Average Medicaid Nursing Facility Care Payments in Waco, TX: $7.90
Avg. Paid
$7.90
Range
$0.00 – $42.79
Total Claims
23,632
Providers
24
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 Waco, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark D Roberts
1201 Hewitt Dr Ste 203 |
$0.00 | 17 | 12 |
|
Joshua Wesley
1600 Providence Dr |
$15.06 | 17 | 12 |
|
Rex Harris
1600 Providence Dr |
$14.39 | 27 | 27 |
|
Ashley Danielle Edmondson
318 Richland West Cir Ste A |
$3.99 | 34 | 34 |
|
Aman A Shah
100 Hillcrest Medical Blvd |
$13.48 | 41 | 30 |
|
Nicholas Schwedock
1600 Providence Dr |
$4.67 | 73 | 64 |
|
David Carl Sappington
2524 Washington Ave |
$2.17 | 125 | 100 |
|
Joan Hannah Russell
2201 Macarthur Dr |
$7.50 | 224 | 103 |
|
Eric John Chudej
851 N Loop 340 |
$14.72 | 249 | 232 |
|
Abigail Elizabeth Saldua
120 Hillcrest Medical Blvd Ste 3053 |
$5.84 | 260 | 160 |
|
Sarah Pierce Campbell
1615 Wooded Acres Dr Ste 1 |
$0.92 | 294 | 194 |
|
Colleen Kathleen Stephens
6901 Medical Pkwy |
$0.14 | 323 | 132 |
|
Darrell R Pietsch
6600 Fish Pond Rd Ste 202A |
$5.73 | 519 | 432 |
|
Jessica Randall
7111 Bosque Blvd Ste 303 |
$4.94 | 674 | 476 |
|
Ligia Liana Tofanel
333 Londonderry Dr Ste 200 |
$6.46 | 906 | 532 |
|
Ronda Lea Mullenax
6901 Medical Parkway |
$4.25 | 956 | 734 |
|
Lucas Ray Simonitch
10207 China Spring Rd Ste 170 |
$4.21 | 972 | 665 |
|
Providence Health Alliance
6901 Medical Pkwy |
$42.79 | 1,587 | 1,545 |
|
Latarsha Waltronia Edwards
1400 College Dr |
$5.18 | 1,782 | 1,505 |
|
Heart Of Texas Community Health Center, Inc
1600 Providence Dr |
$0.00 | 2,189 | 2,118 |
|
Chandra L Montgomery
1174 Idlewood Dr |
$5.90 | 2,237 | 1,952 |
|
Liliana Gamino
100 Hillcrest Medical Blvd |
$5.57 | 2,940 | 1,745 |
|
Maria Rose Sevidal
209 S 28Th St |
$6.47 | 3,568 | 2,410 |
|
Immaculate Okeyo
7111 Bosque Blvd Ste 303 |
$7.58 | 3,618 | 2,585 |
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 Waco, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Waco, TX is $7.90 per claim, based on 23,632 claims from 24 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 Waco, TX?
There are 24 Medicaid providers offering Nursing Facility Care related services in Waco, TX according to public payment data.
What is the price range for Nursing Facility Care in Waco, TX?
Medicaid reimbursement for Nursing Facility Care in Waco, TX ranges from $0.00 to $42.79 per claim, with an average of $7.90. 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 Waco, TX
Office Visit
Avg $45.75
476,451 claims
Dental Cleaning & Exam
Avg $31.85
223,056 claims
Vaccines & Immunizations
Avg $2.89
200,017 claims
Physical Therapy
Avg $32.60
188,402 claims
Blood Work & Lab Tests
Avg $5.74
115,573 claims
Emergency Room Visit
Avg $111.38
109,207 claims
Speech Therapy
Avg $98.50
83,337 claims
X-Ray
Avg $7.33
60,826 claims