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
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