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Based on public Medicaid payment data.

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
Hemanth Kumar Koduri

25 Remington Dr

$9.19 8,654 2,425
Nehabahen V Shah

2141 Oak Tree Rd

$22.00 5,366 1,396
Bhavana Rebba

225 May St

$8.99 4,853 3,041
Sagar R. Desai

98 James St

$28.37 4,223 1,348
Richard B Menashe

15 So Main St

$19.79 3,417 1,552
Christopher C. Kim

34 Progress St # 36

$1.14 2,967 1,220
Varun Bhatia

65 James St

$5.50 2,516 934
Jonathan Medina Borja

65 James St

$8.05 1,560 578
Pulin H Patel

22 Meridian Rd Unit 10

$23.73 1,398 547
Stanley Kim

34 Progress St # 36

$13.72 1,225 896
Ketankumar N Vaidya

2149 Woodbridge Ave

$11.08 1,203 854
Galen Arcellana Centeno

65 James St

$19.11 1,098 805
Jaime Marissa Levine

65 James St

$43.77 868 273
Robert Czyzewski

34-36 Progress St

$16.37 841 258
Deep Garg

15 Main St Ste 1

$7.16 771 225
Samir Sutaria

2177 Oak Tree Rd

$8.25 740 367
Kasim Ali Babar

65 James St

$10.80 678 201
Amro Elnakib

7 Lincoln Hwy Ste 200B

$8.55 596 563
Shefali S. Patel

1804 Oak Tree Rd

$12.26 539 395
Kelsey T Finkle

26 Main St

$17.40 536 183
Michelle Leigh Simmons

26 Main St

$8.13 482 188
Michael Mxemill Jacinto Quiao

65 James St

$16.71 462 308
Marie-Ange Mathis

26 Main St

$6.55 379 186
Priali Abah

26 Main St

$7.68 368 170
Nabila A Gandhi

35-37 Progress St

$28.66 363 273
Lori S Boyle

65 James St

$14.32 303 148
Roger P. Rossi

65 James St

$29.58 284 109
Mona Williams - Gregory

6 Kilmer Rd Unit A114

$7.29 249 196
Christine Greiss

65 James St

$45.81 242 68
Nagavalli Thiruvalluvan

11 Pavlocak Ct

$0.38 216 131
Nandini Moray

37 Progress St

$9.24 174 159
Georgiet Afriyie

10 Brunswick Ave

$7.08 160 96
Dorota Sohail

16 Ethel Rd

$14.88 155 86
Elmira Kapchits

45 Brookfall Rd

$6.57 146 98
Byung Suk Lim

2 Lincoln Hwy Ste 301

$9.73 138 60
Hao Zhang

2 Ethel Rd Ste 203C

$7.54 129 37
Matthew Moore

65 James St

$28.97 126 53
Sagar Shailesh Parikh

65 James St

$2.49 123 83
Pradip A Shah

1964 Oak Tree Rd

$13.98 120 24
Kimberly Odell

65 James St

$12.52 79 76
Kristen Alexandra Harris

65 James St

$51.92 63 13
Florence Chukwuneke

65 James St

$12.44 55 26
Yusyuan Syu

26 Main St

$1.04 54 37
Jonathan C Dunn

2 Lincoln Highway

$13.15 51 51
Ricky James Jewell

10 Parsonage Rd Ste 410

$0.00 49 49
Grace Njeri Njuguna Bachia

1813 Oak Tree Rd

$5.56 45 28
Darlene Fontanazza

2 State Route 27

$14.54 44 12
Barry Z Wolf

2 State Route 27

$9.72 30 12
Desere Dove

98 James St Ste 208

$0.00 25 15
Robin O. Winter

65 James St

$25.54 23 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 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

Other Procedures in Edison, NJ