Average Medicaid Nursing Facility Care Payments in Elizabeth, NJ: $20.19
Avg. Paid
$20.19
Range
$1.34 – $28.40
Total Claims
22,341
Providers
27
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 Elizabeth, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edwin R Roman
430 Morris Ave |
$10.49 | 14 | 14 |
|
Ali R Surahio
655 E Jersey St |
$9.56 | 16 | 15 |
|
Shellie Auguste
240 Williamson St |
$3.02 | 32 | 25 |
|
Rekha Sharma
701 Newark Ave |
$28.40 | 34 | 25 |
|
Syed Jaffry
240 Williamson St |
$9.95 | 36 | 36 |
|
M. Awais Sethi
655 E Jersey St |
$3.97 | 38 | 32 |
|
Edgardo C Vallejo
240 Williamson St |
$1.34 | 50 | 50 |
|
Derron Dorlouis
1155 E Jersey St |
$26.70 | 53 | 45 |
|
Adanesa Molina
624 Newark Ave |
$11.74 | 56 | 24 |
|
Ashraf H Mansour
240 Williamson St |
$8.20 | 57 | 48 |
|
Jacques G Losman
240 Williamson Street |
$1.47 | 114 | 40 |
|
Ammiel Callum
351 S Broad St Apt 305 |
$6.29 | 160 | 157 |
|
William J Mchugh
240 Williamson St |
$27.02 | 183 | 156 |
|
Ariel Quinones
38 Elmora Ave |
$5.80 | 263 | 227 |
|
Francisco Munoz
824 Elizabeth Ave |
$13.58 | 286 | 281 |
|
Elina Eksarko-Bilbili
240 Williamson St |
$10.08 | 315 | 153 |
|
Holly M Gonzalez
240 Williamson St Ste 306 |
$7.86 | 358 | 191 |
|
Prudence A Arthur
225 W Jersey St |
$11.39 | 384 | 271 |
|
Lisa M Derr
240 Williamson St |
$9.57 | 434 | 270 |
|
Matthew George Cholankeril
100 Grove St |
$6.93 | 654 | 237 |
|
Guilaine Michaud-Mesidor
1000 S Elmora Ave |
$8.46 | 700 | 443 |
|
Bakr Asif
225 Williamson St |
$17.52 | 1,184 | 1,064 |
|
Manish S Patel
520 Westfield Ave |
$9.79 | 1,755 | 1,109 |
|
Gautam C Surana
520 Westfield Ave |
$19.89 | 2,075 | 1,997 |
|
Karim J Khimani
240 Williamson Street |
$16.79 | 2,299 | 1,302 |
|
Essam Abdou Othman
700 N Broad St |
$26.48 | 4,832 | 1,781 |
|
Vipin Garg
240 Williamson St |
$27.57 | 5,959 | 2,491 |
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 Elizabeth, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Elizabeth, NJ is $20.19 per claim, based on 22,341 claims from 27 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 Elizabeth, NJ?
There are 27 Medicaid providers offering Nursing Facility Care related services in Elizabeth, NJ according to public payment data.
What is the price range for Nursing Facility Care in Elizabeth, NJ?
Medicaid reimbursement for Nursing Facility Care in Elizabeth, NJ ranges from $1.34 to $28.40 per claim, with an average of $20.19. 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 Elizabeth, NJ
Office Visit
Avg $46.75
1,054,219 claims
Home Health Visit
Avg $73.66
998,753 claims
Blood Work & Lab Tests
Avg $8.67
444,887 claims
Psychiatric Evaluation
Avg $108.09
323,822 claims
Emergency Room Visit
Avg $175.41
311,968 claims
Non-Emergency Medical Transportation
Avg $34.17
297,323 claims
Vaccines & Immunizations
Avg $12.38
217,358 claims
Dental Cleaning & Exam
Avg $27.85
185,821 claims