Average Medicaid Nursing Facility Care Payments in Nashville, TN: $14.27
Avg. Paid
$14.27
Range
$0.00 – $380.00
Total Claims
290,550
Providers
155
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 Nashville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Faiza Rehman
6061 Frontier Ln |
$12.76 | 14,906 | 7,143 |
|
Tonya Durant
3601 The Vanderbilt Clinic |
$10.01 | 13,148 | 9,522 |
|
Tiffany A Ramos
73 White Brige Road |
$11.46 | 10,438 | 4,671 |
|
Betsy Lorraine Smith
4230 Harding Pike |
$3.14 | 9,570 | 4,591 |
|
Jenny E Mullen
300 20Th Ave N Ste G1 |
$9.92 | 9,219 | 2,903 |
|
Monicka Stevenson
708 Bridgedale Ct |
$4.71 | 9,215 | 4,150 |
|
John A Williams
300 20Th Ave N |
$10.89 | 8,327 | 6,701 |
|
Rebecca Marlanea Bowman
329 Murfreesboro Pike |
$6.41 | 8,055 | 3,968 |
|
Venkat K Reddy
1804 State St |
$9.71 | 7,913 | 3,378 |
|
Community Care Health Network Llc
424 Church St Ste 220 |
$37.30 | 7,226 | 3,535 |
|
Emem Asuquo Zeller
28 White Bridge Rd Ste 208 |
$34.08 | 6,853 | 3,062 |
|
Alan James Powers
600 12Th Ave S |
$9.96 | 6,712 | 4,026 |
|
Devin Margaret Frost
3939 Hillsboro Cir |
$13.58 | 6,628 | 2,549 |
|
Kellie Humphrey
5221 Ravens Gln |
$34.73 | 6,320 | 4,255 |
|
Paul Michael Mcclellan
3601 The Vanderbilt Clinic |
$30.92 | 6,308 | 4,219 |
|
Lauren Wilson
333 Commerce St |
$11.61 | 6,156 | 2,300 |
|
Schuyler Lucio
1916 20Th Ave S |
$8.05 | 5,866 | 2,926 |
|
Amy J Bass
1836 Cromwell Dr |
$22.04 | 5,689 | 3,238 |
|
Christine Peterson
832 Wedgewood Ave |
$11.56 | 5,679 | 2,253 |
|
Kathy Mitchell
11 Burton Hills Blvd |
$36.32 | 5,470 | 3,172 |
|
Mary Beth Young
926 Main St |
$11.10 | 5,392 | 3,637 |
|
Tamara Heppeard
333 Commerce St Ste 700 |
$13.34 | 4,808 | 2,189 |
|
Tika Johnson
1195 Wedgewood Ave |
$13.36 | 4,432 | 1,698 |
|
Alice Joy Lowe
3601 The Vanderbilt Clinic |
$25.60 | 4,202 | 3,645 |
|
Lilian I Obiefuna
1001 Capital Funds Ct |
$14.46 | 4,183 | 3,073 |
|
Anna Evans Watson
8044 Coley Davis Rd |
$5.04 | 3,790 | 1,480 |
|
Morgan Makenzie Paul
300 20Th Ave N Ste G1 |
$6.47 | 3,785 | 1,451 |
|
Hayley Andrews Derusha
300 20Th Ave N Ste G1 |
$6.10 | 3,770 | 1,524 |
|
Heather Haynes Walker
3601 The Vanderbilt Clinic |
$3.75 | 3,598 | 976 |
|
Carole Kern Houser Bartoo
3601 The Vanderbilt Clinic |
$19.34 | 3,507 | 2,657 |
|
Andrew Lamberth Parker
3939 Hillsboro Cir |
$3.40 | 3,441 | 2,205 |
|
Jean Raines Lessly
1836 Cromwell Drive |
$7.00 | 3,423 | 1,862 |
|
Sophie Jernigan
561 Elaine Dr |
$7.20 | 3,417 | 923 |
|
David Charles Heusinkveld
4230 Harding Pike |
$7.34 | 3,236 | 2,616 |
|
Bonnie F Randolph
310 21St Ave N |
$5.39 | 3,227 | 591 |
|
Joseph Ozenne
530 Great Circle Rd |
$30.92 | 2,899 | 2,414 |
|
Leanne S Balmer
1005 17Th Ave S Ste 810 |
$11.50 | 2,857 | 1,122 |
|
Stephen T Leonard
670 Shadowood Dr |
$3.59 | 2,560 | 2,031 |
|
Nancy Odita-Honnah
926 Main Street |
$12.01 | 2,520 | 1,848 |
|
Piper Leigh Hammond
926 Main St |
$9.69 | 2,470 | 1,311 |
|
Amed Abdullah
3601 The Vanderbilt Clinic |
$10.36 | 2,451 | 1,220 |
|
Margaret Gilmer
1215 21St Ave S |
$12.64 | 2,418 | 1,100 |
|
Ethel M Robertson
404 Dr Db Todd Jr Blvd |
$14.61 | 2,382 | 1,504 |
|
Catherine Hart Mcmullan
1900 Belmont Blvd |
$5.63 | 2,359 | 481 |
|
Millard Darnell Collins
51 Century Blvd Ste 110 |
$37.01 | 2,340 | 2,170 |
|
Jessica Williams Abbott
2103 Crestmoor Rd |
$11.86 | 2,173 | 980 |
|
Erin M Weed
300 20Th Ave N |
$13.70 | 2,149 | 1,439 |
|
Adama Panda
333 Commerce St |
$52.01 | 1,862 | 763 |
|
Vanessa Capers
926 Main St |
$10.36 | 1,686 | 1,178 |
|
Jace Lyam Stephens
615 Main St Ste 127 |
$12.86 | 1,654 | 989 |
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 Nashville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Nashville, TN is $14.27 per claim, based on 290,550 claims from 155 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 Nashville, TN?
There are 155 Medicaid providers offering Nursing Facility Care related services in Nashville, TN according to public payment data.
What is the price range for Nursing Facility Care in Nashville, TN?
Medicaid reimbursement for Nursing Facility Care in Nashville, TN ranges from $0.00 to $380.00 per claim, with an average of $14.27. 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 Nashville, TN
Blood Work & Lab Tests
Avg $8.25
7,785,390 claims
Case Management Services
Avg $197.77
5,117,343 claims
Office Visit
Avg $46.51
4,188,840 claims
Emergency Room Visit
Avg $115.01
1,887,270 claims
X-Ray
Avg $6.44
1,428,718 claims
Vaccines & Immunizations
Avg $12.95
1,374,325 claims
Urinalysis & Urine Tests
Avg $2.86
953,202 claims
Psychiatric Evaluation
Avg $58.51
924,083 claims