Average Medicaid Nursing Facility Care Payments in Tustin, CA: $11.63
Avg. Paid
$11.63
Range
$0.12 – $72.47
Total Claims
18,384
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 Tustin, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kien Phuc Tran
15491 Pasadena Ave Apt 87 |
$2.89 | 14 | 13 |
|
Thao P Phung
2913 El Camino Real Ste 316 |
$72.47 | 16 | 12 |
|
Pin-Hung Hsieh
13522 Newport Ave Ste 102 |
$58.43 | 31 | 13 |
|
Sandra Garcia
14642 Newport Ave Ste 101 |
$15.09 | 62 | 62 |
|
Amor S Del Mundo Md, Inc.
180 S Prospect Ave |
$0.35 | 78 | 78 |
|
Angela Park
13522 Newport Ave |
$18.62 | 162 | 106 |
|
Richard Chyan
13522 Newport Ave Ste 102 |
$0.12 | 235 | 107 |
|
Jimmy-Hieu Nguyen Le
13522 Newport Ave |
$33.88 | 252 | 144 |
|
Bernard Leroy Bennett
661 W 1St St Ste G |
$7.95 | 617 | 524 |
|
Mervin Low
13217 Jamboree Rd # 295 |
$18.30 | 1,040 | 562 |
|
Key Medical Rehab Inc.
13522 Newport Ave Ste 102 |
$0.57 | 1,401 | 637 |
|
Cynthia Ann Cohen
18102 Irvine Blvd |
$11.67 | 2,249 | 1,527 |
|
Alvin Chang
1101 Bryan Ave |
$19.03 | 2,282 | 1,721 |
|
Robert C Schreiman
1101 Bryan Ave |
$29.00 | 2,491 | 1,974 |
|
Orca Rehab Inc
13522 Newport Ave Ste 102 |
$4.25 | 7,454 | 3,177 |
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 Tustin, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Tustin, CA is $11.63 per claim, based on 18,384 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 Tustin, CA?
There are 15 Medicaid providers offering Nursing Facility Care related services in Tustin, CA according to public payment data.
What is the price range for Nursing Facility Care in Tustin, CA?
Medicaid reimbursement for Nursing Facility Care in Tustin, CA ranges from $0.12 to $72.47 per claim, with an average of $11.63. 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 Tustin, CA
Office Visit
Avg $37.27
584,488 claims
Speech Therapy
Avg $33.64
267,526 claims
Durable Medical Equipment (DME)
Avg $41.59
203,867 claims
Dental Cleaning & Exam
Avg $49.90
166,984 claims
Behavioral & Mental Health Therapy
Avg $133.30
123,811 claims
Psychiatric Evaluation
Avg $60.21
91,920 claims
Blood Work & Lab Tests
Avg $13.17
78,461 claims
Eye Exam
Avg $14.10
60,609 claims