Skip to content
Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Niles, IL: $11.22

Avg. Paid

$11.22

Range

$2.23 – $27.21

Total Claims

18,746

Providers

8

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 Niles, IL

Provider Avg. Paid Claims Patients
Michelle Leal

6631 N Milwaukee Ave

 $2.23 28 26
Sarah Yoon

6631 N Milwaukee Ave

 $11.88 133 126
Kathy Joyce Mize

8145 N Milwaukee Ave

 $9.94 145 143
Kirill Zhadovich

7900 N Milwaukee Ave

 $27.21 165 116
Diana Heskin

7900 N Milwaukee Ave Ste 2-24

 $4.07 930 533
Sumnima Karki

8809 W Golf Rd Apt 1I

 $11.56 966 549
Diane Rose Baboulas

8816 W Dempster St

 $20.64 5,280 2,134
Sosimol Joseph Ethakattu

6601 W Touhy Ave

 $7.11 11,099 4,944

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 Niles, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Niles, IL is $11.22 per claim, based on 18,746 claims from 8 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 Niles, IL?

There are 8 Medicaid providers offering Nursing Facility Care related services in Niles, IL according to public payment data.

What is the price range for Nursing Facility Care in Niles, IL?

Medicaid reimbursement for Nursing Facility Care in Niles, IL ranges from $2.23 to $27.21 per claim, with an average of $11.22. 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 Niles, IL

Blood Work & Lab Tests

Avg $7.02

376,298 claims

Eye Exam

Avg $30.16

119,492 claims

Office Visit

Avg $40.33

80,874 claims

Physical Therapy

Avg $48.85

55,057 claims

Dental Cleaning & Exam

Avg $32.05

54,427 claims

Urinalysis & Urine Tests

Avg $2.31

44,391 claims

Speech Therapy

Avg $37.07

30,223 claims

Podiatry (Foot Care)

Avg $5.39

25,221 claims