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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
Sunshine Marie Coffey

2920 Forestville Rd Ste 100

$6.00 20,974 5,248
Linda Simpson Grimes

3201 Edwards Mill Rd Ste 141

$6.62 19,080 12,947
Teofil Ioan Misaras

3416 Poole Rd Ste 120

$20.56 17,848 5,588
Sofia J Umali-Jhanji

606 Wade Ave

$4.29 15,200 9,489
Heather Taylor Lackey

2920 Forestville Rd Ste 100

$7.89 13,871 3,174
Kelli Odell Armwood-Bryant

3000 New Bern Ave

$18.13 12,231 5,540
Ramesh Babu Konduru

10640 Durant Rd Ste 101

$32.54 11,884 6,634
Joel Mitchell Blass

2920 Forestville Rd Ste 100

$19.08 11,386 6,201
Karyl Anne Noonan

3000 New Bern Ave

$12.23 10,675 3,620
Brian Capel

3201 Edwards Mill Rd Ste 141

$10.25 10,546 8,059
Caroline C. Obregon

3012 Falstaff Rd

$23.74 9,856 8,287
Rebecca E Dorn

606 Wade Ave

$3.12 8,814 3,240
Troy G Moise

3000 New Bern Ave

$29.42 8,601 2,890
Angela Nicole Coffey

2920 Forestville Rd Ste 10

$12.50 6,947 2,578
Tamiqua Jackson Luckey

8406 Six Forks Rd Ste 104

$21.94 5,513 4,721
Michael James

3850 Ed Drive

$9.35 4,785 3,935
Brandon Gold

160 Mine Lake Ct Ste 200

$8.85 4,753 1,850
Kathryn Rebecca Sabo

160 Mine Lake Ct Ste 200

$13.04 4,609 2,460
Danielle L Hogan

3000 New Bern Ave

$21.38 4,567 2,205
Holly Lucas Eubanks

3801 Barrett Dr

$7.05 3,927 1,979
Karen Alice Schneider

4420 Lake Boone Trl

$23.80 3,666 2,929
Brooke Graves

11200 Governor Manly Way

$12.74 3,566 1,505
Allison Moore Ko

3000 New Bern Ave

$22.82 3,490 1,791
Shenika Lenette Morgan

2920 Forestville Rd Ste 100

$18.36 3,424 1,357
Anoop Dipak Sheth

9360 Falls Of Neuse Rd Ste 105

$17.18 3,152 2,114
Shannon V Beligotti

3000 New Bern Ave

$21.43 3,145 1,814
Neijia Grissom

3214 Charles B Root Wynd Ste 213

$17.67 3,033 1,073
John Francis Lue

3850 Ed Drive

$3.76 2,989 2,220
Olivia Marie Gause

2920 Forestville Rd Ste 100

$19.35 2,782 1,445
Jennifer Mead Uebele

160 Mine Lake Ct Ste 200

$12.62 2,738 1,048
Kristin A Stiller

3000 New Bern Ave

$25.61 2,664 1,656
Tricia Tiu

3000 New Bern Ave

$19.32 2,578 1,348
Sally Jenay Delmastro

2420 Lake Wheeler Rd

$9.26 2,510 1,186
Byron Keith Forgy

160 Mine Lake Ct Ste 200

$4.61 2,439 953
Chelsea Lane

3000 New Bern Ave

$17.51 2,395 1,408
Brandon Thomas Searle

2626 Glenwood Ave

$11.97 2,350 1,119
Amish V. Patel

3521 Haworth Dr

$27.20 2,213 1,699
Diana D Harper

3830 Blue Ridge Rd

$2.40 2,192 502
Rose Meitzen

3000 New Bern Ave

$26.22 2,185 836
Freda T Sigmon

3000 New Bern Ave

$19.83 2,183 1,479
Micheline Lataliza Epstein

4600 Lake Boone Trl Ste 200

$16.78 2,095 814
Erica Farley

3000 New Bern Ave

$19.59 2,057 1,155
Erin Jeanette Miller

160 Mine Lake Ct Ste 200

$13.81 2,044 926
Oscar Njihi

4030 Wake Forest Rd Ste 349

$29.48 1,997 844
Muriel Lynn W Lamoureux

3000 New Bern Ave

$22.80 1,966 1,073
Michelle Van Huynh

3000 New Bern Ave

$20.76 1,910 956
Lindsay K Gossett

3000 New Bern Ave

$19.10 1,895 1,131
Heather L Pfeil

3000 New Bern Ave

$21.14 1,867 1,260
Tana Shea Royal

3000 New Bern Ave

$23.62 1,835 1,220
Steven Marc Liebowitz

3850 Ed Drive

$8.79 1,820 1,628

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.

Nursing Facility Care in Other Cities

Other Procedures in Raleigh, NC