Average Medicaid Nursing Facility Care Payments in Bethlehem, PA: $17.62
Avg. Paid
$17.62
Range
$0.00 – $39.67
Total Claims
23,133
Providers
28
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 Bethlehem, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Angele Valerio
1336 Catasauqua Rd |
$21.93 | 5,279 | 1,296 |
|
Clinton Holumzer
2649 Schoenersville Rd |
$24.77 | 3,045 | 2,749 |
|
Denise M Solt
2021 Westgate Drive |
$18.51 | 2,169 | 1,424 |
|
Lindsay C. Neville
2649 Schoenersville Rd |
$12.55 | 1,851 | 1,484 |
|
William P Kuehner
4311 Easton Ave |
$11.68 | 1,539 | 1,378 |
|
Hedi Hedayati
2830 Easton Ave |
$14.46 | 1,457 | 1,341 |
|
Anthony D, Dippolito
1330 Center St |
$11.39 | 1,266 | 531 |
|
Laura Long
257 Brodhead Rd |
$13.62 | 1,232 | 1,093 |
|
Jennifer Farber Eschbach
2029 Westgate Dr |
$10.80 | 690 | 423 |
|
Thomas Henry Neill
801 Ostrum St |
$39.67 | 672 | 476 |
|
Angela M Giordano
2649 Schoenersville Rd Ste 100 |
$10.27 | 661 | 518 |
|
Anthony John Darr
801 Ostrum St |
$8.78 | 566 | 186 |
|
Amaravani Mandalapu
153 Brodhead Rd |
$19.38 | 511 | 400 |
|
Stephanie Michelle Rabenold
801 Ostrum St |
$11.44 | 319 | 279 |
|
Olasunkanmi Arogundade
1417 8Th Ave |
$2.06 | 306 | 270 |
|
Michael Ehrig
2649 Schoenersville Rd |
$22.10 | 260 | 238 |
|
James Wertz
2649 Schoenersville Rd |
$18.56 | 256 | 222 |
|
Tuesday Trudel
153 Brodhead Rd |
$5.06 | 198 | 183 |
|
Jennifer C Ko
153 Brodhead Rd |
$22.64 | 172 | 158 |
|
Byron Cook
2045 Westgate Dr Ste 101 |
$2.40 | 166 | 154 |
|
Amber N Long
1200 Spring St |
$7.41 | 106 | 96 |
|
Wayne Mcwilliams
2649 Schoenersville Rd |
$15.64 | 83 | 83 |
|
Lisa Marie Martinez
3365 High Point Blvd |
$0.00 | 78 | 60 |
|
Larry Levin
2649 Schoenersville Rd |
$13.33 | 73 | 70 |
|
Linda Augelli-Hodor
2649 Schoenersville Rd |
$16.92 | 54 | 53 |
|
Titi Camara
2029 Westgate Dr |
$13.96 | 50 | 39 |
|
Donna L Miller
801 Ostrum St |
$39.52 | 48 | 46 |
|
Phuong Ho Lien Pham
2830 Easton Ave |
$13.14 | 26 | 24 |
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 Bethlehem, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Bethlehem, PA is $17.62 per claim, based on 23,133 claims from 28 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 Bethlehem, PA?
There are 28 Medicaid providers offering Nursing Facility Care related services in Bethlehem, PA according to public payment data.
What is the price range for Nursing Facility Care in Bethlehem, PA?
Medicaid reimbursement for Nursing Facility Care in Bethlehem, PA ranges from $0.00 to $39.67 per claim, with an average of $17.62. 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 Bethlehem, PA
Emergency Room Visit
Avg $100.74
1,060,730 claims
Blood Work & Lab Tests
Avg $23.73
535,867 claims
Office Visit
Avg $40.61
336,752 claims
EKG / ECG (Electrocardiogram)
Avg $8.32
225,155 claims
Durable Medical Equipment (DME)
Avg $41.86
133,222 claims
X-Ray
Avg $11.72
122,717 claims
Urinalysis & Urine Tests
Avg $3.77
67,505 claims
Physical Therapy
Avg $33.95
56,166 claims