Average Medicaid Nursing Facility Care Payments in Madison, AL: $1.98
Avg. Paid
$1.98
Range
$0.00 – $16.56
Total Claims
40,490
Providers
21
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 Madison, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott Bell
1600 Browns Ferry Rd |
$1.80 | 12 | 12 |
|
Marilyn M. Salada-Ligon
101 Westover Circle |
$0.00 | 34 | 28 |
|
North Alabama Homecare. Inc
133 Heatherwood Dr |
$0.00 | 35 | 31 |
|
Robin Michelle Mcbrayer
600 Sun Temple Dr |
$1.66 | 73 | 51 |
|
Integrated Behavioral Health, Inc.
600 Sun Temple Drive |
$0.00 | 86 | 68 |
|
Tanya Jean Pike
400 Sun Temple Dr. |
$5.57 | 119 | 83 |
|
Kerri C Abernathy
600 Sun Temple Dr |
$1.60 | 530 | 357 |
|
Kaitlyn Elizabeth Seybold
600 Sun Temple Dr |
$0.20 | 596 | 467 |
|
Shawn Seal
133 Heatherwood Dr |
$8.77 | 843 | 751 |
|
Jessica Anne Tysz
9000 Greenbrier Rd |
$16.56 | 878 | 488 |
|
Sharon Leigh Wilson
540 Hughes Rd |
$1.87 | 918 | 469 |
|
Melissa Aberg West
600 Sun Temple Dr |
$1.08 | 1,432 | 1,252 |
|
Krista Young
600 Sun Temple Dr |
$0.37 | 1,597 | 1,252 |
|
Randall Bartnick
600 Sun Temple Dr |
$1.13 | 2,056 | 1,649 |
|
Ashley Gail Mashburn
12100 County Line Rd Ste A2 |
$0.07 | 2,130 | 749 |
|
Keitha Hallmark Mitchell
600 Sun Temple Dr |
$0.10 | 2,328 | 1,975 |
|
Kayla Marie Stitz
600 Sun Temple Dr |
$3.54 | 3,723 | 3,008 |
|
Jason Kyle Greenhagen
600 Sun Temple Dr |
$2.87 | 4,299 | 3,825 |
|
Ashley Nichole Hanback
600 Sun Temple Dr |
$1.46 | 4,904 | 3,460 |
|
Chastity D Ayers
600 Sun Temple Dr |
$1.71 | 6,498 | 4,406 |
|
Makenzie Elizabeth Chambers
600 Sun Temple Dr |
$0.85 | 7,399 | 5,865 |
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 Madison, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Madison, AL is $1.98 per claim, based on 40,490 claims from 21 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 Madison, AL?
There are 21 Medicaid providers offering Nursing Facility Care related services in Madison, AL according to public payment data.
What is the price range for Nursing Facility Care in Madison, AL?
Medicaid reimbursement for Nursing Facility Care in Madison, AL ranges from $0.00 to $16.56 per claim, with an average of $1.98. 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 Madison, AL
Office Visit
Avg $59.62
168,475 claims
Dental Cleaning & Exam
Avg $24.12
106,529 claims
Psychiatric Evaluation
Avg $21.91
70,524 claims
Emergency Room Visit
Avg $47.94
50,676 claims
Vaccines & Immunizations
Avg $26.10
48,698 claims
Blood Work & Lab Tests
Avg $8.09
31,757 claims
Urinalysis & Urine Tests
Avg $2.79
25,536 claims
Eye Exam
Avg $30.01
18,155 claims