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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Waupaca, WI: $20.42

Avg. Paid

$20.42

Range

$1.23 – $71.31

Total Claims

8,395

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 Waupaca, WI

Provider Avg. Paid Claims Patients
Tammy S Elgersma

710 Riverside Dr

$1.23 12 12
Trevor D Argall

710 Riverside Dr

$15.45 13 13
Zachary J Baeseman

710 Riverside Dr

$71.31 25 25
Paul William Sletten

710 Riverside Dr

$15.74 28 27
Ezra Lyon

710 Riverside Dr

$20.47 38 36
Amy N Mandeville

710 Riverside Dr

$14.87 60 60
Ryan D Nadboralski

800 Riverside Dr

$1.84 60 55
Dorrie Marie Happ

710 Riverside Dr

$11.21 92 92
Sarah C Durst

710 Riverside Dr

$15.07 137 125
Alyssa Rose Forslin

710 Park Ave

$13.01 142 140
Russell F. Butkiewicz

710 Riverside Dr

$16.70 169 164
Michelle A Soto

710 Riverside Dr

$24.31 223 214
James P Spencer

710 Riverside Dr

$13.14 266 256
Kelly Pucillo

710 Riverside Dr

$19.68 318 299
Ellen Turner Wenberg

710 Riverside Dr

$16.18 400 351
Christine W Burnett

710 Riverside Dr

$24.63 518 481
Michael Bauer

710 Riverside Dr

$18.24 665 637
Chelsea Fay

710 Riverside Dr

$22.38 1,107 1,071
Charles Rathjen

710 Riverside Dr

$20.04 1,656 1,576
Nancy Ann Pejsa

710 Riverside Dr

$22.29 2,466 2,337

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 Waupaca, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Waupaca, WI is $20.42 per claim, based on 8,395 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 Waupaca, WI?

There are 20 Medicaid providers offering Nursing Facility Care related services in Waupaca, WI according to public payment data.

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

Medicaid reimbursement for Nursing Facility Care in Waupaca, WI ranges from $1.23 to $71.31 per claim, with an average of $20.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Nursing Facility Care in Other Cities

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