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
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 Waukesha, WI
Substance Abuse Treatment
Avg $11.31
490,331 claims
Blood Work & Lab Tests
Avg $7.92
467,756 claims
Office Visit
Avg $31.79
258,119 claims
Behavioral & Mental Health Therapy
Avg $72.59
211,193 claims
Case Management Services
Avg $64.96
203,991 claims
Personal Care Services
Avg $7.67
135,851 claims
Psychiatric Evaluation
Avg $46.69
133,861 claims
Physical Therapy
Avg $20.76
115,395 claims