Average Medicaid Nursing Facility Care Payments in Spartanburg, SC: $15.68
Avg. Paid
$15.68
Range
$0.00 – $45.96
Total Claims
40,525
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 Spartanburg, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cynthia Bishop Harris
550 S Church St Ste 4 |
$12.01 | 7,192 | 4,603 |
|
Eun Jee C Thompson
375 Serpentine Dr |
$13.92 | 6,392 | 3,043 |
|
Crystal Leigh Smith
101 E Wood St |
$13.20 | 4,874 | 3,248 |
|
Jason Watters
101 E Wood St |
$16.69 | 3,868 | 2,117 |
|
Anthony Ty Medlin
303 E Wood St |
$17.39 | 3,706 | 1,591 |
|
Edward Shaw Warren
Dr. Edward Warren |
$22.19 | 2,245 | 1,464 |
|
Kelsey Hallinan
2660 Reidville Rd Unit 1 |
$14.97 | 2,232 | 1,275 |
|
Jamye Conn Buckner
101 E Wood St |
$12.43 | 2,067 | 1,192 |
|
Jaimie Elizabeth Grant
8020 White Ave |
$13.57 | 1,922 | 1,141 |
|
Andrew Thomas Simpson
375 Serpentine Dr |
$41.63 | 1,176 | 1,029 |
|
Amanda Elizabeth Smith Hamilton
550 S Church St Ste 4 |
$22.60 | 1,160 | 839 |
|
Kurtis Jon Melin
1530 Drayton Road |
$17.43 | 1,050 | 930 |
|
Tracy Thomas Shreve
1530 Drayton Road |
$12.16 | 700 | 580 |
|
Brittany Earnhardt Saleeby
1095 Iron Ore Road |
$16.60 | 467 | 388 |
|
Mit Desai
101 E Wood St Ste 401 |
$21.70 | 398 | 307 |
|
Stephanie Hodgson Pitts
686 Jeff Davis Dr |
$14.71 | 227 | 132 |
|
Vanessa Thompson
269 South Church Street |
$2.77 | 196 | 165 |
|
April Dawn Thomason
101 E Wood St |
$12.17 | 155 | 143 |
|
Thomas Johnston Patrick
184 Oakland Ave |
$2.50 | 150 | 150 |
|
Susan Mani
101 E Wood St |
$11.70 | 149 | 130 |
|
Timekia Renee Hill
250 Dewey Ave |
$45.96 | 115 | 41 |
|
Melody Elaine Thomas
853 N Church St Ste 620 |
$5.45 | 43 | 33 |
|
Courtney Truesdale
115 Southport Rd |
$0.00 | 41 | 33 |
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 Spartanburg, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Spartanburg, SC is $15.68 per claim, based on 40,525 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 Spartanburg, SC?
There are 23 Medicaid providers offering Nursing Facility Care related services in Spartanburg, SC according to public payment data.
What is the price range for Nursing Facility Care in Spartanburg, SC?
Medicaid reimbursement for Nursing Facility Care in Spartanburg, SC ranges from $0.00 to $45.96 per claim, with an average of $15.68. 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 Spartanburg, SC
Office Visit
Avg $67.79
1,272,684 claims
Home Health Visit
Avg $110.96
900,744 claims
Blood Work & Lab Tests
Avg $41.53
739,249 claims
Emergency Room Visit
Avg $59.48
484,153 claims
Physical Therapy
Avg $53.48
466,461 claims
Dental Cleaning & Exam
Avg $33.50
402,164 claims
Speech Therapy
Avg $56.78
349,032 claims
Urinalysis & Urine Tests
Avg $39.70
306,811 claims