Average Medicaid Nursing Facility Care Payments in Lexington, KY: $8.77
Avg. Paid
$8.77
Range
$0.00 – $73.14
Total Claims
172,652
Providers
97
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Flanagan
3205 Summit Square Pl Ste 100 |
$18.72 | 15,506 | 6,639 |
|
Kathleen J. Short
828 Lane Allen Rd Ste 219 |
$6.84 | 13,795 | 8,002 |
|
Monica Susan Hall-Robertson
1760 Nicholasville Rd |
$4.78 | 12,173 | 5,250 |
|
Keisha Nichole Todd
828 Lane Allen Rd |
$6.99 | 11,023 | 9,435 |
|
John W. Richard
989 Governors Ln Ste 240 |
$5.49 | 8,295 | 6,098 |
|
Julie Gatto Smahaj
Uk Division Of Pulmonary Critical Care |
$12.25 | 6,797 | 4,460 |
|
Lisa R Bell
3300 Tates Creek Rd |
$11.33 | 6,691 | 5,718 |
|
Achamma S Itticheria
828 Lane Allen Rd Ste 219 |
$15.34 | 6,065 | 4,370 |
|
Donald Ray Avery
1050 Chinoe Rd Ste 350 |
$3.78 | 5,359 | 2,247 |
|
Kathy Darlene Short
828 Lane Allen Rd Ste 219 |
$13.99 | 5,232 | 3,383 |
|
Katherine R Waugh
989 Governors Ln Ste 240 |
$2.70 | 5,147 | 3,557 |
|
Ireland Falconberry
828 Lane Allen Rd |
$8.96 | 5,142 | 3,794 |
|
Lisa Carole Primm
828 Lane Allen Rd Ste 219 |
$2.63 | 4,682 | 1,754 |
|
Amie Elisabeth Osborne
1401 Harrodsburg Rd Ste A120 |
$3.53 | 4,215 | 3,017 |
|
Jeff S Richardson
1401 Harrodsburg Rd |
$6.99 | 3,143 | 3,106 |
|
Jacqueline Cassell
3099 Helmsdale Pl |
$6.60 | 3,089 | 1,723 |
|
Jesus Victor Tovar
3150 Custer Dr Ste 101 |
$0.87 | 3,056 | 2,722 |
|
Jenna Lynn Buchanan
2401 Regency Rd. Ste. 101 |
$2.52 | 3,050 | 2,732 |
|
Davanand C Doodnauth
1 Saint Joseph Dr |
$16.69 | 3,005 | 2,601 |
|
Paul Ilkanich
3576 Pimlico Pkwy |
$5.86 | 2,940 | 1,267 |
|
Alexandra Allgeier
1050 Chinoe Rd |
$9.15 | 2,617 | 1,721 |
|
Avis Michelle Carr-Jarmon
3213 Summit Square Pl |
$11.76 | 2,378 | 1,148 |
|
Ami Elizabeth Bostic
828 Lane Allen Rd Ste 219 |
$5.87 | 2,317 | 1,301 |
|
Jessica Lenore True
2020 Cambridge Dr |
$5.81 | 2,202 | 1,545 |
|
Charlsey Mcalister Nave
828 Lane Allen Rd Ste 219 |
$11.75 | 2,186 | 1,881 |
|
Terra Brooke Wadley
828 Lane Allen Rd Ste 219 |
$4.75 | 2,176 | 1,344 |
|
Stephanie Diane Ferrell
800 Rose St |
$14.29 | 2,067 | 1,577 |
|
Joyce Denise Thacker
989 Governors Ln Ste 180 |
$5.00 | 2,050 | 1,356 |
|
Andrea Jean Kohlman
2700 Old Rosebud Rd Ste 110 |
$11.94 | 1,871 | 1,407 |
|
Stefanie Shepherd
989 Governors Ln Ste 140 |
$9.47 | 1,741 | 1,616 |
|
Patricia K Garrett
1050 Monarch St Ste 300 |
$0.30 | 1,571 | 1,269 |
|
Laura Marie De La Torre
3101 Beaumont Centre Cir Ste 100 |
$8.94 | 1,461 | 1,161 |
|
Cletus Savio Carvalho
3070 Lakecrest Cir # 400-197 |
$4.47 | 1,329 | 1,271 |
|
Joan Alice Osborne
1608 Hill Rise Dr |
$5.02 | 1,189 | 697 |
|
Rondal Goble
2121 Richmond Rd Ste 201 |
$13.86 | 1,063 | 907 |
|
James Bradford Braudis
1236 Gainesway Dr |
$9.85 | 1,023 | 947 |
|
Kendra Sue Mcclellan
1050 Monarch St Ste 300 |
$3.38 | 1,022 | 570 |
|
Stacy Lynn Mills
1733 Harrodsburg Rd |
$2.88 | 878 | 747 |
|
Amanda Stagg
828 Lane Allen Rd Ste 219 |
$8.51 | 873 | 626 |
|
Ellen Thomson
828 Lane Allen Rd Ste 219 |
$12.79 | 838 | 428 |
|
Janna D Cheek
1351 Newtown Pike Bldg 1 |
$13.28 | 730 | 656 |
|
Eleida Tur Oliva
3101 Richmond Rd Ste 190 |
$5.24 | 691 | 381 |
|
Lauren Audrey Puckett
800 Rose St |
$73.14 | 593 | 441 |
|
Sara Anne Marie Mckenzie
3576 Pimlico Pkwy |
$3.07 | 582 | 281 |
|
Kristy A Bruins
166 Pasadena Dr |
$0.00 | 580 | 192 |
|
Nancy J Hudson
1733 Harrodsburg Rd |
$3.09 | 571 | 286 |
|
Elizabeth Crance
800 Rose St |
$0.53 | 485 | 423 |
|
Paula Nicole Popa
208 Legends Ln Ste 160 |
$4.30 | 474 | 293 |
|
Sara Johnson
828 Lane Allen Rd Ste 219 |
$9.80 | 474 | 425 |
|
Mariem Kader
2701 Magnolia Springs Dr |
$5.45 | 471 | 367 |
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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Lexington, KY is $8.77 per claim, based on 172,652 claims from 97 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 Lexington, KY?
There are 97 Medicaid providers offering Nursing Facility Care related services in Lexington, KY according to public payment data.
What is the price range for Nursing Facility Care in Lexington, KY?
Medicaid reimbursement for Nursing Facility Care in Lexington, KY ranges from $0.00 to $73.14 per claim, with an average of $8.77. 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 Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Physical Therapy
Avg $62.23
1,009,326 claims
Substance Abuse Treatment
Avg $82.19
953,868 claims
Dental Cleaning & Exam
Avg $36.91
818,313 claims