Average Medicaid Home Health Visit Payments in Philadelphia, PA: $159.22
Avg. Paid
$159.22
Range
$46.45 – $241.59
Total Claims
556,537
Providers
23
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 Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nursing Home Care Management Inc.,
10890 Bustleton Ave |
$180.93 | 119,436 | 6,956 |
|
Open Systems Healthcare, Inc.
1818 Market St |
$147.82 | 100,206 | 4,959 |
|
Allborogh Personal Care Inc.
1650 Market St |
$168.23 | 65,404 | 3,106 |
|
Elwyn Of Pennsylvania And Delaware
4025 Chestnut St |
$124.24 | 57,176 | 5,259 |
|
Chad Home Health Agency, Inc.
1335 W Tabor Rd Ste 210 |
$132.82 | 45,185 | 1,975 |
|
Amazing Care Home Health Services, Llc
1714 Grant Ave Ste 3 |
$203.56 | 22,920 | 949 |
|
Advanced Nursing Care Inc
219 Cuthbert St Fl 4B |
$241.59 | 22,491 | 719 |
|
Immediate Home Care Llc
3901 Market St Ste 4B |
$80.26 | 21,345 | 4,763 |
|
In Home Program, Inc.
739 N. 24Th Street |
$225.94 | 20,158 | 1,030 |
|
Deer Meadows Home Health And Support Services, Llc
8301 Roosevelt Blvd |
$80.24 | 19,721 | 7,515 |
|
Healthcare Stat Home Care,Inc.
9539 Bustleton Ave |
$161.08 | 17,178 | 783 |
|
Bayada Home Health Care, Inc.
100 N 20Th St Ste 201 |
$225.90 | 15,666 | 791 |
|
Golden Health Services Inc
2100 Scattergood St |
$180.90 | 11,541 | 476 |
|
The Visiting Nurse Association Of Greater Philadelphia
4601 Market St |
$69.39 | 10,228 | 2,747 |
|
Covenant Home Health Care Services, Llc.
3751 Island Ave Ste 104 |
$207.38 | 2,315 | 106 |
|
Holy Redeemer Health System
12265 Townsend Road |
$122.34 | 1,935 | 490 |
|
Bayada Home Health Care, Inc.
1020 N Delaware Ave |
$69.51 | 1,273 | 434 |
|
Jeffhome Pa, Llc.
2275 Bridge St Unit 208D |
$56.44 | 1,037 | 355 |
|
Eldacare Home Health Services, Inc.
7106 Castor Ave |
$185.72 | 635 | 38 |
|
Companion Care Partners Llc
11880 Bustleton Ave Ste 214 |
$46.45 | 310 | 12 |
|
Immediate Home Care Llc
3901 Market St Ste 5 |
$78.59 | 284 | 52 |
|
Samir Mehta
3737 Market St |
$94.32 | 78 | 12 |
|
Tanise Louden Branche
3401 N Broad St |
$123.93 | 15 | 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 Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in Philadelphia, PA is $159.22 per claim, based on 556,537 claims from 23 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 Philadelphia, PA?
There are 23 Medicaid providers offering Home Health Visit related services in Philadelphia, PA according to public payment data.
What is the price range for Home Health Visit in Philadelphia, PA?
Medicaid reimbursement for Home Health Visit in Philadelphia, PA ranges from $46.45 to $241.59 per claim, with an average of $159.22. 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 Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Psychiatric Evaluation
Avg $69.22
3,688,209 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Behavioral & Mental Health Therapy
Avg $119.23
1,618,868 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
Dental Cleaning & Exam
Avg $29.51
1,399,541 claims