Average Medicaid Nursing Facility Care Payments in Kettering, OH: $15.74
Avg. Paid
$15.74
Range
$4.22 – $35.23
Total Claims
52,572
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 Kettering, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rachel Lynn Hunter
3535 Southern Blvd |
$18.66 | 18,891 | 9,401 |
|
Kimberly A Sunshein
3535 Southern Blvd |
$14.58 | 17,129 | 6,671 |
|
Christopher Ryan Hymer
3119 E Millstone Dr |
$13.91 | 3,517 | 1,593 |
|
Nicholas Adrian
3535 Southern Blvd |
$10.00 | 3,155 | 2,085 |
|
Wanda Irene Blatter
3313 Wilmington Pike |
$22.29 | 1,990 | 986 |
|
Jason Edward Leffew
3535 Southern Blvd |
$7.90 | 1,738 | 951 |
|
Eric David Chico
2632 Woodman Center Ct |
$4.60 | 1,541 | 840 |
|
Janny Lynn Kehr
4441 Far Hills Ave |
$33.03 | 1,319 | 858 |
|
Amy Kacho
3535 Southern Blvd |
$8.09 | 919 | 560 |
|
Mackenzie Baker
3535 Southern Blvd |
$6.47 | 818 | 420 |
|
Jennifer Sundstrom
3737 Southern Blvd Ste 2000 |
$11.92 | 521 | 190 |
|
Arshad Ali Shah
3535 Southern Blvd |
$6.42 | 306 | 202 |
|
Eva L Allison
3535 Southern Blvd |
$15.11 | 279 | 169 |
|
James Boyd Nagle
200 Tait Rd |
$26.08 | 250 | 188 |
|
Jacqueline Degen
580 Lincoln Park Boulevard |
$23.28 | 143 | 116 |
|
Felipe A Rubio
3080 Ackerman Blvd |
$35.23 | 30 | 25 |
|
Rachel Snyder June
1745 E Stroop Rd |
$4.22 | 26 | 24 |
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 Kettering, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Kettering, OH is $15.74 per claim, based on 52,572 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 Kettering, OH?
There are 17 Medicaid providers offering Nursing Facility Care related services in Kettering, OH according to public payment data.
What is the price range for Nursing Facility Care in Kettering, OH?
Medicaid reimbursement for Nursing Facility Care in Kettering, OH ranges from $4.22 to $35.23 per claim, with an average of $15.74. 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 Kettering, OH
Emergency Room Visit
Avg $92.55
963,000 claims
Blood Work & Lab Tests
Avg $3.42
657,607 claims
Home Health Visit
Avg $55.80
476,695 claims
Office Visit
Avg $48.87
316,054 claims
X-Ray
Avg $5.77
211,699 claims
EKG / ECG (Electrocardiogram)
Avg $4.57
167,967 claims
Urinalysis & Urine Tests
Avg $0.59
157,306 claims
Vaccines & Immunizations
Avg $12.13
112,018 claims