Average Medicaid Nursing Facility Care Payments in Phila, PA: $21.64
Avg. Paid
$21.64
Range
$0.00 – $39.97
Total Claims
10,633
Providers
10
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 Phila, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jack Samuel Nemez
7001 Kindred St |
$0.00 | 79 | 73 |
|
Kristi Johnson
2840 W Dauphin St |
$8.93 | 93 | 90 |
|
Felix Vershvovsky
2100 W Girard Ave |
$39.97 | 111 | 110 |
|
Tristan M Ortiz
650 Edison Ave |
$0.17 | 216 | 133 |
|
Alan M Mermelstein
7439 Frankford Ave |
$5.24 | 838 | 795 |
|
Larry Paul Doroshow
7131 Ridge Ave |
$30.65 | 877 | 847 |
|
Eric D Newman
2228 S Broad St |
$4.62 | 1,173 | 823 |
|
Deborah Vadurro
132 S 10Th St Ste 585 |
$2.34 | 1,241 | 700 |
|
Dennis Ilozulike Eneanya
2100 W Girard Ave |
$24.53 | 1,384 | 1,145 |
|
Mohammad Azher Sayeed
16Th Street And Girard Avenue |
$32.73 | 4,621 | 2,252 |
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 Phila, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Phila, PA is $21.64 per claim, based on 10,633 claims from 10 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 Phila, PA?
There are 10 Medicaid providers offering Nursing Facility Care related services in Phila, PA according to public payment data.
What is the price range for Nursing Facility Care in Phila, PA?
Medicaid reimbursement for Nursing Facility Care in Phila, PA ranges from $0.00 to $39.97 per claim, with an average of $21.64. 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 Phila, PA
Office Visit
Avg $37.18
197,942 claims
Case Management Services
Avg $94.84
71,928 claims
Psychiatric Evaluation
Avg $67.69
68,250 claims
Emergency Room Visit
Avg $170.79
58,011 claims
Vaccines & Immunizations
Avg $8.84
53,865 claims
Eye Exam
Avg $25.62
35,733 claims
Blood Work & Lab Tests
Avg $2.31
33,422 claims
Substance Abuse Treatment
Avg $344.25
26,323 claims