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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

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

Other Procedures in Toms River, NJ