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
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 Raleigh, NC
Blood Work & Lab Tests
Avg $14.74
2,273,950 claims
Office Visit
Avg $59.24
1,603,097 claims
Emergency Room Visit
Avg $139.82
911,865 claims
Dental Cleaning & Exam
Avg $29.35
889,864 claims
Psychiatric Evaluation
Avg $74.92
754,370 claims
Substance Abuse Treatment
Avg $63.03
671,403 claims
Vaccines & Immunizations
Avg $16.76
580,140 claims
Speech Therapy
Avg $62.41
512,881 claims