Average Medicaid Nursing Facility Care Payments in Plymouth Meeting, PA: $25.16
Avg. Paid
$25.16
Range
$0.00 – $68.39
Total Claims
72,828
Providers
76
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 Plymouth Meeting, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert J. Pearlstein
2901 Jolly Rd |
$30.43 | 11,047 | 9,248 |
|
Heather Christine Kratz
2901 Jolly Rd |
$17.48 | 5,935 | 4,758 |
|
Andrew Eric Graf
2901 Jolly Rd |
$34.70 | 5,722 | 4,473 |
|
Alexander I Kiotis
2901 Jolly Rd |
$26.00 | 4,526 | 3,473 |
|
Lauren Michelle Short
2901 Jolly Rd |
$32.51 | 3,396 | 1,467 |
|
Cameron Vaughn Williams
2901 Jolly Rd |
$46.45 | 3,317 | 2,654 |
|
Melanie I Lane
2901 Jolly Rd |
$23.93 | 2,381 | 1,187 |
|
Hannah Grace Gertrude Hartman
2901 Jolly Rd |
$11.93 | 1,830 | 712 |
|
Saundra Swank
2901 Jolly Rd |
$16.60 | 1,782 | 1,269 |
|
Marcia Foster
2901 Jolly Rd |
$20.82 | 1,683 | 1,173 |
|
Miranda Fuller
2901 Jolly Rd |
$26.08 | 1,647 | 1,070 |
|
Rida Ezehra Shah
2901 Jolly Rd |
$28.41 | 1,630 | 1,082 |
|
Lindsay Michele Spencer
2901 Jolly Rd |
$22.45 | 1,612 | 1,189 |
|
Ronald Richard Julia
2901 Jolly Rd |
$25.69 | 1,562 | 1,383 |
|
Huma Khan
2901 Jolly Rd |
$60.36 | 1,533 | 901 |
|
Lisa A Robbins
2901 Jolly Rd |
$20.40 | 1,477 | 1,015 |
|
Karen C Weir
2250 Hickory Rd |
$42.08 | 1,393 | 1,051 |
|
Amanda Sadowl
2901 Jolly Rd |
$19.18 | 1,344 | 999 |
|
Hussein Qahtan Al Sudani
2901 Jolly Rd |
$37.09 | 1,116 | 897 |
|
Kathleen Lickfeldt
930 Germantown Pike |
$3.56 | 1,108 | 609 |
|
Bethany Cassidy
2901 Jolly Rd |
$0.63 | 1,007 | 472 |
|
Bethany Renee Adam
2901 Jolly Rd |
$30.68 | 907 | 664 |
|
Lisa Padvelskis
2901 Jolly Rd |
$18.87 | 752 | 544 |
|
Thomas Joseph Mcgrath
2901 Jolly Rd |
$16.83 | 748 | 599 |
|
Elizabeth M. Gatsch
2901 Jolly Rd |
$18.03 | 711 | 643 |
|
Eric Miron
2901 Jolly Rd |
$13.25 | 593 | 460 |
|
Shannon Westbrook
2901 Jolly Rd |
$11.04 | 554 | 460 |
|
Stephanie Schlesman
2901 Jolly Rd |
$6.81 | 542 | 456 |
|
Allison Ickes
2901 Jolly Rd |
$26.72 | 540 | 387 |
|
Carl Burnett
2901 Jolly Rd |
$4.51 | 514 | 307 |
|
Emily L Wittig
2901 Jolly Rd |
$11.03 | 483 | 317 |
|
Yashoda Dhruva Rao
2901 Jolly Rd |
$15.41 | 469 | 440 |
|
Kyle William Bessemer
2901 Jolly Rd |
$15.28 | 465 | 346 |
|
Heather Shaffer
2901 Jolly Rd |
$11.84 | 442 | 312 |
|
Sharon Felices
2901 Jolly Rd |
$14.91 | 419 | 358 |
|
Heather Ashley Marie Bosley
2901 Jolly Rd |
$21.00 | 418 | 273 |
|
Jennifer Q Liu
2901 Jolly Rd |
$5.46 | 379 | 371 |
|
Fermida Smida
2901 Jolly Rd |
$12.53 | 373 | 280 |
|
Eucabeth Ouma
2901 Jolly Rd |
$13.04 | 370 | 326 |
|
Ryan Anne Pishock
2901 Jolly Rd |
$11.89 | 369 | 262 |
|
Kory Miller
2901 Jolly Rd |
$10.56 | 368 | 331 |
|
Haley Weinberger
2901 Jolly Rd |
$15.14 | 367 | 267 |
|
Himasha Gunasekara
2901 Jolly Rd |
$19.58 | 361 | 254 |
|
Thomas Gavin
2901 Jolly Rd |
$6.17 | 334 | 298 |
|
Alexis Phillips
2901 Jolly Rd |
$19.37 | 327 | 256 |
|
Brooke Meaney
2901 Jolly Rd |
$4.78 | 323 | 291 |
|
Eimy Aguilar
2901 Jolly Rd |
$25.87 | 319 | 268 |
|
Anne Gitu
2901 Jolly Rd |
$1.54 | 294 | 210 |
|
Alexis Ann Corl
2901 Jolly Rd |
$35.24 | 290 | 232 |
|
Corinne Elizabeth Gallo Dressel
2901 Jolly Rd |
$11.08 | 263 | 178 |
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 Plymouth Meeting, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Plymouth Meeting, PA is $25.16 per claim, based on 72,828 claims from 76 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 Plymouth Meeting, PA?
There are 76 Medicaid providers offering Nursing Facility Care related services in Plymouth Meeting, PA according to public payment data.
What is the price range for Nursing Facility Care in Plymouth Meeting, PA?
Medicaid reimbursement for Nursing Facility Care in Plymouth Meeting, PA ranges from $0.00 to $68.39 per claim, with an average of $25.16. 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 Plymouth Meeting, PA
Eye Exam
Avg $23.49
76,686 claims
Psychiatric Evaluation
Avg $104.69
48,205 claims
Behavioral & Mental Health Therapy
Avg $123.69
41,057 claims
Physical Therapy
Avg $65.98
30,932 claims
Office Visit
Avg $53.35
30,559 claims
Ambulance Transport
Avg $192.11
19,978 claims
Speech Therapy
Avg $57.72
15,848 claims
Blood Work & Lab Tests
Avg $5.17
8,347 claims