Average Medicaid Home Health Visit Payments in East Orange, NJ: $96.65
Avg. Paid
$96.65
Range
$17.14 – $297.13
Total Claims
1,117,540
Providers
18
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 East Orange, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Citadel At Home Llc
7 Glenwood Ave Ste 412 |
$113.17 | 313,513 | 18,599 |
|
Heart To Heart Health Care Services, Llc
576 Central Ave |
$71.83 | 196,032 | 10,541 |
|
Divine Healthcare Services, Llc.
60 Evergreen Pl Ste 501 |
$83.03 | 140,627 | 7,498 |
|
Northeastern Professional Nurses Registry Inc
134 Evergreen Pl Ste 504 |
$97.09 | 126,953 | 8,560 |
|
Claremont Medical And Rehabilitation Inc.
134 Evergreen Place |
$91.48 | 71,563 | 3,607 |
|
Advantage Health And Social Services Llc
576 Central Ave |
$120.95 | 66,941 | 3,545 |
|
Loving Home Care Professionals Llc
137 Evergreen Pl |
$81.84 | 60,918 | 3,178 |
|
Express Enterprise
134 Evergreen Pl Ste 805 |
$105.32 | 43,900 | 1,935 |
|
Wellcare Nurses & Staffing Inc.
185 Central Ave. |
$106.91 | 38,490 | 2,036 |
|
Skyline Care, Llc
120 Park End Pl |
$70.47 | 20,739 | 1,365 |
|
New Dawn Health Solutions Llc
134 Evergreen Pl Ste 303-3 |
$119.50 | 18,301 | 1,021 |
|
Holistic Care Solutions
134 Evergreen Pl Ste 303-11 |
$131.57 | 6,799 | 356 |
|
Claremont Medical & Rehab Home Care Inc
134 Evertgreen Place |
$107.80 | 4,296 | 237 |
|
Transformation Home Care
84 Sanford St |
$100.18 | 4,014 | 245 |
|
Holy Mother Llc
55 Washington St |
$223.63 | 2,282 | 176 |
|
Nation Star Home Health Care Llc
576 Central Ave Ste 304 |
$17.14 | 899 | 249 |
|
Promise Care Of Essex County Llc
576 Central Ave Ste 304 |
$21.30 | 839 | 205 |
|
Prime Personal Care Home Health Services
614 Central Ave |
$297.13 | 434 | 111 |
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 East Orange, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in East Orange, NJ is $96.65 per claim, based on 1,117,540 claims from 18 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 East Orange, NJ?
There are 18 Medicaid providers offering Home Health Visit related services in East Orange, NJ according to public payment data.
What is the price range for Home Health Visit in East Orange, NJ?
Medicaid reimbursement for Home Health Visit in East Orange, NJ ranges from $17.14 to $297.13 per claim, with an average of $96.65. 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 East Orange, NJ
Non-Emergency Medical Transportation
Avg $30.52
776,190 claims
Office Visit
Avg $38.90
672,879 claims
Behavioral & Mental Health Therapy
Avg $97.09
290,800 claims
Physical Therapy
Avg $8.71
278,858 claims
Psychiatric Evaluation
Avg $87.84
229,679 claims
Ambulance Transport
Avg $14.99
186,295 claims
Vaccines & Immunizations
Avg $11.76
163,432 claims
Blood Work & Lab Tests
Avg $5.61
143,029 claims