Average Medicaid Nursing Facility Care Payments in Zephyrhills, FL: $4.00
Avg. Paid
$4.00
Range
$0.00 – $17.19
Total Claims
28,868
Providers
21
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 Zephyrhills, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shashank Shekhar Mishra
38135 Market Sq |
$0.00 | 27 | 26 |
|
Stephanie Nicole Harberts
6606 Stadium Dr Ste A |
$7.76 | 32 | 13 |
|
Somasekhara Reddy Kaipu
38135 Market Sq |
$0.82 | 34 | 21 |
|
Carline Pajotte
6336 Fort King Rd |
$17.19 | 34 | 23 |
|
Bahaa Amer
37920 Medical Arts Ct |
$2.08 | 45 | 30 |
|
Ketul Chauhan
38035 Medical Center Avenue |
$0.59 | 118 | 19 |
|
Shweta Ekka
38135 Market Sq |
$9.01 | 168 | 91 |
|
Iris Chantel Sykes-Tinsley
38051 Market Sq |
$2.63 | 174 | 109 |
|
Premier Heart And Vascular Center, Pa
38035 Medical Center Avenue |
$0.33 | 177 | 57 |
|
Kerine Ann Marie Hinds
38135 Market Sq |
$7.24 | 194 | 156 |
|
Cynthia Sue Campbell
38135 Market Sq |
$1.84 | 474 | 383 |
|
Jessica Kokich
38135 Market Sq |
$2.10 | 518 | 189 |
|
Lynn Hector
38135 Market Sq |
$3.42 | 714 | 262 |
|
Mira Hermina Guirguis
38135 Market Sq |
$7.41 | 822 | 536 |
|
Florida Wound Care Inc
6719 Gall Blvd Ste 203 |
$0.54 | 1,256 | 613 |
|
Sheena L Eversole
38051 Market Sq |
$4.20 | 1,445 | 693 |
|
Mohammad Abdullah Dwary
6336 Fort King Rd |
$4.25 | 2,101 | 602 |
|
Florida Medical Clinic Llc
38135 Market Square |
$4.50 | 3,940 | 1,742 |
|
Shannon Mary Smith
38135 Market Sq |
$4.27 | 4,252 | 1,767 |
|
Kristen J Ryan
6336 Fort King Rd |
$2.17 | 5,824 | 1,055 |
|
Shana Gober
6509 Wagon Trail St |
$5.57 | 6,519 | 2,768 |
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 Zephyrhills, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Zephyrhills, FL is $4.00 per claim, based on 28,868 claims from 21 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 Zephyrhills, FL?
There are 21 Medicaid providers offering Nursing Facility Care related services in Zephyrhills, FL according to public payment data.
What is the price range for Nursing Facility Care in Zephyrhills, FL?
Medicaid reimbursement for Nursing Facility Care in Zephyrhills, FL ranges from $0.00 to $17.19 per claim, with an average of $4.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Nursing Facility Care in Other Cities
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Avg $12.93
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Brooklyn, NY
Avg $13.63
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Phoenix, AZ
Avg $42.43
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Tampa, FL
Avg $5.95
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Avg $6.44
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Avg $12.89
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Other Procedures in Zephyrhills, FL
Office Visit
Avg $46.03
208,700 claims
EKG / ECG (Electrocardiogram)
Avg $3.22
45,098 claims
Emergency Room Visit
Avg $70.57
31,449 claims
Home Health Visit
Avg $0.85
26,125 claims
Blood Work & Lab Tests
Avg $1.90
19,461 claims
Dental Cleaning & Exam
Avg $21.07
19,285 claims
Vaccines & Immunizations
Avg $8.90
17,641 claims
Echocardiogram
Avg $43.82
14,700 claims