Average Medicaid Nursing Facility Care Payments in Hammond, IN: $13.44
Avg. Paid
$13.44
Range
$9.92 – $27.47
Total Claims
8,237
Providers
5
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 Hammond, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Barbara Marie Edwards
5818 Columbia Ave |
$16.67 | 3,836 | 1,769 |
|
Lauren Elizabeth Bujenita
6423 Columbia Ave Unit A |
$10.62 | 2,566 | 925 |
|
Yolanda A Spencer
5818 Columbia Ave |
$10.50 | 1,808 | 1,232 |
|
Dana Joy Hiskes
31 Sibley St Ste A |
$27.47 | 14 | 12 |
|
Ramesh Aggarwal
5818 Columbia Ave |
$9.92 | 13 | 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 Hammond, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Hammond, IN is $13.44 per claim, based on 8,237 claims from 5 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 Hammond, IN?
There are 5 Medicaid providers offering Nursing Facility Care related services in Hammond, IN according to public payment data.
What is the price range for Nursing Facility Care in Hammond, IN?
Medicaid reimbursement for Nursing Facility Care in Hammond, IN ranges from $9.92 to $27.47 per claim, with an average of $13.44. 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 Hammond, IN
Blood Work & Lab Tests
Avg $8.47
1,238,760 claims
Office Visit
Avg $53.84
243,570 claims
Urinalysis & Urine Tests
Avg $4.50
192,151 claims
Vaccines & Immunizations
Avg $7.81
121,434 claims
Emergency Room Visit
Avg $77.94
103,729 claims
Culture & Microbiology Tests
Avg $6.11
101,954 claims
Pathology & Lab Services
Avg $23.52
73,508 claims
Speech Therapy
Avg $25.14
40,233 claims