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Based on public Medicaid payment data.

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

Other Procedures in Wilmington, NC