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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Rocky Mount, NC: $5.25

Avg. Paid

$5.25

Range

$0.00 – $20.67

Total Claims

63,809

Providers

18

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 Rocky Mount, NC

Provider Avg. Paid Claims Patients
Sean M Epps

1041 Noell Ln

 $7.64 14 13
Charles D Hunter

1041 Noell Ln

 $11.36 49 45
John Francis Augustin Der Ghazarian

90 Guardian Ct

 $0.00 68 57
Sadonna Marlene Cofield

154 Sw Main St

 $9.43 108 26
Patti Greening Sperling

804 English Rd Ste 100

 $3.19 114 66
Resilience Behavioral Health, Pllc

90 Guardian Ct

 $0.00 127 104
Priscilla Jo Bryan Allen

90 Guardian Ct

 $3.90 1,011 483
William A Munn

10589 East Nc 97

 $20.67 1,098 1,032
Thalia N Williams

90 Guardian Ct

 $0.95 1,124 526
Brianne C Klinger

90 Guardian Ct

 $7.80 1,478 744
Evelyn Rudo Majachani

111 S Fairview Rd

 $20.06 1,548 1,298
Travella A Sellers

740 Sutters Creek Blvd

 $1.72 2,256 1,765
Daniel Lind Crocker

1041 Noell Ln

 $17.19 5,030 4,214
Sheila Locklear Hunt

90 Guardian Ct

 $6.84 5,377 2,599
Michelle D Highsmith

90 Guardian Ct

 $2.10 8,938 3,818
Valerie Northrup

90 Guardian Ct

 $1.89 9,965 4,332
Jessica Rose Stone

90 Guardian Ct

 $3.40 11,200 4,947
Cherity Gurganus

90 Guardian Ct

 $4.17 14,304 5,562

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 Rocky Mount, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Rocky Mount, NC is $5.25 per claim, based on 63,809 claims from 18 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 Rocky Mount, NC?

There are 18 Medicaid providers offering Nursing Facility Care related services in Rocky Mount, NC according to public payment data.

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

Medicaid reimbursement for Nursing Facility Care in Rocky Mount, NC ranges from $0.00 to $20.67 per claim, with an average of $5.25. 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 Rocky Mount, NC

Office Visit

Avg $53.06

549,209 claims

Blood Work & Lab Tests

Avg $9.98

235,912 claims

Dental Cleaning & Exam

Avg $30.40

138,905 claims

Substance Abuse Treatment

Avg $35.29

134,569 claims

Vaccines & Immunizations

Avg $14.01

129,482 claims

Emergency Room Visit

Avg $114.71

100,682 claims

Prescription Medications

Avg $3.03

79,261 claims

Case Management Services

Avg $61.65

76,047 claims