Average Medicaid Home Health Visit Payments in Sioux Falls, SD: $98.45
Avg. Paid
$98.45
Range
$36.10 – $1,057
Total Claims
161,116
Providers
18
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 Sioux Falls, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Iwe Inc.
608 N West Ave |
$108.41 | 51,821 | 5,413 |
|
South Dakota Home Care, Inc.
1400 W Russell St |
$106.62 | 31,588 | 2,448 |
|
Alpha Sigma Health Group, Inc.
2804 East 26Th Street |
$88.05 | 17,169 | 2,399 |
|
Kore Cares In Home Services, Llc
3101 W 41St St Ste 210 |
$84.69 | 9,869 | 796 |
|
Loyal In-Home Care Llc
3408 E Madison St |
$80.96 | 9,629 | 1,180 |
|
Gift Home Health Care Llc
102 N Krohn Pl Ste 210 |
$62.13 | 6,269 | 528 |
|
Kore Cares, Llc
3701 W 49Th St |
$105.78 | 6,118 | 791 |
|
Avera At Home
2400 S Minnesota Ave |
$48.07 | 5,798 | 1,910 |
|
Weber Home Care Services Llc
5421 W 41St St Ste 208 |
$107.73 | 5,772 | 338 |
|
Prosperous Home Health Llc
400 N Main Ave |
$165.78 | 4,509 | 246 |
|
Eli Home Care Llc
4329 N Alaska Ave |
$89.97 | 4,361 | 357 |
|
Sd Falls Homecare Llc
5024 S Bur Oak Pl |
$97.66 | 3,365 | 314 |
|
South Dakota Achieve
4100 S Western Ave |
$80.37 | 2,423 | 280 |
|
Volunteers Of America, Dakotas
1309 W 51St St |
$66.20 | 1,116 | 231 |
|
The Evangelical Lutheran Good Samaritan Society
5320 W 49Th St Ste 47 |
$37.52 | 545 | 77 |
|
Diversified Enterprises, Inc.
3608 S Southeastern Ave |
$36.10 | 470 | 70 |
|
Sanford Home Health
2710 W 12Th St |
$39.05 | 268 | 64 |
|
Valder Home Care Services, Inc
5421 W 41St St Ste 208 |
$1,057 | 26 | 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 Sioux Falls, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in Sioux Falls, SD is $98.45 per claim, based on 161,116 claims from 18 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 Sioux Falls, SD?
There are 18 Medicaid providers offering Home Health Visit related services in Sioux Falls, SD according to public payment data.
What is the price range for Home Health Visit in Sioux Falls, SD?
Medicaid reimbursement for Home Health Visit in Sioux Falls, SD ranges from $36.10 to $1,057 per claim, with an average of $98.45. 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 Sioux Falls, SD
Office Visit
Avg $50.32
948,639 claims
Blood Work & Lab Tests
Avg $10.61
501,187 claims
Vaccines & Immunizations
Avg $11.07
358,214 claims
Psychiatric Evaluation
Avg $63.31
349,102 claims
X-Ray
Avg $9.88
280,494 claims
Emergency Room Visit
Avg $92.67
213,799 claims
Personal Care Services
Avg $119.40
213,761 claims
Speech Therapy
Avg $21.62
173,302 claims