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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Waukesha, WI: $21.56

Avg. Paid

$21.56

Range

$4.10 – $36.38

Total Claims

85,079

Providers

49

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 Waukesha, WI

Provider Avg. Paid Claims Patients
Monica L Schuster

1625 Coldwater Creek Dr

$23.84 9,082 4,171
Kristi Kay Grutzmacher

N20W22961 Watertown Rd

$36.38 8,841 3,488
Melissa Ann Johnson

2717 N Grandview Blvd Ste 102

$17.82 8,069 7,068
Dina Paulette Sotola

2428 N Grandview Blvd Ste 102

$18.20 5,983 3,276
Kathryn M Dvorak

2717 N Grandview Blvd

$16.72 5,535 3,451
Keshni Lata Ramnanan

2428 N Grandview Blvd

$30.79 3,890 2,958
Sarfraz Singh Sidhu

2428 N Grandview Blvd Ste 102

$19.74 3,244 2,914
Rachel Sullivan

N20W22961 Watertown Rd

$17.07 2,950 1,938
Laura Saltzmann

2428 N Grandview Blvd Ste 102

$19.43 2,891 1,377
David J Rohde

2717 N Grandview Blvd

$10.80 2,602 1,550
Mansi Patel

2428 N Grandview Blvd

$20.00 2,255 1,008
Hannah Jo Jochman

2428 N Grandview Blvd Ste 102

$21.30 2,229 1,728
Sara J Stein

N20W22961 Watertown Rd

$23.84 2,156 1,259
Carmen D Papenfuss

2428 N Grandview Blvd Ste 102

$22.11 2,065 1,146
Ashley E Conner

725 American Ave Rm 2036

$20.34 2,047 1,099
Sarah Mcbride

N20W22961 Watertown Rd

$14.36 1,988 1,176
Surendra Patel

N20W22961 Watertown Rd

$33.61 1,786 1,467
Kaitlyn Solveson

2428 N Grandview Blvd Ste 102

$16.01 1,686 958
Katherine Elizabeth Andrew

N20W22961 Watertown Rd

$20.92 1,500 912
Cary J Kohlenberg

2717 N Grandview Blvd

$7.67 1,144 979
Diego Marin

N19W24400 Riverwood Dr Ste 350

$18.74 1,116 741
Whitney Hoffmann

2428 N Grandview Blvd Ste 102

$24.55 1,024 964
Lindsay Marie Janda

N20W22961 Watertown Rd

$12.15 962 514
Nathaniel D Fagan-Duerr

725 American Ave

$18.39 950 367
Marcia Meyer

N20W22961 Watertown Rd

$23.35 930 442
Rebecca Joy Bland

N20W22961 Watertown Rd

$22.61 837 466
Harry B. Hostetler

1625 Coldwater Creek Dr

$19.28 651 611
Angelina Onofre Peterson

N20W22961 Watertown Rd

$18.53 623 348
Kaitlin Zurick

N20W22961 Watertown Rd

$8.27 603 304
Abdul-Bari Syed

725 American Ave Rm 2036

$18.49 602 524
Claire Maslowski

2428 N Grandview Blvd Ste 102

$17.55 536 247
Annette Bennett-Otto

2717 N Grandview Blvd

$15.64 477 255
Colleen Lauren Mcelroy

2428 N Grandview Blvd Ste 102

$24.94 472 264
Renee S Wenzlaff

2717 N Grandview Blvd Ste 202

$15.47 422 291
Elizabeth King

N20W22961 Watertown Rd

$30.44 417 402
Michele Brogunier

N20W22961 Watertown Rd

$9.61 401 304
Sara M Peters

N20W22961 Watertown Rd

$21.80 311 249
Maggie Rose Friede

N20W22961 Watertown Rd

$16.21 304 243
Jessica Angove

2717 N Grandview Blvd Ste 202

$10.39 268 242
Nabeel M. Beg

725 American Ave

$28.74 242 189
Lynn Rose Maloney

2717 N Grandview Blvd

$10.03 235 142
Kieran Mcavoy

N20W22961 Watertown Rd

$20.57 203 192
Ashwin Uttam

725 American Ave Rm 2036

$16.82 163 140
Teresa Anne Sanford

N20W22961 Watertown Rd

$19.78 118 89
Jessi Guden

N20W22961 Watertown Rd

$4.10 73 44
Sophia Smith

N20W22961 Watertown Rd

$28.23 63 56
Megan Kaczmarek

N20W22961 Watertown Rd

$20.88 55 25
Rita Lynn Stowe

N20W22961 Watertown Rd

$20.28 42 29
Holly J Reich

2717 N Grandview Blvd

$14.42 36 24

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 Waukesha, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Waukesha, WI is $21.56 per claim, based on 85,079 claims from 49 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 Waukesha, WI?

There are 49 Medicaid providers offering Nursing Facility Care related services in Waukesha, WI according to public payment data.

What is the price range for Nursing Facility Care in Waukesha, WI?

Medicaid reimbursement for Nursing Facility Care in Waukesha, WI ranges from $4.10 to $36.38 per claim, with an average of $21.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Nursing Facility Care in Other Cities

Other Procedures in Waukesha, WI