Average Medicaid Nursing Facility Care Payments in Winfield, IL: $12.40
Avg. Paid
$12.40
Range
$3.86 – $24.53
Total Claims
10,343
Providers
8
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 Winfield, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sharad Gupta
25 N Winfield Rd Ste 401 |
$7.53 | 4,604 | 4,011 |
|
Cherie Sulima
25 N Winfield Rd Ste 414 |
$19.71 | 2,472 | 2,225 |
|
Margaret Ann Kress
25 N Winfield Rd Ste 103 |
$14.78 | 2,141 | 1,765 |
|
Karen Perion
25 N Winfield Rd Ste 400 |
$3.86 | 388 | 230 |
|
Ashley Lillian Locus
25 N Winfield Rd Ste 507 |
$24.53 | 371 | 256 |
|
Pamela Trotta
25 N Winfield Rd Ste 424 |
$7.28 | 170 | 94 |
|
Cynthia Marie Novy-Celli
25 N Winfield Rd Ste 520 |
$5.46 | 123 | 90 |
|
Habeeb Sadaf Amatul
25 N Winfield Rd Ste 400 |
$9.81 | 74 | 33 |
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 Winfield, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Winfield, IL is $12.40 per claim, based on 10,343 claims from 8 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 Winfield, IL?
There are 8 Medicaid providers offering Nursing Facility Care related services in Winfield, IL according to public payment data.
What is the price range for Nursing Facility Care in Winfield, IL?
Medicaid reimbursement for Nursing Facility Care in Winfield, IL ranges from $3.86 to $24.53 per claim, with an average of $12.40. 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
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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 Winfield, IL
Blood Work & Lab Tests
Avg $4.73
339,618 claims
Office Visit
Avg $66.27
91,111 claims
Urinalysis & Urine Tests
Avg $2.27
71,352 claims
Physical Therapy
Avg $86.75
57,828 claims
Emergency Room Visit
Avg $68.46
41,652 claims
Ultrasound
Avg $41.94
26,927 claims
Culture & Microbiology Tests
Avg $3.71
25,349 claims
EKG / ECG (Electrocardiogram)
Avg $7.70
20,746 claims