Average Medicaid Home Health Visit Payments in Allentown, PA: $144.78
Avg. Paid
$144.78
Range
$33.33 – $220.24
Total Claims
86,877
Providers
9
Typical Payment Range
Typical Medicaid Home Health Visit payments fall between $50.80 and $139.98 per claim (median: $81.58). The top 10% of payments exceed $248.66.
Based on per-provider averages across all Medicaid claims in this category.
Home health services provide skilled nursing care, therapy, and medical social services in the patient's home.
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 Home Health Visit in Allentown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Efcc Acquisition Corp
1251 S Cedar Crest Blvd |
$220.24 | 30,289 | 1,361 |
|
Parkland School District
1210 Springhouse Rd |
$43.75 | 21,044 | 1,628 |
|
Lehigh Valley Hospital
2024 Lehigh St |
$135.72 | 11,285 | 3,053 |
|
Loving Care Agency, Inc.
1605 N Cedar Crest Blvd Ste 109 |
$219.56 | 8,297 | 480 |
|
Salisbury Township School District
1140 Salisbury Rd |
$33.33 | 7,333 | 506 |
|
Bayada Home Health Care, Inc.
881 Marcon Boulevard |
$201.05 | 5,643 | 374 |
|
Bayada Home Health Care, Inc.
1611 Pond Rd Ste 103 |
$84.68 | 1,703 | 612 |
|
Spiritrust Lutheran Home Care & Hospice
451 Chew St Ste 103 |
$85.71 | 1,238 | 301 |
|
Carepine Home Health
1125 S Cedar Crest Blvd |
$80.18 | 45 | 12 |
What to Expect: Home Health Visit
Home health visits are provided by licensed nurses, therapists, or home health aides. Visits typically last 1-2 hours. Services may include wound care, medication management, vital sign monitoring, physical therapy, or assistance with daily activities. Your doctor must order home health services, and a plan of care is developed with specific goals.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| T1019 | Personal care ser per 15 min | $111.52 | 1,100,608,370 | 7,532 |
| G0156 | Hhcp-svs of aide,ea 15 min | $50.01 | 49,714,941 | 1,609 |
| G0299 | Hhs/hospice of rn ea 15 min | $56.06 | 34,048,381 | 3,936 |
| T1020 | Personal care ser per diem | $245.12 | 33,504,642 | 1,034 |
| G0300 | Hhs/hospice of lpn ea 15 min | $81.70 | 17,064,855 | 1,936 |
| T1021 | Hh aide or cn aide per visit | $38.15 | 9,813,811 | 389 |
| G0151 | Hhcp-serv of pt,ea 15 min | $76.64 | 7,161,496 | 1,938 |
| T1030 | Rn home care per diem | $118.54 | 3,576,086 | 817 |
| G0152 | Hhcp-serv of ot,ea 15 min | $83.38 | 2,461,129 | 991 |
| G0153 | Hhcp-svs of s/l path,ea 15mn | $117.71 | 1,211,701 | 362 |
| G0155 | Hhcp-svs of csw,ea 15 min | $15.68 | 952,143 | 845 |
| G0157 | Hhc pt assistant ea 15 | $31.31 | 882,353 | 469 |
| G0162 | Hhc rn e&m plan svs, 15 min | $49.55 | 845,827 | 300 |
| T1031 | Lpn home care per diem | $59.22 | 498,473 | 150 |
| G0158 | Hhc ot assistant ea 15 | $87.28 | 162,524 | 94 |
| G0159 | Hhc pt maint ea 15 min | $88.54 | 60,398 | 55 |
| G0160 | Hhc occup therapy ea 15 | $116.01 | 16,418 | 6 |
| G0161 | Hhc slp ea 15 min | $109.91 | 1,718 | 5 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Home Health Visit cost in Allentown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in Allentown, PA is $144.78 per claim, based on 86,877 claims from 9 providers. Typical payments fall between $50.80 and $139.98. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Home Health Visit in Allentown, PA?
There are 9 Medicaid providers offering Home Health Visit related services in Allentown, PA according to public payment data.
What is the price range for Home Health Visit in Allentown, PA?
Medicaid reimbursement for Home Health Visit in Allentown, PA ranges from $33.33 to $220.24 per claim, with an average of $144.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Home Health Visit in Other Cities
Brooklyn, NY
Avg $160.38
213,186,150 claims · 346 providers
Stoughton, MA
Avg $85.49
72,606,440 claims · 7 providers
New York, NY
Avg $167.81
48,743,027 claims · 72 providers
Latham, NY
Avg $74.67
35,478,401 claims · 1 providers
Flushing, NY
Avg $140.26
28,769,075 claims · 33 providers
Columbus, OH
Avg $45.80
26,745,681 claims · 244 providers
Bronx, NY
Avg $150.53
23,767,796 claims · 63 providers
New Hyde Park, NY
Avg $137.64
21,953,889 claims · 4 providers
Other Procedures in Allentown, PA
Blood Work & Lab Tests
Avg $10.86
943,239 claims
Office Visit
Avg $49.53
843,711 claims
Emergency Room Visit
Avg $120.90
630,031 claims
EKG / ECG (Electrocardiogram)
Avg $9.14
219,793 claims
Urinalysis & Urine Tests
Avg $4.72
157,228 claims
Dental Cleaning & Exam
Avg $31.97
153,579 claims
Pathology & Lab Services
Avg $34.24
140,404 claims
X-Ray
Avg $12.49
103,042 claims