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Based on public Medicaid payment data.

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

Other Procedures in Philadelphia, PA