Average Medicaid Nursing Facility Care Payments in Wilmington, NC: $11.97
Avg. Paid
$11.97
Range
$0.00 – $66.38
Total Claims
179,556
Providers
75
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 Wilmington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fan Xi
2800 Ashton Drive |
$3.31 | 32,643 | 6,380 |
|
July Romely Morbeth
5617 Maxwell Pl |
$12.42 | 14,874 | 13,428 |
|
Chacey Bryan
3205 Randall Pkwy Ste 105 |
$15.63 | 10,812 | 4,245 |
|
Marilyn Christine Madden
3205 Randall Pkwy |
$14.70 | 9,150 | 3,733 |
|
Guzel Aikovna Jansen
1709 S 16Th St Ste A |
$12.55 | 8,926 | 2,974 |
|
John Kevin Painter
3205 Randall Pkwy Ste 105 |
$12.93 | 7,421 | 3,631 |
|
Heather Jean Mcfarland
3205 Randall Pkwy |
$7.22 | 6,522 | 3,148 |
|
Linda D Cappiello
3205 Randall Pkwy |
$7.46 | 5,775 | 3,059 |
|
Anndrea Carey-Baskett
1709 S 16Th St Ste A |
$10.47 | 5,476 | 2,251 |
|
Angela Anne Lane
1709 S 16Th St Ste A |
$16.16 | 5,395 | 3,392 |
|
Midesha Pillay
1709 S 16Th St Ste A |
$16.02 | 5,077 | 3,827 |
|
Mark Edward Williams
1725 New Hanover Medical Park Dr |
$12.64 | 4,930 | 2,125 |
|
Stevan Michael Clifton
5617 Maxwell Pl |
$15.56 | 4,829 | 2,853 |
|
Karen A Talbert
5617 Maxwell Pl |
$16.65 | 4,798 | 2,057 |
|
Cheryl Smith
5429 Wrightsville Ave |
$18.43 | 4,602 | 1,729 |
|
Loyce Lagretia Brown
1213 Culbreth Dr |
$14.96 | 4,360 | 2,730 |
|
Kara B Martin
1202 Medical Center Dr |
$13.89 | 3,431 | 1,324 |
|
Carla Farmer Weiss
1709 S 16Th St |
$22.67 | 3,371 | 2,227 |
|
Alicia Mary Baird
3205 Randall Pkwy Ste 105 |
$13.56 | 3,089 | 1,237 |
|
Hannah Christine Tria
1709 S 16Th St Ste A |
$14.26 | 2,997 | 1,680 |
|
Marshelle Lynn Powell
1709 S 16Th St Ste A |
$15.99 | 2,408 | 1,351 |
|
Mary Pinto
2421 Silver Stream Ln |
$9.99 | 2,273 | 792 |
|
Helen M Martin
1709 S 16Th St Ste A |
$11.52 | 2,250 | 1,066 |
|
Pamela Lynne Schmierer
6901 Market St |
$14.50 | 2,053 | 1,279 |
|
Amy E Mckinney
1709 S 16Th St Ste A |
$7.53 | 1,866 | 935 |
|
Charlamy Megan Jones
1709 S 16Th St Ste A |
$24.06 | 1,610 | 910 |
|
Edith Lyneet Pearsall
1013 Porters Neck Rd Ste 100 |
$15.80 | 1,456 | 686 |
|
Valerie J Cousins
5429 Wrightsville Ave |
$10.15 | 1,454 | 586 |
|
William Travis Hupp
1124 Gallery Park Ln |
$0.04 | 1,325 | 871 |
|
Kevin David Keagle
1709 S 16Th St Ste A |
$20.31 | 1,163 | 930 |
|
Tracy Lynn Hutson Moore
1709 S 16Th St |
$23.08 | 1,062 | 660 |
|
Kaitlyn Elizabeth Anderson
1414 Physicians Dr |
$27.76 | 1,053 | 521 |
|
Terrance Charles Ashby
1709 S 16Th St Ste A |
$17.76 | 991 | 570 |
|
Shannon Coleman Thompson
5036 New Centre Dr |
$17.19 | 866 | 502 |
|
Carine Marie Khouri
5112 Partha Ln |
$13.37 | 734 | 505 |
|
Cynthia Jeannette Martins
1709 S 16Th St Ste A |
$16.66 | 705 | 484 |
|
Jason Darden
3205 Randall Pkwy Ste 105 |
$8.61 | 639 | 404 |
|
Dawn Marie Woods
3015 Enterprise Dr |
$4.46 | 591 | 304 |
|
Dana Forrest Ashe
1650 Greenfield St |
$12.21 | 580 | 296 |
|
Katherine Mitzel
3015 Enterprise Dr |
$10.66 | 542 | 214 |
|
Audrey Elizabeth Worthington
1090 Medical Center Dr |
$23.32 | 517 | 256 |
|
Elizabeth Ashley Triplett
1230 Medical Center Dr |
$28.82 | 492 | 266 |
|
Karen Kress
1709 S 16Th St Ste A |
$9.66 | 373 | 192 |
|
Micaela Dionysios Antzoulatos
2311 Delaney Ave |
$18.66 | 360 | 209 |
|
Elizabeth A Fagan
2131 S 17Th St |
$16.47 | 340 | 212 |
|
Andrew Michael Ray
2131 S 17Th St |
$23.87 | 322 | 147 |
|
Katherine A Tildes
1709 S 16Th St Ste A |
$6.77 | 279 | 243 |
|
Raishael L Tessari
5725 Carolina Beach Rd |
$11.34 | 229 | 99 |
|
Rachel Coppersmith Rice
2421 Silver Stream Ln |
$9.31 | 215 | 121 |
|
Heather Black
720 N 3Rd St Ste 401 |
$17.22 | 194 | 120 |
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 Wilmington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Wilmington, NC is $11.97 per claim, based on 179,556 claims from 75 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 Wilmington, NC?
There are 75 Medicaid providers offering Nursing Facility Care related services in Wilmington, NC according to public payment data.
What is the price range for Nursing Facility Care in Wilmington, NC?
Medicaid reimbursement for Nursing Facility Care in Wilmington, NC ranges from $0.00 to $66.38 per claim, with an average of $11.97. 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 Wilmington, NC
Office Visit
Avg $55.56
1,298,205 claims
Speech Therapy
Avg $55.85
566,290 claims
Emergency Room Visit
Avg $138.32
511,613 claims
Psychiatric Evaluation
Avg $41.28
438,201 claims
Blood Work & Lab Tests
Avg $11.72
431,588 claims
Substance Abuse Treatment
Avg $59.14
392,292 claims
Dental Cleaning & Exam
Avg $31.04
328,640 claims
Physical Therapy
Avg $63.02
316,863 claims