Average Medicaid Nursing Facility Care Payments in Springfield, IL: $15.11
Avg. Paid
$15.11
Range
$0.00 – $48.96
Total Claims
12,129
Providers
25
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 Springfield, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nathalie Emma-Marie Foray
751 N Rutledge St Ste 1700 |
$14.49 | 27 | 13 |
|
Omar Zuhair Abdulfattah
751 N Rutledge St Ste 1700 |
$34.09 | 28 | 17 |
|
Rajagopal V Sreedhar
751 N Rutledge St Ste 1700 |
$48.96 | 31 | 14 |
|
Lynette Y. Zills
1025 S 6Th St |
$1.93 | 37 | 15 |
|
Melissa Nicole Teyim
2833 S Grand Ave E |
$2.06 | 46 | 15 |
|
Bhavin Vallabhbhai Sonani
800 E Carpenter St |
$1.85 | 47 | 25 |
|
Erica J Carr
1025 S 6Th St |
$12.65 | 73 | 66 |
|
Rebecca S. Vanmeter
301 N 8Th St |
$4.65 | 111 | 99 |
|
David Smith
2203D S Koke Mill Rd Unit D |
$0.00 | 160 | 61 |
|
Rachael R. Ashcraft
900 N 1St St |
$2.87 | 161 | 56 |
|
Board Of Trustees Of Southern Illinois University
520 N 4Th St |
$0.00 | 193 | 129 |
|
Katherine S O'Neil
2239 E Cook St |
$7.07 | 287 | 140 |
|
Joseph P. Rolens
1001 Clock Tower Dr |
$2.46 | 352 | 341 |
|
Abigail Galle Buoy
901 W Jefferson St |
$5.32 | 387 | 384 |
|
Sherry L. Boyd
3823 Brandonshire Dr |
$14.12 | 446 | 177 |
|
Ashley L. Bodine
701 N 1St St |
$6.97 | 491 | 411 |
|
Elizabeth Rose Hanrahan
2501 Chatham Rd Ste N |
$30.20 | 496 | 233 |
|
Cawonda Ranee Wilson
2501 Chatham Rd |
$37.77 | 647 | 554 |
|
Danielle Oros
747 N Rutledge St Fl 3 |
$3.01 | 754 | 601 |
|
Lisa Marie Loring
2501 Chatham Rd Ste N |
$12.41 | 806 | 425 |
|
Pamela S. Brodt
2312 Queensway Rd |
$21.81 | 878 | 670 |
|
Kelly Argo
751 N Rutledge St Ste 1700 |
$24.18 | 1,062 | 849 |
|
Christina N High
747 N Rutledge St Fl 5 |
$16.96 | 1,065 | 856 |
|
Rebecca L. Hallaron
555 W Carpenter St |
$22.39 | 1,593 | 1,098 |
|
Sarah M Mahler
2501 Chatham Rd Ste R |
$6.81 | 1,951 | 865 |
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 Springfield, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Springfield, IL is $15.11 per claim, based on 12,129 claims from 25 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 Springfield, IL?
There are 25 Medicaid providers offering Nursing Facility Care related services in Springfield, IL according to public payment data.
What is the price range for Nursing Facility Care in Springfield, IL?
Medicaid reimbursement for Nursing Facility Care in Springfield, IL ranges from $0.00 to $48.96 per claim, with an average of $15.11. 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 Springfield, IL
Blood Work & Lab Tests
Avg $5.40
1,969,993 claims
Office Visit
Avg $38.46
1,154,993 claims
X-Ray
Avg $6.66
606,310 claims
Urinalysis & Urine Tests
Avg $3.01
520,146 claims
Emergency Room Visit
Avg $69.78
490,116 claims
Speech Therapy
Avg $17.02
248,732 claims
CT Scan (Computed Tomography)
Avg $50.70
241,309 claims
Dental Cleaning & Exam
Avg $32.13
212,993 claims