Average Medicaid Nursing Facility Care Payments in Lombard, IL: $10.51
Avg. Paid
$10.51
Range
$0.00 – $46.94
Total Claims
46,424
Providers
20
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 Lombard, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jaydienne Paulisa Cruz Fontejon
10 E 22Nd St Ste 205 |
$0.00 | 21 | 19 |
|
Yoko Momoyama
1801 S Highland Ave |
$1.21 | 47 | 37 |
|
Aleksandra Vargas
1S072 Luther Ave |
$30.90 | 83 | 39 |
|
Hiral Hiren Patel
2500 S Highland Ave Ste 230 |
$12.42 | 84 | 63 |
|
Valentina Leyva-Aquende
580 Waters Edge Ste 100 |
$2.94 | 135 | 84 |
|
Leroy Michael Lambey
10 E 22Nd St Ste 207 |
$45.40 | 173 | 135 |
|
Mbs Imaging Llc
1919 S. Highland Avenue |
$46.94 | 195 | 67 |
|
Tejalkumari Atit Patel
2500 S Highland Ave Ste 230 |
$7.55 | 197 | 144 |
|
Tahir Mahmood
2500 S Highland Ave Ste 230 |
$17.25 | 344 | 196 |
|
Matthew Campos
1801 S Highland Ave Ste L40 |
$30.96 | 529 | 238 |
|
Pardeep Kaur
2100 S Finley Rd |
$33.87 | 938 | 545 |
|
Shefali Bhatt Seth
1S072 Luther Ave |
$4.68 | 989 | 575 |
|
Matthew Chow
244 E Roosevelt Rd |
$7.92 | 1,105 | 453 |
|
Iram Aleem Ahmed
2500 S. Highland Ave., Suite 230 |
$25.54 | 1,516 | 858 |
|
Gianina Paola Estocado
2100 S Finley Rd |
$41.03 | 1,947 | 691 |
|
Cristina Golajer Sira
1S072 Luther Ave |
$10.47 | 4,056 | 2,646 |
|
Ellen Dekold
1S072 Luther Ave |
$18.23 | 4,539 | 3,307 |
|
Simone Bryant
477 E Butterfield Rd Ste 400 |
$3.99 | 7,571 | 3,190 |
|
Scott Allen Zimmerman
10 E 22Nd St |
$5.30 | 9,799 | 5,386 |
|
Vincent James Traverso
10 E 22Nd St |
$5.92 | 12,156 | 6,614 |
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 Lombard, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Lombard, IL is $10.51 per claim, based on 46,424 claims from 20 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 Lombard, IL?
There are 20 Medicaid providers offering Nursing Facility Care related services in Lombard, IL according to public payment data.
What is the price range for Nursing Facility Care in Lombard, IL?
Medicaid reimbursement for Nursing Facility Care in Lombard, IL ranges from $0.00 to $46.94 per claim, with an average of $10.51. 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 Lombard, IL
Non-Emergency Medical Transportation
Avg $38.18
1,160,032 claims
Ambulance Transport
Avg $130.33
775,899 claims
Blood Work & Lab Tests
Avg $7.36
466,146 claims
Home Health Visit
Avg $224.61
96,813 claims
Office Visit
Avg $50.83
93,379 claims
Dental Cleaning & Exam
Avg $31.37
53,969 claims
Urinalysis & Urine Tests
Avg $4.72
52,358 claims
Eye Exam
Avg $29.28
31,266 claims