83 |
|
Amanda Gaddis
2913 Audrey Dr |
$20.16 | 220 | 161 |
|
Lakisha Y Teschemaker
1875 Remount Rd |
$0.00 | 92 | 57 |
|
Tyesha Harvey Neal
2525 Court Dr |
$38.80 | 56 | 41 |
|
John Kersey Throckmorton
111 E 3Rd Ave |
$1.83 | 38 | 21 |
|
Kristina Britton Robinson
2391 Court Dr Ste 105 |
$6.84 | 37 | 26 |
|
Marianne Hayes
1075 E Hudson Blvd |
$34.24 | 22 | 16 |
|
Sonya Nanette Belin
3050 Riverwood Pkwy Ste B |
$13.77 | 16 | 14 |
|
Vanessa Belair Adamson Crerar
200 E 2Nd Ave |
$59.88 | 14 | 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 Gastonia, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Gastonia, NC is $21.46 per claim, based on 21,711 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 Gastonia, NC?
There are 18 Medicaid providers offering Nursing Facility Care related services in Gastonia, NC according to public payment data.
What is the price range for Nursing Facility Care in Gastonia, NC?
Medicaid reimbursement for Nursing Facility Care in Gastonia, NC ranges from $0.00 to $59.88 per claim, with an average of $21.46. 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 Gastonia, NC
Office Visit
Avg $55.63
914,198 claims
Dental Cleaning & Exam
Avg $29.45
324,975 claims
Substance Abuse Treatment
Avg $100.79
307,968 claims
Behavioral & Mental Health Therapy
Avg $167.99
296,373 claims
Vaccines & Immunizations
Avg $13.08
282,013 claims
Blood Work & Lab Tests
Avg $22.08
273,661 claims
Psychiatric Evaluation
Avg $79.45
271,358 claims
Case Management Services
Avg $201.50
241,594 claims