Average Medicaid Home Health Visit Payments in Providence, RI: $123.48
Avg. Paid
$123.48
Range
$62.81 – $259.31
Total Claims
44,279
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Capitol Home Care Network Inc
400 Reservoir Ave Ste 1K |
$123.97 | 14,448 | 2,046 |
|
Elmwood Home Care, Inc.
120 Dudley Street |
$115.58 | 13,706 | 5,958 |
|
Jessica Lynne Waugh
610 Manton Ave |
$96.96 | 7,982 | 694 |
|
Prospect Chartercare Home Health And Hospice, Llc
50 Maude St |
$123.82 | 4,055 | 733 |
|
Groden Center, Inc.
610 Manton Ave |
$259.31 | 2,254 | 455 |
|
Prospect Chartercare Rwmc, Llc
825 Chalkstone Ave |
$124.00 | 1,270 | 378 |
|
United Cerebral Palsy Of Rhode Island, Inc.
1 Richmond Sq Ste 103K |
$174.62 | 297 | 26 |
|
Emily C. Tripp
55 Hope St |
$62.81 | 171 | 13 |
|
Prospect Chartercare Rwmc, Llc
50 Maude St |
$124.00 | 96 | 14 |
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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in Providence, RI is $123.48 per claim, based on 44,279 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 Providence, RI?
There are 9 Medicaid providers offering Home Health Visit related services in Providence, RI according to public payment data.
What is the price range for Home Health Visit in Providence, RI?
Medicaid reimbursement for Home Health Visit in Providence, RI ranges from $62.81 to $259.31 per claim, with an average of $123.48. 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 Providence, RI
Personal Care Services
Avg $125.03
2,057,051 claims
Office Visit
Avg $73.05
1,843,254 claims
Emergency Room Visit
Avg $92.98
754,000 claims
Behavioral & Mental Health Therapy
Avg $129.47
740,415 claims
Dental Cleaning & Exam
Avg $30.60
677,431 claims
Case Management Services
Avg $18.33
599,589 claims
Psychiatric Evaluation
Avg $71.24
531,502 claims
Substance Abuse Treatment
Avg $47.48
496,940 claims