Average Medicaid Nursing Facility Care Payments in Middletown, OH: $16.07
Avg. Paid
$16.07
Range
$0.00 – $22.94
Total Claims
32,049
Providers
19
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 Middletown, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shazia Khan
930 9Th Ave |
$13.64 | 5,755 | 4,435 |
|
Courtney Killin
3420 Towne Blvd |
$12.76 | 5,182 | 2,866 |
|
Kirk Ellis Smith
5005 Kilkerry Dr |
$22.94 | 4,857 | 4,313 |
|
Brian Thomas Landrum
315 N Breiel Blvd |
$22.88 | 4,838 | 4,459 |
|
Jeffrey Sloane Zollett
200 Medical Center Dr |
$19.05 | 1,853 | 1,659 |
|
Stephen R Moore
1040 Summitt Sq |
$22.49 | 1,526 | 1,158 |
|
Emad Alshami
1060 Summit Drive |
$5.32 | 1,398 | 1,317 |
|
Barry Robertson
136 N Breiel Blvd |
$8.79 | 1,363 | 1,083 |
|
Ashlie Collins
6730 Roosevelt Ave Ste 201 |
$15.68 | 1,049 | 851 |
|
Bradley P Bruns
2408 Hill Ave |
$10.61 | 1,024 | 784 |
|
Komal Tariq
6730 Roosevelt Ave Ste 303 |
$5.37 | 985 | 721 |
|
Lavinda Mcauliffe
6730 Roosevelt Ave Ste 201 |
$14.04 | 583 | 460 |
|
Christina Harris
6730 Roosevelt Ave Ste 303 |
$13.39 | 537 | 232 |
|
Macey Mcbride
5850 Innovation Dr |
$18.77 | 400 | 302 |
|
Melissa Pierson
210 N Breiel Blvd |
$0.00 | 294 | 279 |
|
Scott Lawrence Zollett
200 Medical Center Dr |
$4.70 | 136 | 112 |
|
Maryanna Kathryn Brockman
275 N Breiel Blvd |
$11.37 | 123 | 59 |
|
Lotfi F Mamlouk
6730 Roosevelt Ave Ste 303 |
$9.61 | 111 | 83 |
|
Samina G. Sagri
6730 Roosevelt Ave Ste 303 |
$18.35 | 35 | 26 |
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 Middletown, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Middletown, OH is $16.07 per claim, based on 32,049 claims from 19 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 Middletown, OH?
There are 19 Medicaid providers offering Nursing Facility Care related services in Middletown, OH according to public payment data.
What is the price range for Nursing Facility Care in Middletown, OH?
Medicaid reimbursement for Nursing Facility Care in Middletown, OH ranges from $0.00 to $22.94 per claim, with an average of $16.07. 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 Middletown, OH
Office Visit
Avg $51.46
490,917 claims
Psychiatric Evaluation
Avg $70.81
237,856 claims
Dental Cleaning & Exam
Avg $19.56
206,153 claims
Behavioral & Mental Health Therapy
Avg $64.75
165,798 claims
Substance Abuse Treatment
Avg $66.15
149,917 claims
Physical Therapy
Avg $14.68
93,124 claims
Vaccines & Immunizations
Avg $9.68
78,857 claims
Speech Therapy
Avg $26.42
73,939 claims