Average Medicaid Nursing Facility Care Payments in Plano, TX: $8.55
Avg. Paid
$8.55
Range
$0.00 – $45.68
Total Claims
70,616
Providers
50
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 Plano, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bobbie J. Simlin
850 Central Pkwy E |
$5.80 | 11,876 | 5,316 |
|
Uzma Ahmad
4708 Alliance Blvd Ste 300 |
$19.70 | 8,605 | 8,094 |
|
Vanessa Sylvia
1400 Preston Rd Ste 400 |
$6.24 | 7,084 | 4,425 |
|
Corrie Virginia St. Pierre
850 Central Pkwy E |
$10.58 | 6,936 | 2,475 |
|
Fiona M Wycoff
850 Central Pkwy E |
$1.78 | 6,812 | 3,367 |
|
Jeralynne R Cecilio
6200 W Parker Rd |
$9.10 | 4,016 | 3,714 |
|
Vaheh Davoudian
6200 W Parker Rd |
$5.62 | 3,637 | 1,519 |
|
Rachel M Newhouse
5425 E Spring Creek Pkwy Suite 170 |
$12.31 | 2,364 | 1,073 |
|
Shandalyn Ann Eastham
1400 Preston Rd Ste 400 |
$2.56 | 2,170 | 1,271 |
|
Ellen Fan
3308 Preston Rd |
$22.61 | 2,087 | 1,960 |
|
Tinuola Oyeku
850 Central Pkwy E Ste 275 |
$10.15 | 1,269 | 525 |
|
Legacy Physiatry Group Llc
850 Central Pkwy E Ste 275 |
$0.00 | 1,104 | 586 |
|
Kelly A Clinton
4001 W 15Th St |
$2.70 | 1,102 | 887 |
|
Shannon Renee Robinson
2800 W 15Th St |
$6.21 | 966 | 572 |
|
Omar Alberto Colon Gutierrez
2800 W 15Th St |
$2.08 | 937 | 178 |
|
Batool Imtiaz
6020 W Parker Rd Ste 350 |
$4.72 | 895 | 627 |
|
Cristal N Hall
850 Central Pkwy E Ste 275 |
$5.61 | 799 | 375 |
|
Adelwisa C Ave
850 Central Pkwy E Ste 275 |
$17.30 | 751 | 428 |
|
Allyson Nguyen
5953 Dallas Pkwy Ste 200B |
$2.78 | 632 | 119 |
|
Elaine I. Kim
6124 W Parker Rd Ste 536 |
$13.02 | 597 | 475 |
|
Neeraj Raman Sharma
1400 Preston Rd |
$3.62 | 526 | 421 |
|
Seth M Probert
850 Central Pkwy E Ste 275 |
$2.47 | 489 | 425 |
|
Sharil Lalani
4100 W 15Th St Ste 110 |
$0.80 | 447 | 176 |
|
Modar Alom
5700 Granite Pkwy Ste 200 |
$3.22 | 435 | 281 |
|
Mustafa Sardini
7201 Parkwood Blvd |
$2.88 | 383 | 149 |
|
Ramy Baher Elhalwagi
525 Shiloh Rd Ste 4100 |
$12.91 | 336 | 214 |
|
Tonya Williams
5944 W Parker Rd |
$6.67 | 325 | 281 |
|
Md Jewel Ahmed
6800 Preston Rd |
$9.03 | 297 | 141 |
|
Luis C Trigo
4120 Hedgerow Dr |
$1.57 | 290 | 289 |
|
Tracy A Robillard
6309 Preston Rd |
$2.11 | 282 | 275 |
|
Frederick L Matthews
5072 W Plano Pkwy |
$29.01 | 282 | 228 |
|
Hill Medical Services, Pllc
6800 Preston Rd |
$11.08 | 219 | 84 |
|
Bhagya Lakshmi Balasa
4001 Bashful Dr |
$9.77 | 217 | 118 |
|
Ingrid Cora Hinojosa
850 Central Pkwy E Ste 275 |
$0.23 | 191 | 93 |
|
Akinwande Akintola
6110 W Parker Rd |
$45.68 | 190 | 142 |
|
Akta Rajani
3948 Legacy Dr Ste 106-392 |
$1.64 | 172 | 58 |
|
Precious Boateng
5120 Legacy Dr |
$0.00 | 143 | 69 |
|
Saeed Niyati
1600 Coit Rd |
$1.77 | 135 | 67 |
|
Tariq J Hendawi
5072 W Plano Pkwy Ste 220 |
$0.74 | 131 | 40 |
|
Thomas A Narsete
6105 Windcom Ct |
$19.04 | 86 | 45 |
|
Carol J. Pope
2100 Hedgcoxe Rd Ste 100 |
$0.00 | 80 | 70 |
|
Hina Rizvi
7709 San Jacinto Pl Ste 100 |
$4.16 | 76 | 44 |
|
Noman Ashraf Hussain
3901 W 15Th St |
$17.23 | 51 | 24 |
|
Sunanda Cherukuri
3900 W.15T Street |
$16.30 | 48 | 41 |
|
Brandon Fletcher
850 Central Pkwy E Ste 275 |
$0.00 | 38 | 34 |
|
Hina Mahmud
6200 W Parker Rd |
$0.00 | 31 | 27 |
|
Omotomike Kuku
850 Central Pkwy E Ste 275 |
$4.44 | 23 | 23 |
|
Manu Gupta
3325 W Plano Pkwy |
$0.00 | 22 | 12 |
|
Samuel Ouya
850 Central Pkwy E Ste 275 |
$7.39 | 19 | 17 |
|
Padmasree Soundarraj
1400 Preston Rd Ste 400 |
$0.00 | 13 | 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 Plano, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Plano, TX is $8.55 per claim, based on 70,616 claims from 50 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 Plano, TX?
There are 50 Medicaid providers offering Nursing Facility Care related services in Plano, TX according to public payment data.
What is the price range for Nursing Facility Care in Plano, TX?
Medicaid reimbursement for Nursing Facility Care in Plano, TX ranges from $0.00 to $45.68 per claim, with an average of $8.55. 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 Plano, TX
Office Visit
Avg $42.11
400,639 claims
Behavioral & Mental Health Therapy
Avg $60.35
220,412 claims
Home Health Visit
Avg $25.90
184,240 claims
X-Ray
Avg $7.14
183,249 claims
Dental Cleaning & Exam
Avg $38.11
175,224 claims
Vaccines & Immunizations
Avg $6.47
133,453 claims
Emergency Room Visit
Avg $138.94
130,721 claims
Blood Work & Lab Tests
Avg $17.79
112,755 claims