Average Medicaid Nursing Facility Care Payments in Newark, DE: $20.36
Avg. Paid
$20.36
Range
$0.00 – $71.92
Total Claims
9,724
Providers
21
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 Newark, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bernadette Momoh
910 S Chapel St Ste 102 |
$18.78 | 1,926 | 1,738 |
|
Kimberly Ann Lafferty
774 Christiana Rd Ste 109 |
$27.00 | 1,292 | 1,228 |
|
Shane Conaway
620 Stanton Christiana Rd Ste 202 |
$15.42 | 1,236 | 987 |
|
Vikas Sethi
2600 Glasgow Ave Ste 221 |
$13.14 | 955 | 833 |
|
Seasons Medical Group Of Delaware, P.A
220 Continental Dr Ste 407 |
$16.34 | 776 | 583 |
|
Akshar Medical Services Llc
314 E Main St |
$20.08 | 729 | 638 |
|
Inpatient Consultants Of Maryland, P.C.
111 Continental Dr Ste 406 |
$71.92 | 532 | 300 |
|
Brian K. Janney
111 Continental Dr |
$1.12 | 473 | 265 |
|
Dilipkumar J. Joshi
314 E Main St |
$0.00 | 289 | 226 |
|
Shannan Georgov
100 Discovery Blvd |
$28.85 | 251 | 145 |
|
Edward J Mcconnell
111 Continental Dr |
$22.43 | 228 | 152 |
|
Raji Mathew
4051 Ogletown-Stanton Rd |
$0.50 | 193 | 82 |
|
Breathe360 Llc
1400 Peoples Plz Ste 124 |
$22.93 | 156 | 92 |
|
Mehir Desai
4755 Ogletown Stanton Rd |
$18.40 | 152 | 97 |
|
Margaret Njoki Makau
51 Blue Hen Dr |
$54.46 | 124 | 96 |
|
Judith W Gachingiri
111 Continental Dr |
$4.19 | 122 | 77 |
|
Bonnie Chambers
4735 Ogletown Stanton Rd Ste 3301 |
$0.24 | 102 | 42 |
|
Vivek Kasi Reddy
111 Continental Dr |
$36.71 | 81 | 68 |
|
Veronica I Hoffman
4755 Ogletown Stanton Road |
$0.25 | 65 | 54 |
|
Ada Chukkwan Lee
2600 Glasgow Ave Ste 203 |
$0.00 | 21 | 13 |
|
Preethy Cyriac
4755 Ogletown Stanton Road |
$6.97 | 21 | 13 |
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 Newark, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Newark, DE is $20.36 per claim, based on 9,724 claims from 21 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 Newark, DE?
There are 21 Medicaid providers offering Nursing Facility Care related services in Newark, DE according to public payment data.
What is the price range for Nursing Facility Care in Newark, DE?
Medicaid reimbursement for Nursing Facility Care in Newark, DE ranges from $0.00 to $71.92 per claim, with an average of $20.36. 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 Newark, DE
Office Visit
Avg $54.53
707,386 claims
Emergency Room Visit
Avg $90.00
560,932 claims
Blood Work & Lab Tests
Avg $7.81
179,528 claims
Psychiatric Evaluation
Avg $65.22
160,800 claims
Case Management Services
Avg $89.93
131,261 claims
Personal Care Services
Avg $156.34
122,111 claims
EKG / ECG (Electrocardiogram)
Avg $9.07
116,745 claims
Physical Therapy
Avg $18.74
112,611 claims