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 |
|---|---|---|---|
|
Shannakay Juddian Thompson-White
1205 Shelmire Ave |
$0.00 | 12 | 12 |
|
Ellen N Zagrebelsky
9892 Bustleton Ave |
$0.00 | 12 | 12 |
|
Tameeka Banks
5501 Old York Rd |
$85.98 | 12 | 12 |
|
Gregory Alexander Skochko
4261A Ridge Ave |
$12.82 | 12 | 12 |
|
Janice L. Fey
5501 Old York Rd |
$10.63 | 12 | 12 |
|
Tiffany Epps
3509 N Broad St |
$32.96 | 13 | 13 |
|
Jenny Beth Kinnard
1632 Pine St |
$8.73 | 13 | 12 |
|
Mohammad Adnan Malik
1335 W Tabor Rd Ste 206 |
$31.43 | 13 | 13 |
|
Michael Devin Fox
3500 Civic Center Blvd |
$55.67 | 13 | 13 |
|
Sara L Sheiman
7300 Germantown Ave |
$51.27 | 13 | 13 |
|
Ali Albert Anaim
139 E Lehigh Ave |
$0.00 | 13 | 13 |
|
Iryna Lautsevich
1104 Welsh Rd |
$6.93 | 13 | 12 |
|
Judith Buda Wessell
800 Walnut St |
$8.02 | 14 | 14 |
|
Amir Abbasi
139 E Lehigh Ave |
$6.21 | 15 | 15 |
|
Zakiyyah Muhsin-Fall
499 N 5Th St Ste A |
$3.51 | 16 | 13 |
|
David Vanderlyke
842 Red Lion Rd |
$29.04 | 16 | 16 |
|
Nikhil Chinmaya
1428 S 4Th St |
$10.22 | 17 | 15 |
|
Leah Gallagher
1805 S Broad St |
$0.00 | 17 | 13 |
|
Lauren Breisinger
1650 Market St Ste 3600 |
$3.32 | 17 | 13 |
|
Luz S Ramos-Bonner
6970 Germantown Ave |
$15.09 | 17 | 17 |
|
Indhu Meera Prabhakaran
2100 W Cambria St |
$28.06 | 19 | 13 |
|
Theodore Burden
2100 W Girard Ave |
$42.72 | 20 | 19 |
|
Gaetano L Cambria
51 N 39Th St |
$10.58 | 20 | 12 |
|
Clarissa Louise Harrington
1426 Dickinson St |
$23.12 | 21 | 12 |
|
Julie A Laureni
5800 Ridge Ave |
$0.00 | 21 | 12 |
|
Anthony Moree
1526 Lombard St |
$19.02 | 22 | 12 |
|
Kenneth M Levy
8400 Roosevelt Blvd |
$0.00 | 23 | 16 |
|
Sarah Anne Hower
3400 Spruce St |
$5.80 | 24 | 17 |
|
Zain Chaudhry
10625 Saint Thomas Dr |
$0.90 | 26 | 26 |
|
John Paul Zeibeq
245 N Broad St |
$27.44 | 26 | 26 |
|
Erica N Johnson
1015 Chestnut St Ste 1520 |
$0.00 | 29 | 13 |
|
Amy E. W. Sumner
1420 Walnut St Ste 600 |
$1.51 | 32 | 30 |
|
Joan Weinryb
3615 Chestnut St |
$5.82 | 32 | 26 |
|
David E. Collins
333 Cottman Avenue |
$0.00 | 33 | 20 |
|
Joel D Pomerantz
7300 Germantown Ave |
$45.52 | 35 | 35 |
|
Shannon Mone Eimer
3615 Chestnut St |
$10.48 | 37 | 26 |
|
Angela D Stewart
5501 Old York Rd |
$0.00 | 37 | 37 |
|
Natalie D. Austin
2418 E York St |
$9.39 | 39 | 31 |
|
Ashlee Elizabeth Serrao
5501 Old York Rd Ste 4 |
$0.00 | 40 | 39 |
|
John Michael Fanelly
6650 Frankford Ave |
$12.69 | 40 | 40 |
|
Rose Onyeali
800 Spruce Street |
$30.45 | 44 | 28 |
|
Liji Vipin
1615 Oregon Ave |
$11.71 | 48 | 24 |
|
Michael Strangio
51 N 39Th St |
$22.40 | 49 | 43 |
|
Yasmin Bahar
4700 Abbotsford Ave |
$0.41 | 50 | 50 |
|
Catherine Fisher
3400 Civic Center Boulevard |
$0.00 | 51 | 38 |
|
Jeffrey David Sandler
2233 Cecil B Moore Ave |
$0.00 | 52 | 51 |
|
Andrew Bennett Woldow
8200 Henry Ave |
$0.00 | 52 | 38 |
|
Jeffrey Daynes Thorley
333 Cottman Avenue |
$32.26 | 53 | 41 |
|
Lesley S Carson
3615 Chestnut St |
$11.67 | 53 | 40 |
|
Vanessa Hannagan
1526 Lombard St |
$29.06 | 53 | 25 |
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