Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Raleigh, NC: $15.10

Avg. Paid

$15.10

Range

$0.00 – $40.05

Total Claims

312,718

Providers

109

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 Raleigh, NC

Provider	Avg. Paid	Claims	Patients
Stephen Saunders Marsh 3117 Poplarwood Ct	$12.46	14	12
James Leroy Edwards 515 St Marys Street	$5.65	31	31
Ashley Lynn Cunningham 8506 Six Forks Rd Ste 202	$0.00	32	31
Audrey Ann Sova Hopping 3000 New Bern Ave	$6.34	34	26
Taana Viviano 3521 Haworth Dr	$10.46	38	35
Anant B Soni 3124 Blue Ridge Rd	$8.21	39	25
Joel Pieper 3000 New Bern Ave	$35.86	62	56
Adrienne Louise Holloway 1631 Midtown Pl Ste 104-110	$0.13	67	57
Jeffrey Grayson Fellows 3000 New Bern Ave	$12.29	67	26
Carol June Koeble 3000 New Bern Ave	$5.92	71	39
Katherine Della Rocco 3050 Duraleigh Rd Ste 111	$20.32	99	47
Devin Kyle Grant 1418 E Millbrook Rd	$1.59	103	85
Amna Shabbir 3000 New Bern Ave	$5.56	111	80
Karen Brown Jones 3414 Six Forks Rd	$30.34	121	47
Anna Binet Wolverton 250 Hospice Cir	$19.34	140	81
Carroll D Kratzer 3001 Edwards Mill Rd Ste 200	$0.00	149	147
Lisa Petronella Shock 4909 Green Rd	$16.10	155	131
Cynthia Moreno Wallace 3000 New Bern Ave	$19.93	171	162
Kathryn Jean Gill 4515 Falls Of Neuse Rd Ste 420	$10.47	185	78
Angela Korleski Lewis 3000 New Bern Ave	$23.60	191	145
Lana Nadine Nealand 3801 Computer Dr	$5.88	242	149
Andrew Ray Kramer 3000 New Bern Ave	$10.65	243	56
Kristin I Flood 3000 New Bern Ave	$20.14	245	160
Beena Jacob 4505 Fair Meadows Ln Ste 101	$11.29	288	166
Kelly Lavette Cobb 3729 Benson Dr	$9.65	306	180
Kimberly Denise Kelsey 2626 Glenwood Ave Ste 550	$9.47	315	179
Patrick J O'Brien 3000 New Bern Ave	$33.87	317	302
Kathleen Larose 5928 N Hills Dr	$1.82	373	186
Kayla Marie Sincock 12205 Harcourt Dr	$12.05	376	158
Tia Nwanguma 3000 New Bern Ave Ste G100	$13.80	405	195
Dale E. White 9360 Falls Of Neuse Rd Ste 105	$17.86	460	204
Rekha Mehta Jain 2411 E Millbrook Rd	$16.82	470	385
Rayleen Cassidy Jones 3400 Wake Forest Rd	$27.36	491	196
Deep Patel 1514 Glenwood Ave	$1.51	530	333
Penny Watson Braswell 3000 New Bern Ave	$18.96	544	330
William M Dunlap 3521 Haworth Dr	$10.68	601	129
Jacquelyn Walter 2340 Spring Forest Rd	$13.69	628	346
Dabiruddin Humayun 3830 Blue Ridge Rd	$17.63	638	538
Megan Lynnette Giere 4909 Waters Edge Dr Ste 100	$9.41	658	381
Lorna Samwed 3824 Barrett Dr	$16.97	698	310
Margaret Faye Potter 3000 New Bern Ave	$22.79	714	542
Jiyoung Ryu 8601 Six Forks Rd	$2.26	748	267
Brittany Shaw Phero 3000 New Bern Ave	$22.97	817	591
Alyssa Worf Stone 1540 Sunday Dr Ste 214	$18.63	857	520
Robert Colin Burnham 3000 New Bern Ave	$20.29	861	659
Danielle Rae Koman 421 Fayetteville St Ste 1100	$31.90	862	728
Adam Creech 3000 New Bern Ave	$13.71	928	773
Tamara Litquinnie Mangum 8406 Six Forks Rd Ste 104	$14.40	942	699
Maria Dyer 4505 Fair Meadows Ln Ste 215	$12.77	950	581
Sondra H Solomon 5312 Six Forks Rd Ste 301	$3.24	974	504

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 Raleigh, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Raleigh, NC is $15.10 per claim, based on 312,718 claims from 109 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 Raleigh, NC?

There are 109 Medicaid providers offering Nursing Facility Care related services in Raleigh, NC according to public payment data.

What is the price range for Nursing Facility Care in Raleigh, NC?

Medicaid reimbursement for Nursing Facility Care in Raleigh, NC ranges from $0.00 to $40.05 per claim, with an average of $15.10. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Nursing Facility Care Payments in Raleigh, NC: $15.10

Providers Offering Nursing Facility Care in Raleigh, NC

What to Expect: Nursing Facility Care

Cost Components

Frequently Asked Questions

Nursing Facility Care in Other Cities

Chicago, IL

Bronx, NY

Las Vegas, NV

Brooklyn, NY

Phoenix, AZ

Tampa, FL

Jacksonville, FL

Indianapolis, IN

Other Procedures in Raleigh, NC

Blood Work & Lab Tests

Office Visit

Emergency Room Visit

Dental Cleaning & Exam

Psychiatric Evaluation

Substance Abuse Treatment

Vaccines & Immunizations

Speech Therapy