Average Medicaid Nursing Facility Care Payments in Madison, WI: $11.01
Avg. Paid
$11.01
Range
$0.00 – $35.88
Total Claims
22,994
Providers
26
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, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Radhakrishna Janardhan
1421 S Park St |
$9.25 | 8,642 | 4,249 |
|
Amin Afrazi
Uw Hospital And Clinics |
$9.87 | 4,618 | 2,735 |
|
Olubukola E Shodiya
2921 Landmark Pl Ste 215 |
$16.85 | 2,553 | 2,509 |
|
Donald A Carufel-Wert
317 Knutson Dr |
$4.46 | 1,666 | 970 |
|
Lisa Draze
1444 Ellen Ave |
$8.19 | 940 | 480 |
|
Raeanna R Monte
4621 Eastpark Blvd |
$24.23 | 855 | 377 |
|
Amanda Marie Keller
7050 Watts Rd |
$12.93 | 830 | 801 |
|
Polly B Boynton
700 S Park St Ste A |
$9.77 | 526 | 306 |
|
Allison Rose Pokrzywa
750 Highland Ave |
$15.84 | 462 | 226 |
|
Cari A Eggert
317 Knutson Dr |
$6.32 | 392 | 298 |
|
Katherine Elizabeth Barren
750 Highland Ave |
$35.88 | 268 | 150 |
|
Bruce A Grau
2880 University Ave |
$11.66 | 251 | 225 |
|
Leigh A Mcgough
700 S Park St Ste A |
$12.20 | 241 | 207 |
|
Jessica Ann Nehls-Rennhack
20 S Park St |
$22.72 | 159 | 138 |
|
Kristen L Knoepke
7102 Mineral Point Rd |
$7.99 | 109 | 69 |
|
Angeline Amy Foster
700 S Park St |
$14.42 | 95 | 54 |
|
Pamela K Amundson
3099 E Washington Ave |
$0.00 | 93 | 56 |
|
Jeffrey K Corrigan
2402 Winnebago St |
$2.28 | 71 | 51 |
|
Kristopher L Glanville
1821 S Stoughton Rd |
$10.22 | 45 | 45 |
|
Elizabeth Ann Felton
600 Highland Ave |
$11.03 | 45 | 44 |
|
Monika Zawadzka
1265 John Q Hammons Dr |
$1.76 | 31 | 24 |
|
Katlynn Ann Kelley
20 S Park St Rm M417 |
$19.81 | 31 | 26 |
|
Roxanne E Kleman
563 Chatham Ter |
$0.26 | 25 | 23 |
|
Telemedico Physicians Of Wisconsin Sc
33 E Main St Ste 610 |
$0.00 | 19 | 19 |
|
Colin T Graney
664 W. Washington Ave |
$0.00 | 15 | 14 |
|
Daniel Guerra Rodas
Uw Hospital And Clinics |
$3.90 | 12 | 12 |
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, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Madison, WI is $11.01 per claim, based on 22,994 claims from 26 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, WI?
There are 26 Medicaid providers offering Nursing Facility Care related services in Madison, WI according to public payment data.
What is the price range for Nursing Facility Care in Madison, WI?
Medicaid reimbursement for Nursing Facility Care in Madison, WI ranges from $0.00 to $35.88 per claim, with an average of $11.01. 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, WI
Substance Abuse Treatment
Avg $12.67
1,509,772 claims
Behavioral & Mental Health Therapy
Avg $110.40
1,504,873 claims
Office Visit
Avg $49.22
1,187,844 claims
Blood Work & Lab Tests
Avg $11.76
1,154,690 claims
Emergency Room Visit
Avg $59.96
734,593 claims
X-Ray
Avg $5.48
502,669 claims
Physical Therapy
Avg $19.46
343,028 claims
EKG / ECG (Electrocardiogram)
Avg $5.11
290,457 claims