Average Medicaid Nursing Facility Care Payments in Edison, NJ: $14.42
Avg. Paid
$14.42
Range
$0.00 – $51.92
Total Claims
49,227
Providers
53
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 Edison, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charumathi Rathnakumar
35 Progress St |
$13.84 | 13 | 12 |
|
Sujatha Muppala
1 Ethel Rd Ste 106A |
$14.21 | 13 | 12 |
|
Lei Lin
65 James St |
$51.05 | 15 | 13 |
|
Robin O. Winter
65 James St |
$25.54 | 23 | 12 |
|
Desere Dove
98 James St Ste 208 |
$0.00 | 25 | 15 |
|
Barry Z Wolf
2 State Route 27 |
$9.72 | 30 | 12 |
|
Darlene Fontanazza
2 State Route 27 |
$14.54 | 44 | 12 |
|
Grace Njeri Njuguna Bachia
1813 Oak Tree Rd |
$5.56 | 45 | 28 |
|
Ricky James Jewell
10 Parsonage Rd Ste 410 |
$0.00 | 49 | 49 |
|
Jonathan C Dunn
2 Lincoln Highway |
$13.15 | 51 | 51 |
|
Yusyuan Syu
26 Main St |
$1.04 | 54 | 37 |
|
Florence Chukwuneke
65 James St |
$12.44 | 55 | 26 |
|
Kristen Alexandra Harris
65 James St |
$51.92 | 63 | 13 |
|
Kimberly Odell
65 James St |
$12.52 | 79 | 76 |
|
Pradip A Shah
1964 Oak Tree Rd |
$13.98 | 120 | 24 |
|
Sagar Shailesh Parikh
65 James St |
$2.49 | 123 | 83 |
|
Matthew Moore
65 James St |
$28.97 | 126 | 53 |
|
Hao Zhang
2 Ethel Rd Ste 203C |
$7.54 | 129 | 37 |
|
Byung Suk Lim
2 Lincoln Hwy Ste 301 |
$9.73 | 138 | 60 |
|
Elmira Kapchits
45 Brookfall Rd |
$6.57 | 146 | 98 |
|
Dorota Sohail
16 Ethel Rd |
$14.88 | 155 | 86 |
|
Georgiet Afriyie
10 Brunswick Ave |
$7.08 | 160 | 96 |
|
Nandini Moray
37 Progress St |
$9.24 | 174 | 159 |
|
Nagavalli Thiruvalluvan
11 Pavlocak Ct |
$0.38 | 216 | 131 |
|
Christine Greiss
65 James St |
$45.81 | 242 | 68 |
|
Mona Williams - Gregory
6 Kilmer Rd Unit A114 |
$7.29 | 249 | 196 |
|
Roger P. Rossi
65 James St |
$29.58 | 284 | 109 |
|
Lori S Boyle
65 James St |
$14.32 | 303 | 148 |
|
Nabila A Gandhi
35-37 Progress St |
$28.66 | 363 | 273 |
|
Priali Abah
26 Main St |
$7.68 | 368 | 170 |
|
Marie-Ange Mathis
26 Main St |
$6.55 | 379 | 186 |
|
Michael Mxemill Jacinto Quiao
65 James St |
$16.71 | 462 | 308 |
|
Michelle Leigh Simmons
26 Main St |
$8.13 | 482 | 188 |
|
Kelsey T Finkle
26 Main St |
$17.40 | 536 | 183 |
|
Shefali S. Patel
1804 Oak Tree Rd |
$12.26 | 539 | 395 |
|
Amro Elnakib
7 Lincoln Hwy Ste 200B |
$8.55 | 596 | 563 |
|
Kasim Ali Babar
65 James St |
$10.80 | 678 | 201 |
|
Samir Sutaria
2177 Oak Tree Rd |
$8.25 | 740 | 367 |
|
Deep Garg
15 Main St Ste 1 |
$7.16 | 771 | 225 |
|
Robert Czyzewski
34-36 Progress St |
$16.37 | 841 | 258 |
|
Jaime Marissa Levine
65 James St |
$43.77 | 868 | 273 |
|
Galen Arcellana Centeno
65 James St |
$19.11 | 1,098 | 805 |
|
Ketankumar N Vaidya
2149 Woodbridge Ave |
$11.08 | 1,203 | 854 |
|
Stanley Kim
34 Progress St # 36 |
$13.72 | 1,225 | 896 |
|
Pulin H Patel
22 Meridian Rd Unit 10 |
$23.73 | 1,398 | 547 |
|
Jonathan Medina Borja
65 James St |
$8.05 | 1,560 | 578 |
|
Varun Bhatia
65 James St |
$5.50 | 2,516 | 934 |
|
Christopher C. Kim
34 Progress St # 36 |
$1.14 | 2,967 | 1,220 |
|
Richard B Menashe
15 So Main St |
$19.79 | 3,417 | 1,552 |
|
Sagar R. Desai
98 James St |
$28.37 | 4,223 | 1,348 |
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 Edison, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Edison, NJ is $14.42 per claim, based on 49,227 claims from 53 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 Edison, NJ?
There are 53 Medicaid providers offering Nursing Facility Care related services in Edison, NJ according to public payment data.
What is the price range for Nursing Facility Care in Edison, NJ?
Medicaid reimbursement for Nursing Facility Care in Edison, NJ ranges from $0.00 to $51.92 per claim, with an average of $14.42. 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 Edison, NJ
Home Health Visit
Avg $72.70
1,738,327 claims
Office Visit
Avg $46.03
753,071 claims
Blood Work & Lab Tests
Avg $8.48
735,324 claims
Physical Therapy
Avg $26.81
302,797 claims
Emergency Room Visit
Avg $201.48
285,731 claims
Ambulance Transport
Avg $135.04
200,274 claims
Vaccines & Immunizations
Avg $13.11
181,694 claims
Dental Cleaning & Exam
Avg $26.48
177,448 claims