Average Medicaid Home Health Visit Payments in Rochester, NY: $155.96
Avg. Paid
$155.96
Range
$0.00 – $281.36
Total Claims
4,468,559
Providers
22
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 Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Center For Disability Rights, Inc
497 State St |
$155.38 | 1,009,614 | 54,189 |
|
Maxim Of New York, Llc
150 State St Ste 300 |
$167.74 | 708,553 | 35,309 |
|
Trucare Connections Inc
140A Metro Park |
$175.46 | 594,320 | 25,724 |
|
Medical Solutions, Inc.
135 W Ridge Rd |
$128.24 | 527,449 | 23,996 |
|
Burd Home Health Llc
274 N Goodman St Ste A403 |
$172.71 | 445,518 | 25,185 |
|
Companion Care Of Rochester
465 Blossom Rd |
$150.95 | 308,071 | 18,550 |
|
Glidedowan Llc
742 South Clinton Avenue |
$168.78 | 263,112 | 14,452 |
|
L Woerner Inc
85 Metro Park |
$149.57 | 208,040 | 12,706 |
|
L Woerner Inc
85 Metro Park |
$118.12 | 77,802 | 23,387 |
|
Innovative Care, Llc
2775 Buffalo Rd |
$154.66 | 72,800 | 3,774 |
|
Genesee Region Home Care Of Ontario County, Inc.
3111 Winton Rd S |
$113.87 | 58,861 | 4,188 |
|
Elder One
2066 Hudson Ave |
$0.00 | 41,512 | 11,123 |
|
Beech Development Corp
3380 Monroe Ave Ste 116 |
$123.65 | 38,184 | 2,701 |
|
Interim Healthcare Of Rochester, Inc.
1 S. Washington Street |
$122.60 | 37,056 | 2,168 |
|
Horizon Care Llc
300 White Spruce Blvd Ste 230 |
$281.36 | 24,293 | 1,949 |
|
Genesee Region Home Care Association Inc.
330 Monroe Ave |
$166.45 | 21,055 | 7,525 |
|
Shire Senior Living Llc
2515 Culver Rd |
$79.65 | 10,971 | 765 |
|
All About You Home Care, Inc
497 State St |
$113.72 | 8,914 | 548 |
|
L Woerner Inc
85 Metro Park |
$82.13 | 8,250 | 711 |
|
Yehuda L Nussbaum
2350 Ridgeway Ave |
$264.80 | 3,270 | 175 |
|
Rochester Regional Health System Home Care
89 Genesee St |
$120.05 | 554 | 139 |
|
North Park Nursing Home
89 Genesee St |
$72.55 | 360 | 24 |
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 Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in Rochester, NY is $155.96 per claim, based on 4,468,559 claims from 22 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 Rochester, NY?
There are 22 Medicaid providers offering Home Health Visit related services in Rochester, NY according to public payment data.
What is the price range for Home Health Visit in Rochester, NY?
Medicaid reimbursement for Home Health Visit in Rochester, NY ranges from $0.00 to $281.36 per claim, with an average of $155.96. 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 Rochester, NY
Blood Work & Lab Tests
Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Case Management Services
Avg $416.23
1,188,020 claims
Psychiatric Evaluation
Avg $142.49
1,087,559 claims
Substance Abuse Treatment
Avg $66.55
788,422 claims
Physical Therapy
Avg $59.14
727,107 claims
Ambulance Transport
Avg $103.20
693,655 claims