Average Medicaid Nursing Facility Care Payments in Lorain, OH: $12.00
Avg. Paid
$12.00
Range
$0.00 – $41.20
Total Claims
17,713
Providers
11
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 Lorain, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lavinia M Cozmin
3600 Kolbe Rd |
$14.10 | 15 | 13 |
|
Sharon Mae Choma
3700 Kolbe Rd |
$0.00 | 22 | 13 |
|
Fast Response Nurse Practitioners, Llc
3905 Oberlin Ave |
$10.20 | 49 | 30 |
|
Shelley Annetteq Burke
Lorain Community Hospital |
$5.84 | 51 | 45 |
|
Christopher William Lobo
5940 Oak Point Rd |
$41.20 | 77 | 70 |
|
Nicole Marie Soptelean
3600 Kolbe Rd Ste 120 |
$15.05 | 501 | 312 |
|
Balaji Saravanan
3700 Kolbe Rd |
$11.15 | 789 | 586 |
|
Robert Thomas
5940 Oak Point Rd |
$15.71 | 1,641 | 681 |
|
Lynnette Duge
1130 Tower Blvd |
$11.53 | 2,227 | 1,305 |
|
Kristi Lynn Carpenter
1130 Tower Blvd # B |
$10.47 | 3,466 | 2,172 |
|
Itri A Eren
1130 Tower Blvd |
$11.74 | 8,875 | 8,273 |
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 Lorain, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Lorain, OH is $12.00 per claim, based on 17,713 claims from 11 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 Lorain, OH?
There are 11 Medicaid providers offering Nursing Facility Care related services in Lorain, OH according to public payment data.
What is the price range for Nursing Facility Care in Lorain, OH?
Medicaid reimbursement for Nursing Facility Care in Lorain, OH ranges from $0.00 to $41.20 per claim, with an average of $12.00. 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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Tampa, FL
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Other Procedures in Lorain, OH
Office Visit
Avg $42.76
582,044 claims
Behavioral & Mental Health Therapy
Avg $73.54
353,970 claims
Blood Work & Lab Tests
Avg $5.56
292,761 claims
Psychiatric Evaluation
Avg $68.76
200,757 claims
Substance Abuse Treatment
Avg $132.64
187,034 claims
Emergency Room Visit
Avg $85.32
173,745 claims
Vaccines & Immunizations
Avg $12.47
139,698 claims
Home Health Visit
Avg $77.73
101,545 claims