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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Somerset, KY: $9.73

Avg. Paid

$9.73

Range

$0.58 – $31.54

Total Claims

21,494

Providers

17

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 Somerset, KY

Provider Avg. Paid Claims Patients
Robert G Drake

79 Imaging Dr

 $4.92 4,256 3,025
Valorie Marlow

200 Norfleet Dr

 $7.24 3,190 2,312
Carol Price

104 Hardin Ln

 $3.74 2,663 2,161
Shannon Danielle Robinson

50 Medpark Dr Ste 3

 $19.59 2,624 638
Anjum Iqbal

110 Hardin Ln

 $2.68 2,230 1,678
Lake Cumberland Regional Hospital, Llc

350 Hospital Way

 $31.54 1,931 1,836
Mohammad Afzal

110 Hardin Ln

 $6.75 1,481 1,380
Tammy Renae Haste

106 Gover St

 $0.58 1,021 585
Carolyn Hare

321 Ringgold Rd

 $5.16 461 242
Joshua Ryan King

30 Medpark Square Dr Ste 2&3

 $15.15 458 240
Cara Whalen

200 Belmont Ave

 $15.89 435 398
Crystal Leann Luttrell

90 Stonegate Ctr

 $4.54 285 228
Mark A Jacobs

3810 S Highway 27

 $29.68 190 170
Jenny Garner Tharp

55 Thannoli Dr

 $5.23 128 96
Tonya E Shea

350 Hospital Way

 $13.44 69 27
Robert Bryan Bemiss

350 Hospital Way

 $31.41 45 13
Timothy A Sparkman

3810 S Highway 27 Ste 1

 $4.41 27 25

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 Somerset, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Somerset, KY is $9.73 per claim, based on 21,494 claims from 17 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 Somerset, KY?

There are 17 Medicaid providers offering Nursing Facility Care related services in Somerset, KY according to public payment data.

What is the price range for Nursing Facility Care in Somerset, KY?

Medicaid reimbursement for Nursing Facility Care in Somerset, KY ranges from $0.58 to $31.54 per claim, with an average of $9.73. 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 Somerset, KY

Office Visit

Avg $36.93

986,284 claims

Psychiatric Evaluation

Avg $59.24

948,676 claims

Blood Work & Lab Tests

Avg $9.54

630,941 claims

Physical Therapy

Avg $97.34

524,540 claims

Substance Abuse Treatment

Avg $133.37

507,692 claims

Home Health Visit

Avg $177.24

473,664 claims

Case Management Services

Avg $300.90

265,532 claims

Dental Cleaning & Exam

Avg $37.41

229,101 claims