Average Medicaid Nursing Facility Care Payments in Somerset, NJ: $8.28
Avg. Paid
$8.28
Range
$2.77 – $23.41
Total Claims
18,624
Providers
14
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 Somerset, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chris Thomas
454 Elizabeth Ave Ste 240 |
$5.75 | 12 | 12 |
|
Sandesh Jain
23 Clyde Rd |
$6.38 | 19 | 13 |
|
Dinesh K Singal
51 Veronica Ave |
$6.04 | 25 | 15 |
|
Philomena Ifeyinwa Chinemelu
26 Domino Rd |
$23.41 | 65 | 59 |
|
Andrew K. Ankamah
New Jersey Sports & Spine Medicine, Pc |
$21.06 | 112 | 26 |
|
Laedi Marie Charles
100 Davidson Ave Ste 210 |
$2.77 | 135 | 55 |
|
Mohammad Azeem Bhatti
1205 Easton Ave |
$6.78 | 166 | 96 |
|
Vallur Thirumavalavan
1553 State Route 27 |
$8.51 | 748 | 392 |
|
Elizabeth M. Dunleavy
15 Dellwood Ln |
$4.90 | 770 | 541 |
|
Anju Rustagi
100 Davidson Ave Ste 210 |
$15.73 | 1,484 | 1,324 |
|
Sathesh Porur Evalappan
1553 State Route 27 Ste 2100 |
$10.29 | 1,628 | 890 |
|
Cecilia W. David
100 Franklin Square Drive |
$8.43 | 3,138 | 872 |
|
Rochelle Volosov
1527 State Route 27 |
$8.17 | 3,717 | 3,652 |
|
Joy Paran Camarillo
100 Franklin Square Dr Ste 201 |
$6.28 | 6,605 | 1,883 |
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 Somerset, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Somerset, NJ is $8.28 per claim, based on 18,624 claims from 14 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 Somerset, NJ?
There are 14 Medicaid providers offering Nursing Facility Care related services in Somerset, NJ according to public payment data.
What is the price range for Nursing Facility Care in Somerset, NJ?
Medicaid reimbursement for Nursing Facility Care in Somerset, NJ ranges from $2.77 to $23.41 per claim, with an average of $8.28. 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 Somerset, NJ
Office Visit
Avg $56.75
214,420 claims
Home Health Visit
Avg $133.06
104,520 claims
Physical Therapy
Avg $7.23
90,947 claims
Psychiatric Evaluation
Avg $112.85
85,116 claims
Dental Cleaning & Exam
Avg $26.78
48,993 claims
Eye Exam
Avg $29.17
34,349 claims
Emergency Room Visit
Avg $68.00
30,793 claims
Vaccines & Immunizations
Avg $18.04
25,975 claims