Average Medicaid Nursing Facility Care Payments in Pinehurst, NC: $14.40
Avg. Paid
$14.40
Range
$3.11 – $21.32
Total Claims
29,870
Providers
11
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 Pinehurst, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tayler Gabrielle Mebane
300 Blake Blvd |
$20.61 | 522 | 211 |
|
Kayla Keegan
155 Memorial Dr |
$3.11 | 551 | 296 |
|
Michele Catheline Hicks
15 Regional Dr |
$15.34 | 697 | 496 |
|
Silvia Krug
155 Memorial Dr |
$14.86 | 962 | 532 |
|
William Ward Patrick
300 Blake Blvd |
$15.99 | 1,369 | 1,321 |
|
Emily Katherine Pellegrini
35 Memorial Dr |
$4.31 | 1,798 | 938 |
|
David Anthony Castle
10 Aviemore Dr |
$20.31 | 1,998 | 1,104 |
|
Brianne Hendrick Evans
293 Olmstead Blve |
$14.21 | 2,724 | 925 |
|
Wesley C Greene
155 Memorial Dr |
$21.14 | 3,770 | 2,449 |
|
Ronald Dean Walters
293 Olmsted Blvd |
$21.32 | 4,514 | 2,413 |
|
Tenisha Pradhan
205 Rattlesnake Trl |
$9.84 | 10,965 | 2,217 |
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 Pinehurst, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Pinehurst, NC is $14.40 per claim, based on 29,870 claims from 11 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 Pinehurst, NC?
There are 11 Medicaid providers offering Nursing Facility Care related services in Pinehurst, NC according to public payment data.
What is the price range for Nursing Facility Care in Pinehurst, NC?
Medicaid reimbursement for Nursing Facility Care in Pinehurst, NC ranges from $3.11 to $21.32 per claim, with an average of $14.40. 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
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Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Pinehurst, NC
Blood Work & Lab Tests
Avg $11.86
397,455 claims
Office Visit
Avg $43.51
311,769 claims
Substance Abuse Treatment
Avg $23.95
305,476 claims
Emergency Room Visit
Avg $63.27
305,300 claims
Case Management Services
Avg $57.69
202,094 claims
X-Ray
Avg $23.62
122,786 claims
Ambulance Transport
Avg $27.07
111,530 claims
Urinalysis & Urine Tests
Avg $4.42
106,592 claims