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Based on public Medicaid payment data.

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
Ann Farrer

2148 Ami Ln

$0.00 13 13
Judith Flore Kelly

800 Rose Street Lexington Ky 40536

$0.00 14 14
Ila R Patel

3175 Custer Drive

$0.00 16 16
Thomas P Von Unrug

1401 Harrodsburg Road B 299

$33.07 17 14
Joel Moncivaiz

1733 Harrodsburg Rd

$35.67 17 15
Elizabeth Ivy Wright

3576 Pimlico Pkwy

$28.66 21 16
Somer K Mitchell

1830 Versailles Rd

$0.00 24 14
April Skaggs

496 Southland Dr

$0.00 24 15
Latha Chandrashekar

245 Fountain Ct Fl 1

$38.10 28 12
Olga Maria Skinner

496 Southland Dr

$0.00 28 27
Travis Bridges

101 N Eagle Creek Dr

$1.45 29 12
Alyssa V Cumming

1740 Nicholasville Rd

$3.08 29 18
Angela Washington

3151 Beaumont Centre Cir

$4.36 29 22
Philip Penn

3300 Tates Creek Rd

$4.73 35 26
Tiffany Nicole Wright

436 W2Nd St

$14.65 35 29
Jane Alan Owens

168 E Reynolds Rd Ste 130

$10.71 41 33
Katharine Layton

1 Saint Joseph Dr

$0.00 43 32
Carla L Sanders

2132 Sallee Dr

$6.83 48 46
Rachel Ashmore

1733 Harrodsburg Rd

$1.65 54 42
Amanda Dawn Jarvis

1354 Bull Lea Rd

$0.00 59 55
Jennifer Parr

1350 Bull Lea Rd

$2.17 61 54
Jessica Lynn Harper

1650 Bryan Station Rd

$0.00 63 52
Laura Joans

2312 Alexandria Dr

$1.22 73 68
Linda L Thomas

120 Prosperous Pl

$9.80 83 72
Emily Nicole Kern

740 S Limestone J107

$8.08 85 72
Robert Paul Leath

Uk Division Of Hospital Medicine

$39.63 98 40
Kimberly Ann Lowry

740 S Limestone Ky Clinic 401

$2.66 99 60
Alisha Dangol

1221 S Broadway

$7.92 107 81
Shelby Bliss

800 Rose St

$0.00 107 83
Christopher O'Brien James

2050 Versailles Rd

$11.85 111 63
Douglas Cade Sievers

1207 S Broadway

$0.00 116 95
Wanda Gayle Taylor

University Of Kentucky & Affiliates

$40.39 116 82
Jennifer Shawn Edgar

2452 Sir Barton Way Ste 303

$4.83 117 57
Daniella Prashanti Gavito

245 Fountain Ct # 225

$16.12 133 84
Baptist Health Medical Group Inc

4071 Tates Creek Centre Dr

$0.00 159 154
Susie K Pruitt

2040 Harrodsburg Rd Ste 200

$0.00 177 168
Misty Coleman

828 Lane Allen Rd Ste 219

$7.15 181 168
Richard Joseph Batka

2050 Versailles Rd

$19.79 182 160
Brenda J Pittman

3300 Tates Creek Rd

$4.52 182 138
Katisha Ednacot

1775 Alysheba Way

$14.95 183 152
Diana Mae Bratcher

3470 Blazer Pkwy Ste 200

$6.50 267 117
Mary Lee Edwards

989 Governors Ln Ste 240

$4.70 320 306
Andrea Renee Covington

740 S Limestone Ste J107

$9.84 359 183
Laura Faughn

496 Southland Dr

$6.36 424 379
Annaka Shea Hoffman

1350 Bull Lea Rd

$11.26 432 372
Alexis Vonwiegen

125 E Maxwell St

$1.81 448 414
Norrah Joyce Clark

800 Rose St

$32.83 457 191
Mariem Kader

2701 Magnolia Springs Dr

$5.45 471 367
Paula Nicole Popa

208 Legends Ln Ste 160

$4.30 474 293
Sara Johnson

828 Lane Allen Rd Ste 219

$9.80 474 425

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

Other Procedures in Lexington, KY