Average Medicaid Nursing Facility Care Payments in Philadelphia, PA: $22.42
Avg. Paid
$22.42
Range
$0.00 – $97.75
Total Claims
314,491
Providers
227
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 Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Smyth Michel
7515 Stenton Ave |
$33.49 | 33,343 | 18,820 |
|
Brian B Kimmel
4517 E Thompson St |
$34.78 | 24,055 | 19,115 |
|
Mario Littman
7300 City Line Ave |
$12.02 | 18,933 | 1,471 |
|
Vikram Manilal Patel
2301 E Allegheny Ave |
$18.25 | 18,680 | 3,377 |
|
Thomas Famawa
155 E Godfrey Ave Apt J205 |
$13.99 | 13,797 | 7,272 |
|
Tung Thanh Ho
219 N Broad St |
$11.60 | 9,192 | 4,233 |
|
Sammy Hamid
7300 City Ave |
$11.07 | 9,075 | 2,565 |
|
Dehcontee Guar
6212 Walnut St |
$15.87 | 8,020 | 5,537 |
|
Briana Massetti
1930 S Broad St |
$64.35 | 7,317 | 854 |
|
Helya Ghaffari
3401 N Broad St |
$7.91 | 6,590 | 3,827 |
|
Ami S Joshi
700 Spruce Street |
$28.80 | 5,887 | 2,992 |
|
David Milton Rose
321 N 18Th St |
$8.05 | 5,354 | 3,513 |
|
Ephraim Dunn
2101 W Lehigh Ave Ste A |
$21.82 | 5,276 | 4,369 |
|
Arpit Kaul
7101 Old York Rd |
$18.18 | 5,144 | 2,926 |
|
David Liang
2601 Holme Ave |
$17.41 | 4,890 | 1,960 |
|
Jeffrey Scott Bolger
5800 Ridge Ave |
$85.63 | 4,875 | 4,119 |
|
Mary Usha Musuku
Temple University Hospital |
$25.28 | 4,750 | 3,576 |
|
Todd D Aaron
8815 Germantown Ave |
$27.12 | 4,622 | 3,070 |
|
Zev Klapholz
2509 S. 4Th Streert |
$22.46 | 4,155 | 2,167 |
|
Sabrina Kelsey
5303 Frankford Ave |
$38.46 | 3,875 | 1,559 |
|
Elizabeth N Bennett
125 W School House Ln |
$7.09 | 3,481 | 1,696 |
|
Robert F Giuliano
1849 S 15Th St |
$12.39 | 3,386 | 3,308 |
|
Janice B Rosenbaum
800 Spruce St |
$19.75 | 3,229 | 1,541 |
|
Matthew Stella
1 Parker Ave |
$37.24 | 3,154 | 1,552 |
|
Muhammad Sharif
10900 Bustleton Ave Apt B37 |
$8.72 | 3,084 | 2,807 |
|
Robert Howard
901 Walnut St |
$13.52 | 2,871 | 2,476 |
|
Thomas Paul Mcnulty
1020 Samson Street |
$13.69 | 2,782 | 1,719 |
|
Stanley T Depman
3542 Welsh Rd |
$11.13 | 2,728 | 1,753 |
|
Zachariah Fishoff
3400 Spruce St |
$37.95 | 2,625 | 1,541 |
|
Jacqueline Amanda Veress
2160 E Sergeant St |
$10.82 | 2,194 | 1,333 |
|
Raymond C Nwaneri
3301 Scotts Lane |
$15.47 | 2,139 | 1,841 |
|
Vimmi Viresh Panchal
51 N 39Th St |
$29.95 | 2,083 | 1,478 |
|
Cyllene C Briones
5800 Ridge Ave |
$36.92 | 2,005 | 1,779 |
|
Violetta Berdichevskaya
2701 Holme Ave |
$8.74 | 2,000 | 1,599 |
|
Mohanad M Fallouh
6950 Germantown Ave |
$11.00 | 1,906 | 724 |
|
Leeann Still
111 S 11Th St |
$8.34 | 1,876 | 621 |
|
Alan Emamdee
5501 Old York Rd |
$7.81 | 1,869 | 1,663 |
|
Priscilla N. Asonye
2600 Belmont Avenue |
$16.66 | 1,853 | 1,378 |
|
Chetan Vinod Dodhia
333 Cottman Ave |
$16.76 | 1,821 | 901 |
|
Abigail S. Tyler
801 Washington Avenue |
$15.02 | 1,792 | 1,119 |
|
Jeanne Schell
7515 Stenton Ave |
$21.41 | 1,767 | 829 |
|
Dean A. Drezner
219 N. Broad Street |
$7.75 | 1,748 | 1,664 |
|
Alex Mepari
333 Cottman Ave |
$13.46 | 1,637 | 890 |
|
Margaret Oduro
7236 Elmwood Ave |
$43.40 | 1,612 | 1,338 |
|
Katherine Theresa Schmidt
7800 Bustleton Ave |
$30.93 | 1,563 | 836 |
|
Zaifang Yu
7515 Stenton Ave |
$22.46 | 1,486 | 680 |
|
Jay Edward Roth
706 S 11Th St |
$8.02 | 1,433 | 1,140 |
|
Robert Lee
5800 Ridge Ave |
$15.71 | 1,418 | 1,363 |
|
Johari Amina Crews
850 N 11Th St |
$13.59 | 1,417 | 730 |
|
Joseph J Renzi
1324 W Ritner St |
$10.00 | 1,329 | 813 |
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 Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Philadelphia, PA is $22.42 per claim, based on 314,491 claims from 227 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 Philadelphia, PA?
There are 227 Medicaid providers offering Nursing Facility Care related services in Philadelphia, PA according to public payment data.
What is the price range for Nursing Facility Care in Philadelphia, PA?
Medicaid reimbursement for Nursing Facility Care in Philadelphia, PA ranges from $0.00 to $97.75 per claim, with an average of $22.42. 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 Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Psychiatric Evaluation
Avg $69.22
3,688,209 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Behavioral & Mental Health Therapy
Avg $119.23
1,618,868 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
Dental Cleaning & Exam
Avg $29.51
1,399,541 claims