Average Medicaid Nursing Facility Care Payments in Winchester, VA: $10.99
Avg. Paid
$10.99
Range
$0.00 – $86.50
Total Claims
15,397
Providers
25
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 Winchester, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Menbere Bahru
1840 Amherst St |
$5.10 | 13 | 12 |
|
Charles W Hickey
1818 Amherst St |
$26.30 | 15 | 12 |
|
Cynthia Steinkamp
1440 Amherst St |
$1.39 | 19 | 15 |
|
Brittany Yegerlehner
Winchester Medical Center |
$4.55 | 41 | 27 |
|
Anne Balagtas Silao-Solomon
333 W Cork St Unit 405 |
$5.57 | 45 | 26 |
|
Melinda Jo Edger
1830 Amherst St |
$10.60 | 46 | 27 |
|
Lisa C Rader
104 Selma Dr |
$9.81 | 50 | 40 |
|
Taylor Hershberger
1730 Amherst St |
$19.83 | 57 | 40 |
|
Dawit Mihretie Wubie
1840 Amherst St |
$86.50 | 58 | 35 |
|
Shane Musgrove
1870 Amherst St Ste C |
$9.73 | 59 | 30 |
|
Terral Goode
190 Campus Blvd Ste 310 |
$1.40 | 166 | 136 |
|
Sonja Richmond
333 W Cork St Unit 405 |
$2.64 | 239 | 145 |
|
Tracey L Guilfoy
212 Linden Dr |
$4.42 | 243 | 210 |
|
Abdul Rauf Dean
2336 Wilson Blvd |
$7.43 | 249 | 211 |
|
Eilene Marie O'Neill
141 Security Dr Bldg 3 |
$3.49 | 288 | 168 |
|
Michon Bechamps
101 W Cork St |
$8.27 | 404 | 282 |
|
Dorotha C Owens
333 W Cork St |
$1.84 | 499 | 343 |
|
Brian Kang
333 W Cork St Unit 230 |
$0.00 | 536 | 183 |
|
Jessica E. Ludwick
1818 Amherst St Ste 101 |
$27.13 | 593 | 279 |
|
Sharon Peake
104 Selma Dr |
$5.04 | 863 | 588 |
|
Carolyn Kay Williams
1440 Amherst St |
$10.43 | 1,125 | 659 |
|
Paige E Patterson
300 Westminster Canterbury Dr |
$4.87 | 1,353 | 805 |
|
Tiffany Rachelle English
1840 Amherst St |
$9.50 | 2,228 | 899 |
|
Sherry Mae Carter
170 Prosperity Drive |
$3.28 | 2,466 | 1,451 |
|
Barbara Wolfe
812 Amherst St |
$22.34 | 3,742 | 1,136 |
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 Winchester, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Winchester, VA is $10.99 per claim, based on 15,397 claims from 25 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 Winchester, VA?
There are 25 Medicaid providers offering Nursing Facility Care related services in Winchester, VA according to public payment data.
What is the price range for Nursing Facility Care in Winchester, VA?
Medicaid reimbursement for Nursing Facility Care in Winchester, VA ranges from $0.00 to $86.50 per claim, with an average of $10.99. 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
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Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Winchester, VA
Blood Work & Lab Tests
Avg $7.04
747,108 claims
Substance Abuse Treatment
Avg $15.29
704,284 claims
Office Visit
Avg $50.11
648,385 claims
Home Health Visit
Avg $95.73
307,004 claims
X-Ray
Avg $8.04
266,540 claims
Emergency Room Visit
Avg $131.99
231,446 claims
Physical Therapy
Avg $76.55
220,531 claims
Non-Emergency Medical Transportation
Avg $68.54
193,619 claims