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
46
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 |
|---|---|---|---|
|
Judith M. Kern
20 Hospital Drive |
$11.66 | 12 | 12 |
|
Latisha Lenee Marshall
448 Lakehurst Rd |
$14.23 | 13 | 13 |
|
Kristen Lewis
111 W Water St |
$4.90 | 13 | 12 |
|
Lakehurst Professional Medical Group Llc
25 Mule Rd Unit B8 |
$17.09 | 14 | 13 |
|
Natalie T. Giannantonio
3 Plaza Drive |
$2.70 | 14 | 13 |
|
Yatin Patil
99 Route 37 W |
$12.22 | 15 | 12 |
|
Loretta C Pasquarella
15 Crane Way |
$1.47 | 19 | 16 |
|
Awani Kumar
780 Hwy 37 W |
$8.54 | 23 | 15 |
|
Frederick J Rothberg
9 Mule Rd |
$3.21 | 26 | 12 |
|
Anil K. Sharma, Md, Pa
3 Plaza Dr |
$10.13 | 27 | 24 |
|
Daniel B Mcgee
517 Lakehurst Rd |
$14.16 | 29 | 28 |
|
Stephanie Lynn Polperio
567 Fischer Blvd |
$0.95 | 42 | 35 |
|
Sizan B Patel
9 Hospital Dr Ste B1 |
$0.00 | 43 | 24 |
|
Esther Gewirtzman
231 Warner St # 1028 |
$2.62 | 50 | 36 |
|
Laurie L. Rost
111 W Water St |
$2.92 | 84 | 80 |
|
Vinod Sancheti Mdpa
25 Mule Rd Unit B8 |
$6.36 | 85 | 79 |
|
Sakshi Pawa
1594 Route 9 Ste 6 |
$12.43 | 108 | 79 |
|
Maritess Alcober Reyes
25 Mule Rd Unit B8 |
$0.00 | 132 | 126 |
|
Shannon Cathleen Kelly
601 Route 37 W Ste 104 |
$2.04 | 213 | 167 |
|
Annette Eric D'Souza
9 Hospital Dr Ste B1 |
$4.24 | 257 | 184 |
|
Edward Alexeev
1750 Route 37 W |
$7.17 | 494 | 197 |
|
Debashis Nag
9 Hospital Dr |
$4.77 | 513 | 225 |
|
Elizabeth Noller
99 Mount Matterhorn Ln |
$22.10 | 522 | 219 |
|
Sima Thaler-Phillip
1815 Lakewood Rd Ste 248 |
$4.84 | 762 | 688 |
|
Cassandra Marie Robertson
601 Route 37 W |
$2.12 | 804 | 461 |
|
Hiten Patel
99 Nj-37 |
$31.87 | 979 | 406 |
|
Kathleen A Huegel-Capro
9 Hospital Dr Ste B1 |
$5.65 | 1,088 | 1,034 |
|
Emad Nabil Gobran
20 Hospital Dr Ste 18 |
$4.85 | 1,100 | 543 |
|
Vinod Sancheti
25 Mule Rd Unit B8 |
$17.07 | 1,168 | 1,096 |
|
Donato Santangelo Iii
462 Lakehurst Rd Ste A |
$21.72 | 1,242 | 819 |
|
Margaret Mary Cocuzza
1868 Hooper Ave |
$3.45 | 1,358 | 1,001 |
|
Henry Yu
462 Lakehurst Rd Ste A |
$5.78 | 1,364 | 545 |
|
Sandip Patel
9 Hospital Dr Ste B1 |
$4.05 | 1,419 | 1,016 |
|
Kutumba S Pitta
1868 Hooper Ave |
$18.19 | 1,576 | 518 |
|
Prabhat Kumar Sinha
20 Hospital Dr |
$20.47 | 1,998 | 1,490 |
|
Christine Ann Piercy
20 Hospital Dr Ste 18 |
$3.23 | 2,042 | 657 |
|
Jennie Boyle
970 Hooper Ave # 2 |
$5.25 | 2,224 | 1,393 |
|
Chi Mei Wu
9 Tivoli St |
$6.96 | 2,235 | 1,993 |
|
Carlos Eduardo Lozano
1430 Hooper Ave |
$10.96 | 2,419 | 2,261 |
|
Anoop Porwal
20 Hospital Dr |
$5.44 | 2,471 | 1,086 |
|
Anil Kumar Sharma
3 Plaza Dr |
$9.06 | 2,707 | 2,442 |
|
Manoj Patel
9 Hospital Dr Ste B1 |
$3.33 | 2,869 | 2,397 |
|
Vipul K Parikh
601 Route 37 W |
$27.89 | 2,918 | 1,374 |
|
Benjamin David Lessig
212 Commons Way |
$15.36 | 3,517 | 2,775 |
|
Grant Marshall Myers
509 Main Street, Bldg A |
$11.79 | 5,436 | 4,659 |
|
Akshay D Patel
9 Hospital Dr Ste B1 |
$4.00 | 5,684 | 3,135 |
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.
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
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Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Toms River, NJ
Office Visit
Avg $39.86
767,181 claims
Vaccines & Immunizations
Avg $16.36
424,620 claims
Blood Work & Lab Tests
Avg $10.60
363,597 claims
Home Health Visit
Avg $76.39
321,882 claims
Dental Cleaning & Exam
Avg $29.14
240,398 claims
Non-Emergency Medical Transportation
Avg $63.62
234,777 claims
Emergency Room Visit
Avg $231.01
206,206 claims
X-Ray
Avg $24.90
131,476 claims