Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Toms River, NJ: $10.28

Avg. Paid

$10.28

Range

$0.00 – $31.87

Total Claims

52,128

Providers

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 Toms River, NJ

Provider	Avg. Paid	Claims	Patients
Akshay D Patel 9 Hospital Dr Ste B1	$4.00	5,684	3,135
Grant Marshall Myers 509 Main Street, Bldg A	$11.79	5,436	4,659
Benjamin David Lessig 212 Commons Way	$15.36	3,517	2,775
Vipul K Parikh 601 Route 37 W	$27.89	2,918	1,374
Manoj Patel 9 Hospital Dr Ste B1	$3.33	2,869	2,397
Anil Kumar Sharma 3 Plaza Dr	$9.06	2,707	2,442
Anoop Porwal 20 Hospital Dr	$5.44	2,471	1,086
Carlos Eduardo Lozano 1430 Hooper Ave	$10.96	2,419	2,261
Chi Mei Wu 9 Tivoli St	$6.96	2,235	1,993
Jennie Boyle 970 Hooper Ave # 2	$5.25	2,224	1,393
Christine Ann Piercy 20 Hospital Dr Ste 18	$3.23	2,042	657
Prabhat Kumar Sinha 20 Hospital Dr	$20.47	1,998	1,490
Kutumba S Pitta 1868 Hooper Ave	$18.19	1,576	518
Sandip Patel 9 Hospital Dr Ste B1	$4.05	1,419	1,016
Henry Yu 462 Lakehurst Rd Ste A	$5.78	1,364	545
Margaret Mary Cocuzza 1868 Hooper Ave	$3.45	1,358	1,001
Donato Santangelo Iii 462 Lakehurst Rd Ste A	$21.72	1,242	819
Vinod Sancheti 25 Mule Rd Unit B8	$17.07	1,168	1,096
Emad Nabil Gobran 20 Hospital Dr Ste 18	$4.85	1,100	543
Kathleen A Huegel-Capro 9 Hospital Dr Ste B1	$5.65	1,088	1,034
Hiten Patel 99 Nj-37	$31.87	979	406
Cassandra Marie Robertson 601 Route 37 W	$2.12	804	461
Sima Thaler-Phillip 1815 Lakewood Rd Ste 248	$4.84	762	688
Elizabeth Noller 99 Mount Matterhorn Ln	$22.10	522	219
Debashis Nag 9 Hospital Dr	$4.77	513	225
Edward Alexeev 1750 Route 37 W	$7.17	494	197
Annette Eric D'Souza 9 Hospital Dr Ste B1	$4.24	257	184
Shannon Cathleen Kelly 601 Route 37 W Ste 104	$2.04	213	167
Maritess Alcober Reyes 25 Mule Rd Unit B8	$0.00	132	126
Sakshi Pawa 1594 Route 9 Ste 6	$12.43	108	79
Vinod Sancheti Mdpa 25 Mule Rd Unit B8	$6.36	85	79
Laurie L. Rost 111 W Water St	$2.92	84	80
Esther Gewirtzman 231 Warner St # 1028	$2.62	50	36
Sizan B Patel 9 Hospital Dr Ste B1	$0.00	43	24
Stephanie Lynn Polperio 567 Fischer Blvd	$0.95	42	35
Daniel B Mcgee 517 Lakehurst Rd	$14.16	29	28
Anil K. Sharma, Md, Pa 3 Plaza Dr	$10.13	27	24
Frederick J Rothberg 9 Mule Rd	$3.21	26	12
Awani Kumar 780 Hwy 37 W	$8.54	23	15
Loretta C Pasquarella 15 Crane Way	$1.47	19	16
Yatin Patil 99 Route 37 W	$12.22	15	12
Natalie T. Giannantonio 3 Plaza Drive	$2.70	14	13
Lakehurst Professional Medical Group Llc 25 Mule Rd Unit B8	$17.09	14	13
Kristen Lewis 111 W Water St	$4.90	13	12
Latisha Lenee Marshall 448 Lakehurst Rd	$14.23	13	13
Judith M. Kern 20 Hospital Drive	$11.66	12	12

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 Toms River, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Toms River, NJ is $10.28 per claim, based on 52,128 claims from 46 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 Toms River, NJ?

There are 46 Medicaid providers offering Nursing Facility Care related services in Toms River, NJ according to public payment data.

What is the price range for Nursing Facility Care in Toms River, NJ?

Medicaid reimbursement for Nursing Facility Care in Toms River, NJ ranges from $0.00 to $31.87 per claim, with an average of $10.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Nursing Facility Care Payments in Toms River, NJ: $10.28

Providers Offering Nursing Facility Care in Toms River, NJ

What to Expect: Nursing Facility Care

Cost Components

Frequently Asked Questions

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