Average Medicaid Nursing Facility Care Payments in Horsham, PA: $21.82
Avg. Paid
$21.82
Range
$0.52 – $37.42
Total Claims
39,013
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 Horsham, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Victoria Borger
680 Blair Mill Rd |
$0.81 | 63 | 63 |
|
Trinkal Patel
680 Blair Mill Rd |
$11.79 | 77 | 56 |
|
Dina Vysotsky
680 Blair Mill Rd |
$19.72 | 156 | 78 |
|
My V Cong
680 Blair Mill Rd |
$13.85 | 159 | 148 |
|
Katelyn Nicole Hann
680 Blair Mill Rd |
$37.42 | 168 | 90 |
|
David Richard Mcphillips
925 Horsham Rd |
$8.10 | 168 | 168 |
|
April Firchow
680 Blair Mill Rd |
$6.31 | 218 | 157 |
|
Arlyn D. Wasco
680 Blair Mill Rd |
$2.79 | 261 | 183 |
|
Alyssa Reed
680 Blair Mill Road |
$0.52 | 266 | 257 |
|
Lisa R Partsch
680 Blair Mill Rd |
$8.09 | 278 | 181 |
|
Peiwen Distler
680 Blair Mill Rd |
$20.25 | 292 | 85 |
|
Marla Kelly Osner
401 Horsham Rd |
$22.74 | 302 | 237 |
|
Bridget Grant
401 Horsham Rd |
$17.56 | 316 | 231 |
|
Johanne Kamleu
680 Blair Mill Rd |
$17.28 | 411 | 189 |
|
Jennifer Marie Moses
680 Blair Mill Rd |
$13.13 | 680 | 520 |
|
Vanessa Rae Fischer
680 Blair Mill Rd |
$30.22 | 729 | 352 |
|
Amy Beth Woodruff
680 Blair Mill Rd |
$0.61 | 812 | 672 |
|
Alice Beatrice Wilson-Horton
401 Horsham Rd |
$8.13 | 1,436 | 285 |
|
Hiral Patel
680 Blair Mill Rd |
$8.86 | 1,824 | 1,686 |
|
Oluwadamilola Fowowe
680 Blair Mill Rd |
$16.96 | 2,318 | 2,046 |
|
Regina C Mason
300 Welsh Rd Ste 145 |
$25.62 | 2,358 | 1,656 |
|
Birgit Collier
680 Blair Mill Rd |
$18.42 | 2,480 | 2,095 |
|
Erik Ira Soiferman
401 Horsham Rd |
$18.76 | 2,712 | 1,437 |
|
Lori A Ruskin
680 Blair Mill Rd |
$24.36 | 5,242 | 3,101 |
|
Donna Delarge
401 Horsham Rd |
$18.70 | 5,427 | 2,251 |
|
Harry Ashby De Butts
401 Horsham Rd |
$32.74 | 9,860 | 5,298 |
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 Horsham, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Horsham, PA is $21.82 per claim, based on 39,013 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 Horsham, PA?
There are 26 Medicaid providers offering Nursing Facility Care related services in Horsham, PA according to public payment data.
What is the price range for Nursing Facility Care in Horsham, PA?
Medicaid reimbursement for Nursing Facility Care in Horsham, PA ranges from $0.52 to $37.42 per claim, with an average of $21.82. 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 Horsham, PA
Blood Work & Lab Tests
Avg $35.55
626,933 claims
EKG / ECG (Electrocardiogram)
Avg $5.72
31,761 claims
Physical Therapy
Avg $37.22
24,924 claims
Speech Therapy
Avg $28.47
22,459 claims
Office Visit
Avg $18.45
14,526 claims
Emergency Room Visit
Avg $60.62
11,890 claims
Pathology & Lab Services
Avg $3.49
8,249 claims
Home Health Visit
Avg $54.03
5,977 claims