Average Medicaid Home Health Visit Payments in Pleasanton, CA: $170.03
Avg. Paid
$170.03
Range
$90.47 – $181.17
Total Claims
56,001
Providers
6
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 Pleasanton, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
American Home Health Care, Llc
7031 Koll Center Pkwy Ste 210 |
$92.56 | 25 | 12 |
|
American Hospice And Home Health Care Services,Inc.
7031 Koll Center Pkwy Ste 230 |
$143.95 | 57 | 25 |
|
Mallari Healthcare, Inc.
6700 Koll Center Pkwy Ste 116 |
$110.71 | 668 | 299 |
|
American Hospice And Home Health Care Services, Inc.
7031 Koll Center Pkwy Ste 220 |
$90.47 | 3,059 | 1,163 |
|
Guardian Home Health Care & Hospice, Inc
6601 Owens Drive |
$159.28 | 13,460 | 2,586 |
|
Apollo Home Healthcare, Llc
7901 Stoneridge Dr Ste 505 |
$181.17 | 38,732 | 12,187 |
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 Pleasanton, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in Pleasanton, CA is $170.03 per claim, based on 56,001 claims from 6 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 Pleasanton, CA?
There are 6 Medicaid providers offering Home Health Visit related services in Pleasanton, CA according to public payment data.
What is the price range for Home Health Visit in Pleasanton, CA?
Medicaid reimbursement for Home Health Visit in Pleasanton, CA ranges from $90.47 to $181.17 per claim, with an average of $170.03. 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 Pleasanton, CA
Office Visit
Avg $33.17
388,049 claims
Emergency Room Visit
Avg $59.54
111,107 claims
Blood Work & Lab Tests
Avg $11.30
88,625 claims
Physical Therapy
Avg $34.23
73,530 claims
Dental Cleaning & Exam
Avg $55.53
70,875 claims
Behavioral & Mental Health Therapy
Avg $163.21
59,315 claims
EKG / ECG (Electrocardiogram)
Avg $12.58
47,696 claims
Vaccines & Immunizations
Avg $7.71
42,202 claims