Average Medicaid Nursing Facility Care Payments in South Bend, IN: $11.85
Avg. Paid
$11.85
Range
$0.00 – $36.77
Total Claims
72,408
Providers
23
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 South Bend, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Cassady
4440 Portage Ave |
$0.00 | 46 | 25 |
|
Julie A Wieger
3506 S Michigan St |
$6.51 | 54 | 45 |
|
Sylvana Atallah
328 N Michigan St Ste F3 |
$6.05 | 75 | 43 |
|
Charles Mikel Craig
220 N. Ironwood Dr. |
$2.62 | 100 | 93 |
|
Allison Devaney
615 N Michigan St |
$15.47 | 254 | 115 |
|
Matthew T. Dupre
714 N Michigan St |
$7.71 | 305 | 271 |
|
Sean Robert Horner
2102 E Inwood Rd |
$7.53 | 579 | 425 |
|
Nicole Ashley Wheeler
610 N Michigan St Ste 400 |
$5.28 | 667 | 192 |
|
Shagufta J Chowhan
403 E Madison St |
$36.77 | 868 | 825 |
|
Chelsea Driscoll
220 W Colfax Ave Ste 400 |
$11.24 | 1,098 | 813 |
|
Robert T Raster
403 E Madison St |
$21.29 | 1,139 | 323 |
|
Yvonne Chaadulia Lindeire
1708 High St |
$6.26 | 1,302 | 551 |
|
Janelle Elizabeth Vest
220 W Colfax Ave Ste 400 |
$15.57 | 1,387 | 934 |
|
Soneka Wynter
1010 N Bendix Dr |
$8.78 | 1,515 | 875 |
|
Jennifer Leigh Huff
220 W Colfax Ave Ste 400 |
$29.36 | 2,394 | 1,928 |
|
Dyonne Hellen Mansur
20531 Darden Rd |
$4.27 | 2,934 | 1,975 |
|
Amanda Lundberg
53830 Generations Dr Ste 110 |
$10.73 | 3,198 | 2,663 |
|
Robert Hays
17321 State Road 23 |
$12.47 | 3,842 | 2,642 |
|
Linda Sue Lee
615 N Michigan St |
$6.80 | 5,468 | 4,494 |
|
Vicky Jo Gross
4600 W Washington St |
$9.82 | 5,780 | 2,043 |
|
Rita Santos
20531 Darden Rd |
$5.16 | 6,172 | 2,728 |
|
Brianna Primrose
310 N Ironwood Dr |
$16.08 | 8,966 | 4,635 |
|
Tammy Rena Hempstead
220 W Colfax Ave Ste 400 |
$12.21 | 24,265 | 16,583 |
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 South Bend, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in South Bend, IN is $11.85 per claim, based on 72,408 claims from 23 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 South Bend, IN?
There are 23 Medicaid providers offering Nursing Facility Care related services in South Bend, IN according to public payment data.
What is the price range for Nursing Facility Care in South Bend, IN?
Medicaid reimbursement for Nursing Facility Care in South Bend, IN ranges from $0.00 to $36.77 per claim, with an average of $11.85. 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 South Bend, IN
Office Visit
Avg $58.29
778,111 claims
Blood Work & Lab Tests
Avg $6.15
552,088 claims
Psychiatric Evaluation
Avg $67.17
188,449 claims
Emergency Room Visit
Avg $95.59
180,378 claims
Physical Therapy
Avg $31.56
170,960 claims
Vaccines & Immunizations
Avg $10.10
170,623 claims
Durable Medical Equipment (DME)
Avg $34.07
143,514 claims
Speech Therapy
Avg $58.84
113,674 claims