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 |
|---|---|---|---|
|
Laura Lym-Murphy
1605 Doctors Cir |
$31.32 | 16 | 12 |
|
Tracy Lynn Lee
1709 S 16Th St Ste A |
$9.16 | 23 | 13 |
|
Sara L Tennant
3015 Enterprise Dr |
$14.02 | 28 | 13 |
|
Lara Jaussi
109 Scotts Hill Medical Dr. Ste 204 |
$0.00 | 31 | 26 |
|
Audrey Lynn Sutton-Surak
1013 Porters Neck Rd |
$33.85 | 33 | 27 |
|
Graham Cameron Brown
6727 Parker Farm Dr |
$9.01 | 44 | 30 |
|
Michael Richard Pinto
1414 Physicians Dr |
$16.68 | 52 | 25 |
|
Philip Wayne Bibb
2207 Delaney Ave |
$20.88 | 59 | 56 |
|
Jeffrey Alan Mcfadden
1709 S 16Th St Ste A |
$0.00 | 71 | 61 |
|
Megan Justine Hitchcock
5917 Oleander Dr Ste 206 |
$66.38 | 73 | 33 |
|
Somgolie Ozodigwe
3205 Randall Pkwy Ste 105 |
$15.23 | 79 | 54 |
|
Krista Gruber
1709 S 16Th St Ste A |
$6.75 | 81 | 33 |
|
James Michael Arieno
1709 S 16Th St Ste A |
$15.22 | 87 | 54 |
|
Teablee Angell Corbett
1709 S 16Th St Ste A |
$22.60 | 95 | 59 |
|
Flavia Desousa Brown
1709 S 16Th St Site# A |
$6.18 | 96 | 25 |
|
Elizabeth Stanley Fowle
1709 S 16Th St Ste A |
$23.95 | 102 | 83 |
|
Brittney Elease Parsons
3205 Randall Pkwy Ste 106 |
$0.00 | 103 | 100 |
|
Mary Kathryn Rudyk
1709 S 16Th St Ste A |
$24.97 | 106 | 100 |
|
Page Leigh Winchester
1709 S 16Th St |
$19.36 | 119 | 89 |
|
Jennifer Danks
1221 Medical Center Dr |
$1.69 | 126 | 111 |
|
Susan M Glose
1709 S 16Th St Ste A |
$7.74 | 127 | 43 |
|
Nancy J Gerber
508 S Front St |
$13.43 | 129 | 75 |
|
Angelica Shaver Pryor
1213 Culbreth Dr |
$8.87 | 147 | 81 |
|
Nicholas Charles Noah
5226 S College Rd Ste 4 |
$2.77 | 152 | 65 |
|
Gajarah Baseemah Ballard Peterson
1202 Medical Center Dr |
$39.36 | 157 | 117 |
|
Heather Black
720 N 3Rd St Ste 401 |
$17.22 | 194 | 120 |
|
Rachel Coppersmith Rice
2421 Silver Stream Ln |
$9.31 | 215 | 121 |
|
Raishael L Tessari
5725 Carolina Beach Rd |
$11.34 | 229 | 99 |
|
Katherine A Tildes
1709 S 16Th St Ste A |
$6.77 | 279 | 243 |
|
Andrew Michael Ray
2131 S 17Th St |
$23.87 | 322 | 147 |
|
Elizabeth A Fagan
2131 S 17Th St |
$16.47 | 340 | 212 |
|
Micaela Dionysios Antzoulatos
2311 Delaney Ave |
$18.66 | 360 | 209 |
|
Karen Kress
1709 S 16Th St Ste A |
$9.66 | 373 | 192 |
|
Elizabeth Ashley Triplett
1230 Medical Center Dr |
$28.82 | 492 | 266 |
|
Audrey Elizabeth Worthington
1090 Medical Center Dr |
$23.32 | 517 | 256 |
|
Katherine Mitzel
3015 Enterprise Dr |
$10.66 | 542 | 214 |
|
Dana Forrest Ashe
1650 Greenfield St |
$12.21 | 580 | 296 |
|
Dawn Marie Woods
3015 Enterprise Dr |
$4.46 | 591 | 304 |
|
Jason Darden
3205 Randall Pkwy Ste 105 |
$8.61 | 639 | 404 |
|
Cynthia Jeannette Martins
1709 S 16Th St Ste A |
$16.66 | 705 | 484 |
|
Carine Marie Khouri
5112 Partha Ln |
$13.37 | 734 | 505 |
|
Shannon Coleman Thompson
5036 New Centre Dr |
$17.19 | 866 | 502 |
|
Terrance Charles Ashby
1709 S 16Th St Ste A |
$17.76 | 991 | 570 |
|
Kaitlyn Elizabeth Anderson
1414 Physicians Dr |
$27.76 | 1,053 | 521 |
|
Tracy Lynn Hutson Moore
1709 S 16Th St |
$23.08 | 1,062 | 660 |
|
Kevin David Keagle
1709 S 16Th St Ste A |
$20.31 | 1,163 | 930 |
|
William Travis Hupp
1124 Gallery Park Ln |
$0.04 | 1,325 | 871 |
|
Valerie J Cousins
5429 Wrightsville Ave |
$10.15 | 1,454 | 586 |
|
Edith Lyneet Pearsall
1013 Porters Neck Rd Ste 100 |
$15.80 | 1,456 | 686 |
|
Charlamy Megan Jones
1709 S 16Th St Ste A |
$24.06 | 1,610 | 910 |
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