Average Medicaid Nursing Facility Care Payments in Bristol, PA: $14.37
Avg. Paid
$14.37
Range
$6.83 – $22.69
Total Claims
22,069
Providers
20
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 Bristol, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michelle Canty
905 Tower Rd Ste 3188 |
$14.71 | 66 | 40 |
|
Amy Taylor Avery
905 Tower Rd Ste 3188 |
$21.94 | 77 | 46 |
|
Porsha Barbosa
905 Tower Rd |
$21.80 | 92 | 49 |
|
Alexis Ramsdorfer
905 Tower Rd Ste 3188 |
$12.36 | 95 | 82 |
|
Prisca Okwara
905 Tower Rd |
$8.92 | 169 | 154 |
|
Caroline Nanouh
905 Tower Rd # 3188 |
$16.76 | 211 | 138 |
|
Aubrey Jean D'Onofrio Snyder
200 Rittenhouse Cir Ste 4 |
$7.88 | 283 | 164 |
|
Talha Bhatti
501 Bath Rd |
$22.69 | 316 | 97 |
|
Ann M Mathew
905 Tower Rd # 3188 |
$9.44 | 337 | 326 |
|
Shivani Patel
905 Tower Rd # 3188 |
$11.31 | 454 | 208 |
|
Trinell Copenheaver
905 Tower Rd |
$15.31 | 583 | 307 |
|
Angelica Black
905 Tower Rd # 3188 |
$12.76 | 609 | 552 |
|
Christine S Gallagher
905 Tower Rd |
$10.34 | 615 | 321 |
|
Lori Talutto
905 Tower Rd |
$11.90 | 804 | 405 |
|
Shane Lipscomb
905 Tower Rd |
$18.43 | 890 | 572 |
|
Arianna Faye Lalputan
501 Bath Rd |
$16.04 | 1,771 | 1,036 |
|
Shanell Peace
905 Tower Rd # 3188 |
$12.43 | 2,448 | 1,446 |
|
Allison Krupka
905 Tower Rd |
$6.83 | 3,481 | 1,640 |
|
Robert James Murray
501 Bath Rd |
$21.92 | 4,226 | 2,076 |
|
Ziem-Nop P Williams
905 Tower Rd |
$14.13 | 4,542 | 2,140 |
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 Bristol, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Bristol, PA is $14.37 per claim, based on 22,069 claims from 20 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 Bristol, PA?
There are 20 Medicaid providers offering Nursing Facility Care related services in Bristol, PA according to public payment data.
What is the price range for Nursing Facility Care in Bristol, PA?
Medicaid reimbursement for Nursing Facility Care in Bristol, PA ranges from $6.83 to $22.69 per claim, with an average of $14.37. 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 Bristol, PA
X-Ray
Avg $4.43
26,793 claims
Physical Therapy
Avg $21.76
12,339 claims
EKG / ECG (Electrocardiogram)
Avg $7.43
11,796 claims
Culture & Microbiology Tests
Avg $70.07
11,227 claims
Emergency Room Visit
Avg $122.13
8,969 claims
Blood Work & Lab Tests
Avg $7.77
8,964 claims
Office Visit
Avg $45.51
8,774 claims
Urinalysis & Urine Tests
Avg $1.08
8,392 claims