Average Medicaid Nursing Facility Care Payments in Irvine, CA: $15.60
Avg. Paid
$15.60
Range
$0.00 – $69.47
Total Claims
200,937
Providers
37
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 Irvine, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Integrative Sports And Spine Inc
9080 Irvine Center Dr |
$16.66 | 123,872 | 39,949 |
|
Kamel Louis Kamel
4199 Campus Dr |
$20.90 | 32,661 | 27,525 |
|
Kyle Seko
9080 Irvine Center Dr |
$3.28 | 16,733 | 4,650 |
|
Kamel L. Kamel, M.D, Inc
5405 Alton Pkwy Ste 5A |
$14.00 | 5,990 | 5,315 |
|
Christopher E Salem
18021 Sky Park Cir Ste G |
$10.89 | 5,641 | 3,858 |
|
Ultimate Physical Medicine & Rehabilitation Apc
33 Creek Rd |
$0.45 | 2,930 | 960 |
|
Kay P Tran
9080 Irvine Center Dr |
$12.62 | 2,737 | 1,101 |
|
Ann Margaret Sevilla Vergel De Dios
4255 Campus Dr Ste A100 |
$2.96 | 1,794 | 694 |
|
Jason P Kellogg
17782 Cowan |
$4.48 | 1,375 | 1,326 |
|
Amirpasha Ehsan
Po Box 5532 |
$23.53 | 1,331 | 674 |
|
Salem D.O., Inc.
18021 Sky Park Cir Ste G |
$31.67 | 773 | 466 |
|
Perlee C Tobias
2 Duane |
$7.64 | 581 | 161 |
|
Akbar Nassiry
4000 Barranca Parkway |
$52.97 | 549 | 94 |
|
Carl Jason Hoeger
18952 Mac Arthur Blvd |
$15.52 | 470 | 466 |
|
Maria Teresa Corpin Agner
11 Technology Dr |
$0.43 | 419 | 169 |
|
Hoa Hieu Nguyen
16100 Sand Canyon Ave Ste 240 |
$17.33 | 383 | 306 |
|
Padmaja Gadadoss
156 Clearbrook |
$31.64 | 369 | 100 |
|
Thuy Adrianne Nguyen
11 Technology Dr |
$5.89 | 362 | 96 |
|
Michelle Corro Nguyen
17782 Cowan Ste A |
$4.26 | 346 | 342 |
|
Jesse Goodman
17782 Cowan Ste A |
$2.30 | 237 | 237 |
|
Alejandra De La Rosa
1000 Fivepoint |
$6.15 | 182 | 99 |
|
Shoshana Panitz
17875 Von Karman Ave Ste 150 |
$9.64 | 171 | 36 |
|
Ronald Lee
11 Technology Dr |
$0.00 | 171 | 39 |
|
Mary Ann Musngi Tanglao
11 Technology Dr |
$61.03 | 169 | 83 |
|
Kumar S Gandhi
18650 Macarthur Blvd Ste 450 |
$6.63 | 160 | 141 |
|
Maria Bince Trippel
17782 Cowan |
$9.70 | 145 | 142 |
|
Christian Co Lu
11 Technology Dr |
$3.00 | 142 | 45 |
|
Optimum Podiatry Services Inc
16815 Von Karman Ave Ste 160 |
$29.69 | 49 | 49 |
|
Henry K Lee
9080 Irvine Center Dr |
$20.69 | 48 | 16 |
|
David Yang
18 Endeavor |
$1.88 | 32 | 32 |
|
Leslie Hodges Grotke
854 Health Sciences Road |
$22.59 | 27 | 17 |
|
Phuong T Tran
17782 Cowan Ste A |
$57.00 | 23 | 16 |
|
Elizabeth Martinez
18021 Sky Park Cir Ste G |
$8.56 | 16 | 14 |
|
Optimum Podiatry Services
2445 Mccabe Way Ste 130 |
$15.41 | 13 | 13 |
|
Jeffrey G Lobas
313 Tall Oak |
$42.95 | 12 | 12 |
|
Randall Glenn Turner
17782 Cowan |
$3.21 | 12 | 12 |
|
Andrew Eskander
18021 Sky Park Cir Ste G |
$69.47 | 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 Irvine, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Irvine, CA is $15.60 per claim, based on 200,937 claims from 37 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 Irvine, CA?
There are 37 Medicaid providers offering Nursing Facility Care related services in Irvine, CA according to public payment data.
What is the price range for Nursing Facility Care in Irvine, CA?
Medicaid reimbursement for Nursing Facility Care in Irvine, CA ranges from $0.00 to $69.47 per claim, with an average of $15.60. 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 Irvine, CA
Office Visit
Avg $41.92
985,384 claims
Physical Therapy
Avg $21.50
489,307 claims
Dental Cleaning & Exam
Avg $51.65
486,390 claims
Durable Medical Equipment (DME)
Avg $52.50
310,608 claims
Psychiatric Evaluation
Avg $58.51
235,043 claims
Behavioral & Mental Health Therapy
Avg $140.19
206,705 claims
Non-Emergency Medical Transportation
Avg $75.89
151,944 claims
Blood Work & Lab Tests
Avg $9.82
126,892 claims