Average Medicaid Nursing Facility Care Payments in Newark, NJ: $25.85
Avg. Paid
$25.85
Range
$0.00 – $54.79
Total Claims
110,785
Providers
41
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, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ceyon M Drakes
150 Bergen St |
$0.00 | 16 | 15 |
|
Margaret Richards
111 Central Ave |
$2.55 | 16 | 16 |
|
Frances Carol Zacek
150 Bergen St |
$7.97 | 21 | 13 |
|
Jenill Rodriguez
729 N 7Th St |
$7.30 | 22 | 13 |
|
Razia S Awan
156 Lyons Ave |
$8.86 | 36 | 24 |
|
Pankaja Achar
194 Clinton Ave Fl 2 |
$4.24 | 54 | 38 |
|
Nneoma Anosike
186 W Market St |
$17.65 | 56 | 36 |
|
Miriam Enock
205 S Orange Ave |
$35.33 | 56 | 56 |
|
Carlos Alfonso Sanchez
617 Broad St |
$9.81 | 56 | 45 |
|
Eric Tien Yen Chyn
90 Bergen St Ste 4200 |
$54.79 | 57 | 52 |
|
Ellen Smith
1 Gateway Ctr Ste 2600 |
$5.91 | 81 | 65 |
|
Py Medical Services Of Nj Llc
65 Jay St |
$15.72 | 123 | 60 |
|
Phil Whang
20 Washington Pl |
$11.21 | 132 | 108 |
|
Jason Gannon
111 Mulberry St |
$14.31 | 184 | 181 |
|
Marva Monique, Natasha Barbour
394 University Ave |
$17.40 | 235 | 78 |
|
Andrea C Fodor
495 N 13Th St |
$19.13 | 253 | 128 |
|
Alexander B Delgra
495 N 13Th St |
$7.87 | 387 | 178 |
|
Lesli Suzon Miller
140 Bergen St |
$6.11 | 475 | 209 |
|
Marie Merthilde Sanon
268 Dr Martin Luther King Jr Blvd |
$11.62 | 487 | 286 |
|
Ritesh A Amin
183 S Orange Ave |
$11.50 | 583 | 536 |
|
Danielle Marie Innamorato
201 Lyons Ave |
$28.26 | 666 | 179 |
|
Theresa Rose Chan
1 Riverfront Plz Ste 300 |
$9.39 | 795 | 464 |
|
Janet C. Ofori
150 Bergen St |
$7.18 | 862 | 477 |
|
Lina Shihabuddin
495 N 13Th St |
$9.35 | 952 | 753 |
|
Olubukunola Hannah Osinowo
972 Broad St |
$16.84 | 1,018 | 711 |
|
Kisha Cook
150 Bergen St |
$9.58 | 1,116 | 1,028 |
|
Shahed Abbasi
150 Bergen St |
$5.99 | 1,160 | 539 |
|
Anne I Remi-Johnson
15 17Th Ave |
$10.57 | 1,181 | 712 |
|
Maria Ramirez
796 Mount Prospect Ave |
$6.61 | 1,680 | 1,025 |
|
Richard A. Miller
268 -306 Martin Luther King Blvd |
$18.52 | 2,192 | 380 |
|
Kristina Flores
625 Broad St Ste 240 |
$7.83 | 2,294 | 2,053 |
|
Warren A Chiodo
150 Bergen St |
$9.48 | 2,432 | 2,283 |
|
Mary Elias
140 Bergen St |
$35.26 | 3,038 | 1,440 |
|
Hemantkumar G Patel
646 Sanford Ave |
$27.43 | 4,130 | 2,961 |
|
Ogori N Kalu
268 Dr Martin Luther King Jr Blvd |
$6.62 | 5,715 | 2,799 |
|
Linas Riauba
150 Bergen St |
$31.59 | 6,786 | 3,968 |
|
Mounir Y Abdelshahid
346 Roseville Ave |
$30.45 | 7,438 | 2,776 |
|
Julio Alejandro Hubert
20 Ferry St |
$7.96 | 7,447 | 4,306 |
|
Lisa Ann Dragone
201 Lyons Ave |
$14.21 | 8,368 | 2,785 |
|
Sunil Patel
150 Bergen St |
$49.66 | 9,462 | 6,566 |
|
Ramez Wadie Samuel
346 Roseville Ave |
$33.43 | 38,723 | 12,402 |
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, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Newark, NJ is $25.85 per claim, based on 110,785 claims from 41 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, NJ?
There are 41 Medicaid providers offering Nursing Facility Care related services in Newark, NJ according to public payment data.
What is the price range for Nursing Facility Care in Newark, NJ?
Medicaid reimbursement for Nursing Facility Care in Newark, NJ ranges from $0.00 to $54.79 per claim, with an average of $25.85. 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, NJ
Office Visit
Avg $61.77
2,237,116 claims
Blood Work & Lab Tests
Avg $7.22
2,053,105 claims
Emergency Room Visit
Avg $253.51
1,339,209 claims
Dental Cleaning & Exam
Avg $21.79
974,768 claims
X-Ray
Avg $29.87
603,867 claims
Ambulance Transport
Avg $87.48
530,189 claims
Vaccines & Immunizations
Avg $14.38
499,308 claims
Substance Abuse Treatment
Avg $117.53
456,003 claims