Average Medicaid Nursing Facility Care Payments in Summerville, SC: $16.15
Avg. Paid
$16.15
Range
$5.25 – $60.33
Total Claims
20,310
Providers
15
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 Summerville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clarence William Wimberly
435 N Cedar St |
$60.33 | 12 | 12 |
|
Jody Kay Smith
89 Old Trolley Rd Ste 200 |
$5.25 | 42 | 31 |
|
Amy B. Young
213 W 4Th North St |
$59.39 | 68 | 35 |
|
Morgan Garrett
637 Hilchot Dr |
$19.93 | 130 | 96 |
|
Connie Moody
502 W 5Th North St |
$12.81 | 1,236 | 897 |
|
Laura Michelle Dacks
266 Hundred Oaks Pkwy |
$6.30 | 1,296 | 662 |
|
Tayo E Haiyede-Shittu
5500 Front St Ste 240 |
$10.59 | 1,316 | 965 |
|
Dominique Moreno
502 W 5Th North St |
$5.56 | 1,421 | 849 |
|
Lisa Renee Brightwell
2001 2Nd Ave Ste 201 |
$32.66 | 1,525 | 1,202 |
|
Dewey Todd Detar
1595 Central Ave |
$13.50 | 1,620 | 905 |
|
Shenia Lorraine Singleton
1112 N Main St |
$10.74 | 1,745 | 753 |
|
Meghan Nichole Dunlap
255 Midland Pkwy |
$12.98 | 1,798 | 768 |
|
Kimberly Jane Jennings
89 Old Trolley Rd Ste 105 |
$14.56 | 2,408 | 1,369 |
|
Keyonna Marie Porter
1114 N Main St |
$27.77 | 2,489 | 1,238 |
|
Dana Marie Liles
501 Carnes Crossing Blvd Ste B |
$17.65 | 3,204 | 2,182 |
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 Summerville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Summerville, SC is $16.15 per claim, based on 20,310 claims from 15 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 Summerville, SC?
There are 15 Medicaid providers offering Nursing Facility Care related services in Summerville, SC according to public payment data.
What is the price range for Nursing Facility Care in Summerville, SC?
Medicaid reimbursement for Nursing Facility Care in Summerville, SC ranges from $5.25 to $60.33 per claim, with an average of $16.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Nursing Facility Care in Other Cities
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Avg $21.36
1,738,984 claims · 558 providers
Bronx, NY
Avg $12.93
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Las Vegas, NV
Avg $32.97
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Brooklyn, NY
Avg $13.63
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Phoenix, AZ
Avg $42.43
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Tampa, FL
Avg $5.95
973,086 claims · 275 providers
Jacksonville, FL
Avg $6.44
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Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Summerville, SC
Office Visit
Avg $69.06
437,056 claims
Speech Therapy
Avg $60.13
164,665 claims
Dental Cleaning & Exam
Avg $34.80
164,488 claims
Urinalysis & Urine Tests
Avg $8.63
143,884 claims
Vaccines & Immunizations
Avg $19.13
128,690 claims
Emergency Room Visit
Avg $63.51
101,171 claims
Blood Work & Lab Tests
Avg $15.51
85,637 claims
Physical Therapy
Avg $63.43
80,122 claims