Average Medicaid Home Health Visit Payments in Edison, NJ: $72.70
Avg. Paid
$72.70
Range
$0.00 – $592.01
Total Claims
1,738,327
Providers
12
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 Edison, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Care For U Plus,Llc
100 Plainfield Ave Ste 5 |
$68.59 | 1,222,169 | 49,089 |
|
Instacare Home Health Solutions Llc.
347 Plainfield Ave |
$105.54 | 261,874 | 13,340 |
|
Grace Healthcare Services Llc
105 Fieldcrest Ave Ste 402 |
$0.05 | 99,599 | 12,863 |
|
Emka Home Care Services. Inc
505 Thornall St Ste 201 |
$107.98 | 56,172 | 2,942 |
|
Alert Home Services Corporation
1 Lincoln Hwy Ste 12 |
$86.41 | 35,551 | 1,765 |
|
Unity Home Care Llc
40 Brunswick Ave Ste 101 |
$73.58 | 28,739 | 1,100 |
|
Mintex Care Corporation
2015 Lincoln Hwy Ste 180 |
$81.31 | 14,832 | 785 |
|
Hand Over Care Agency Llc
55 Livingston Ave |
$153.29 | 13,419 | 744 |
|
Caring Hospice Of Central Jersey Llc
1090 King Georges Post Rd |
$0.02 | 4,477 | 620 |
|
Trinity Care Xyz
32 Carnwath Ct |
$592.01 | 631 | 189 |
|
Hackensack Meridian Ambulatory Care, Inc.
80 James St |
$0.00 | 525 | 138 |
|
Care For U Plus,Llc
100 Plainfield Ave Ste 5 |
$45.77 | 339 | 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 Edison, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in Edison, NJ is $72.70 per claim, based on 1,738,327 claims from 12 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 Edison, NJ?
There are 12 Medicaid providers offering Home Health Visit related services in Edison, NJ according to public payment data.
What is the price range for Home Health Visit in Edison, NJ?
Medicaid reimbursement for Home Health Visit in Edison, NJ ranges from $0.00 to $592.01 per claim, with an average of $72.70. 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 Edison, NJ
Office Visit
Avg $46.03
753,071 claims
Blood Work & Lab Tests
Avg $8.48
735,324 claims
Physical Therapy
Avg $26.81
302,797 claims
Emergency Room Visit
Avg $201.48
285,731 claims
Ambulance Transport
Avg $135.04
200,274 claims
Vaccines & Immunizations
Avg $13.11
181,694 claims
Dental Cleaning & Exam
Avg $26.48
177,448 claims
X-Ray
Avg $18.91
144,439 claims