Average Medicaid Home Health Visit Payments in South Portland, ME: $246.46
Avg. Paid
$246.46
Range
$0.00 – $1,009
Total Claims
379,127
Providers
12
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 South Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vna Home Health & Hospice
225 Gorham Rd Ste 200 |
$122.36 | 79,061 | 36,500 |
|
Vna Home Health & Hospice
225 Gorham Rd Ste 200 |
$1.01 | 73,675 | 15,302 |
|
Beacon Hospice, Llc
40 Atlantic Pl Ste 40 |
$0.03 | 60,916 | 10,877 |
|
The Opportunity Alliance
50 Lydia Ln |
$237.06 | 52,388 | 3,992 |
|
Community Home Health Care
184 Main St Ste 2D |
$887.53 | 43,483 | 10,104 |
|
Noreast Home Care, Llc
584 Main St |
$681.04 | 34,887 | 7,849 |
|
Good Hands Home Care, Llc
169 Ocean St Ste 201 |
$438.50 | 15,716 | 1,773 |
|
Home Sweet Home Care, Llc
47 Delaware Ave |
$227.55 | 8,187 | 1,148 |
|
Centerwell Certified Healthcare Corp.
30 Atlantic Pl |
$0.00 | 4,474 | 2,368 |
|
Seacoast Angels, Inc.
311 Darling Ave, Ste A-16 |
$20.70 | 3,203 | 990 |
|
Affinity Care Of Maine Llc
1 Runway Rd Ste 5 |
$0.20 | 3,040 | 333 |
|
Bright Start Home Care Llc
499 Westbrook St Apt 108C |
$1,009 | 97 | 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 South Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in South Portland, ME is $246.46 per claim, based on 379,127 claims from 12 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 South Portland, ME?
There are 12 Medicaid providers offering Home Health Visit related services in South Portland, ME according to public payment data.
What is the price range for Home Health Visit in South Portland, ME?
Medicaid reimbursement for Home Health Visit in South Portland, ME ranges from $0.00 to $1,009 per claim, with an average of $246.46. 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 South Portland, ME
Personal Care Services
Avg $126.38
850,870 claims
Substance Abuse Treatment
Avg $91.27
297,857 claims
Case Management Services
Avg $68.45
222,206 claims
Office Visit
Avg $43.25
104,221 claims
Behavioral & Mental Health Therapy
Avg $236.70
54,529 claims
Physical Therapy
Avg $19.62
29,902 claims
Emergency Room Visit
Avg $58.88
20,353 claims
Eye Exam
Avg $54.38
19,121 claims