Average Medicaid Nursing Facility Care Payments in Tyler, TX: $10.23
Avg. Paid
$10.23
Range
$0.00 – $30.40
Total Claims
66,523
Providers
36
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 Tyler, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kent Matthew Davis
8288 S Broadway Ave |
$3.57 | 12 | 12 |
|
Paul Anthony Critelli
11937 Us Highway 271 |
$10.05 | 25 | 14 |
|
Evangela L Anderson
1407 S Fleishel Ave |
$30.40 | 28 | 27 |
|
Amy Michelle Dean
520 Douglas Blvd |
$1.92 | 32 | 13 |
|
Sherif Medhat Latif
800 E Dawson St |
$0.00 | 38 | 38 |
|
Finette Julmeus Alvarez
1000 S Beckham Ave |
$5.61 | 49 | 45 |
|
Lori Ann Fried
4519 Troup Hwy |
$0.00 | 62 | 40 |
|
Dale J Bradley
1402 Rice Rd Ste 100 |
$17.88 | 65 | 46 |
|
Steven Mari
5230 Old Jacksonville Hwy Ste 105 |
$11.60 | 84 | 47 |
|
Brandy Hill
3820 Hwy 64 W |
$12.60 | 105 | 58 |
|
Katy Sutton
1901 Belmont Dr |
$2.40 | 128 | 121 |
|
Ellen Garner Gastauer
11937 Us Highway 271 |
$13.33 | 199 | 170 |
|
Kristi D Smith
8101 S Broadway Ave |
$2.02 | 278 | 166 |
|
Jeta Laurie Bowman
520 Douglas Blvd |
$0.44 | 281 | 204 |
|
Matthew Owen Kindle
5826 New Copeland Rd |
$4.33 | 294 | 294 |
|
David A Brickey
800 E Dawson St |
$9.32 | 373 | 357 |
|
Brandy Hatchett
1301 S Sneed Ave |
$11.99 | 379 | 329 |
|
Catherine Shelton
520 E Douglas Blvd |
$16.75 | 402 | 335 |
|
Pamela Renee Stacy
8288 S Broadway Ave |
$26.12 | 414 | 388 |
|
Rachel Lauren Ross
3401 Omega Dr |
$3.85 | 533 | 518 |
|
Holly M Augustus
967 Pruitt Pl |
$4.27 | 585 | 515 |
|
Robert Daniel Phelps
1828 E Southeast Loop 323 Ste 111 |
$3.87 | 637 | 622 |
|
Sharon Overall
6603 Oak Hill Blvd |
$3.63 | 681 | 623 |
|
Lazel B. Augustus
1000 S Beckham Ave |
$4.63 | 939 | 893 |
|
Beverly Diann Butler
6713 Old Jacksonville Hwy Ste 204 |
$2.10 | 1,205 | 645 |
|
Branden Blanton
708 Bentley Ct |
$3.04 | 1,265 | 485 |
|
Roger Bryan Chapman
6115 New Copeland Rd |
$5.25 | 1,469 | 671 |
|
Kati Elizabeth Waters
1761 Troup Hwy |
$3.46 | 1,885 | 1,740 |
|
Mary Richey
9855 County Road 2331 |
$5.07 | 3,327 | 1,742 |
|
Thomas M Buzbee
1910 Roseland Blvd |
$1.19 | 3,355 | 1,299 |
|
William Christopher Williams
1910 Roseland Blvd |
$2.90 | 4,097 | 1,790 |
|
Keith Robert Crandall
1605 Stafford Dr |
$6.01 | 4,286 | 4,223 |
|
Mark A Mazzare
5380 Old Bullard Rd Ste 600-357 |
$6.83 | 4,681 | 4,301 |
|
Rendall Northcutt
11937 Us Highway 271 |
$4.93 | 6,210 | 5,746 |
|
Mary Anne Edwards
2318 Sampson Dr |
$4.58 | 12,758 | 8,043 |
|
Zana Elliott
967 Pruitt Pl |
$28.05 | 15,362 | 10,830 |
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 Tyler, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Tyler, TX is $10.23 per claim, based on 66,523 claims from 36 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 Tyler, TX?
There are 36 Medicaid providers offering Nursing Facility Care related services in Tyler, TX according to public payment data.
What is the price range for Nursing Facility Care in Tyler, TX?
Medicaid reimbursement for Nursing Facility Care in Tyler, TX ranges from $0.00 to $30.40 per claim, with an average of $10.23. 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 Tyler, TX
Office Visit
Avg $44.43
469,139 claims
Emergency Room Visit
Avg $103.85
379,823 claims
Blood Work & Lab Tests
Avg $5.27
313,965 claims
Dental Cleaning & Exam
Avg $39.99
266,952 claims
X-Ray
Avg $7.49
188,695 claims
Vaccines & Immunizations
Avg $6.68
122,404 claims
Urinalysis & Urine Tests
Avg $2.44
97,259 claims
Ultrasound
Avg $64.23
94,613 claims