Average Medicaid Nursing Facility Care Payments in West Allis, WI: $14.21
Avg. Paid
$14.21
Range
$8.58 – $32.65
Total Claims
3,780
Providers
5
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 West Allis, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Saima T Akbar
2323 S 109Th St |
$27.41 | 14 | 13 |
|
Abel H Irena
8901 W Lincoln Ave |
$32.65 | 114 | 106 |
|
Melissa I Swainston
2424 S 90Th St Fl 2 |
$8.58 | 180 | 119 |
|
Raymond Jude Zastrow
555 S 108Th St |
$8.69 | 361 | 332 |
|
Inez Adams
2514 S 102Nd St Ste 160 |
$14.44 | 3,111 | 2,025 |
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 West Allis, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in West Allis, WI is $14.21 per claim, based on 3,780 claims from 5 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 West Allis, WI?
There are 5 Medicaid providers offering Nursing Facility Care related services in West Allis, WI according to public payment data.
What is the price range for Nursing Facility Care in West Allis, WI?
Medicaid reimbursement for Nursing Facility Care in West Allis, WI ranges from $8.58 to $32.65 per claim, with an average of $14.21. 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 West Allis, WI
Blood Work & Lab Tests
Avg $10.67
2,219,954 claims
Substance Abuse Treatment
Avg $10.23
794,082 claims
Urinalysis & Urine Tests
Avg $6.94
408,963 claims
Personal Care Services
Avg $15.42
305,976 claims
Culture & Microbiology Tests
Avg $7.05
275,777 claims
Office Visit
Avg $34.91
227,990 claims
Home Health Visit
Avg $34.84
227,188 claims
Pathology & Lab Services
Avg $27.38
221,804 claims