Average Medicaid Nursing Facility Care Payments in Center Valley, PA: $26.74
Avg. Paid
$26.74
Range
$0.00 – $39.06
Total Claims
21,084
Providers
26
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 Center Valley, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paige Elizabeth Van Wirt
3477 Corporate Pkwy Ste 100 |
$39.06 | 5,273 | 4,046 |
|
Edward J Rosenfeld
3477 Corporate Pkwy Ste 100 |
$34.25 | 3,863 | 3,141 |
|
Alexandra Mcconville
3477 Corporate Pkwy Ste 100 |
$15.58 | 1,873 | 1,007 |
|
Alexis Arora
5445 Lanark Rd Ste 200 |
$17.92 | 1,358 | 923 |
|
Susan Diane Cook
3477 Corporate Pkwy Ste 100 |
$4.81 | 1,061 | 695 |
|
Nicole Quaranta
3477 Corporate Pkwy Ste 100 |
$28.40 | 900 | 592 |
|
Shena Beth Ramage
3477 Corporate Pkwy Ste 100 |
$15.46 | 796 | 297 |
|
Patricia G Modestino
3477 Corporate Pkwy Ste 100 |
$6.76 | 714 | 400 |
|
Debra Phyllis Raffo
3477 Corporate Pkwy Ste 100 |
$33.85 | 642 | 282 |
|
Nicole Kocher
5445 Lanark Rd Ste 200 |
$12.98 | 617 | 332 |
|
Nicole Kash
3477 Corporate Pkwy Ste 100 |
$20.76 | 547 | 478 |
|
Dany A. Nehru
5445 Lanark Rd Ste 103 |
$34.55 | 498 | 426 |
|
Tasha Marie Hernandez
3477 Corporate Pkwy Ste 100 |
$20.97 | 474 | 237 |
|
Stephanie Wallbillich
3477 Corporate Pkwy Ste 100 |
$18.49 | 421 | 206 |
|
Michelle Rummel
3477 Corporate Pkwy Ste 100 |
$22.81 | 372 | 171 |
|
Tracy Lynne Young
3477 Corporate Pkwy Ste 100 |
$31.98 | 325 | 191 |
|
Samantha Watkins
3477 Corporate Pkwy Ste 100 |
$18.54 | 295 | 250 |
|
Anastasia Barnhardt
3477 Corporate Pkwy Ste 100 |
$20.18 | 275 | 208 |
|
Lisa Ann Siegfried
3477 Corporate Pkwy Ste 100 |
$25.67 | 188 | 122 |
|
Kaley Miller
3477 Corporate Pkwy Ste 100 |
$7.65 | 187 | 89 |
|
Amy Clancey
3477 Corporate Pkwy Ste 100 |
$36.68 | 177 | 130 |
|
Erin M Treaster
3477 Corporate Pkwy Ste 100 |
$28.75 | 92 | 47 |
|
Courtney Ann Nace
3477 Corporate Pkwy Ste 100 |
$25.29 | 73 | 42 |
|
Raluca Milos
5445 Lanark Rd Ste 103 |
$19.98 | 37 | 24 |
|
Stephen J Roskos
3701 Corporate Pkwy |
$15.90 | 14 | 14 |
|
Mona Lisa Gonzalez
5445 Lanark Road |
$0.00 | 12 | 12 |
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 Center Valley, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Center Valley, PA is $26.74 per claim, based on 21,084 claims from 26 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 Center Valley, PA?
There are 26 Medicaid providers offering Nursing Facility Care related services in Center Valley, PA according to public payment data.
What is the price range for Nursing Facility Care in Center Valley, PA?
Medicaid reimbursement for Nursing Facility Care in Center Valley, PA ranges from $0.00 to $39.06 per claim, with an average of $26.74. 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 Center Valley, PA
Office Visit
Avg $54.85
56,778 claims
Vaccines & Immunizations
Avg $4.82
13,859 claims
Emergency Room Visit
Avg $102.19
7,625 claims
Physical Therapy
Avg $18.83
4,635 claims
EKG / ECG (Electrocardiogram)
Avg $10.99
4,271 claims
Hearing Test (Audiometry)
Avg $6.34
4,082 claims
Eye Exam
Avg $37.47
3,486 claims
Echocardiogram
Avg $103.29
1,842 claims