Average Medicaid Nursing Facility Care Payments in Waterloo, IA: $15.72
Avg. Paid
$15.72
Range
$0.81 – $28.77
Total Claims
27,536
Providers
20
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 Waterloo, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Jay Leisinger
2055 Kimball Ave Ste 400 |
$18.66 | 14 | 13 |
|
Danny Lewis
2055 Kimball Ave Ste 101 |
$6.30 | 15 | 13 |
|
Kelsey Mae Sukovaty
3421 W 9Th St |
$14.35 | 16 | 16 |
|
Travis Tidwell
2710 Saint Francis Dr Ste 510 |
$8.39 | 18 | 14 |
|
Amy Catherine Laib
2055 Kimball Ave Ste 400 |
$19.94 | 27 | 24 |
|
Crystal Dawn Schrader
110 Plaza Cir Ste A |
$5.66 | 30 | 26 |
|
Lindy Jo Tommasin
4006 Johnathan St Ste B |
$28.77 | 81 | 76 |
|
Dieter J Boxmann
146 W Dale St |
$5.01 | 102 | 89 |
|
Michelle A Richmond
1440 W Dunkerton Rd |
$0.81 | 238 | 216 |
|
Darron Paul Cutler
4719 Ansborough Ave |
$20.10 | 360 | 326 |
|
Robert Steven Grittmann
2055 Kimball Ave |
$13.21 | 418 | 354 |
|
Merve Akova
146 W Dale St Ste 101 |
$8.88 | 555 | 494 |
|
Keri Zimmerman
2710 Saint Francis Dr Ste 320 |
$12.27 | 672 | 578 |
|
Nicole Christine Miller
21 W Jefferson St Ste 103 |
$6.19 | 957 | 368 |
|
Britton Lerch
201 W Ridgeway Ave |
$8.57 | 1,188 | 741 |
|
Sommer J Grant
146 W Dale St |
$13.39 | 1,696 | 1,328 |
|
Sue A. Bruch
1825 Logan Ave |
$18.62 | 3,066 | 1,897 |
|
Nicole D Slater
1753 W Ridgeway Ave |
$22.72 | 3,104 | 2,366 |
|
Jennifer Marie Hoelscher
1825 Logan Ave |
$15.11 | 5,656 | 5,284 |
|
Michele L. Friedman
1825 Logan Ave |
$16.14 | 9,323 | 7,503 |
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 Waterloo, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Waterloo, IA is $15.72 per claim, based on 27,536 claims from 20 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 Waterloo, IA?
There are 20 Medicaid providers offering Nursing Facility Care related services in Waterloo, IA according to public payment data.
What is the price range for Nursing Facility Care in Waterloo, IA?
Medicaid reimbursement for Nursing Facility Care in Waterloo, IA ranges from $0.81 to $28.77 per claim, with an average of $15.72. 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 Waterloo, IA
Office Visit
Avg $28.16
739,153 claims
Psychiatric Evaluation
Avg $73.45
295,888 claims
Blood Work & Lab Tests
Avg $1.88
292,063 claims
Emergency Room Visit
Avg $132.61
230,395 claims
Behavioral & Mental Health Therapy
Avg $100.02
178,626 claims
Dental Cleaning & Exam
Avg $22.88
146,099 claims
Vaccines & Immunizations
Avg $9.90
141,531 claims
Non-Emergency Medical Transportation
Avg $31.27
140,190 claims