Average Medicaid Home Health Visit Payments in Spartanburg, SC: $110.96
Avg. Paid
$110.96
Range
$49.08 – $126.38
Total Claims
900,744
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 Spartanburg, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Axcess Healthcare Services, Llc
800 S Pine St |
$126.38 | 700,881 | 41,221 |
|
Southern Home Care Services, Inc.
464 E Main St |
$51.21 | 60,547 | 3,369 |
|
Circle Of Angels Home Health Care
2375 E Main St Ste A302 |
$52.13 | 45,628 | 3,283 |
|
Elite Home Care
2000 Bud Arthur Bridge Rd |
$49.08 | 42,376 | 2,419 |
|
Legacy Healthcare Advantage Llc
371 E Henry St |
$62.72 | 30,639 | 1,753 |
|
Spartanburg Medical Center
120 Heywood Ave |
$91.27 | 20,673 | 5,004 |
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 Spartanburg, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in Spartanburg, SC is $110.96 per claim, based on 900,744 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 Spartanburg, SC?
There are 6 Medicaid providers offering Home Health Visit related services in Spartanburg, SC according to public payment data.
What is the price range for Home Health Visit in Spartanburg, SC?
Medicaid reimbursement for Home Health Visit in Spartanburg, SC ranges from $49.08 to $126.38 per claim, with an average of $110.96. 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 Spartanburg, SC
Office Visit
Avg $67.79
1,272,684 claims
Blood Work & Lab Tests
Avg $41.53
739,249 claims
Emergency Room Visit
Avg $59.48
484,153 claims
Physical Therapy
Avg $53.48
466,461 claims
Dental Cleaning & Exam
Avg $33.50
402,164 claims
Speech Therapy
Avg $56.78
349,032 claims
Urinalysis & Urine Tests
Avg $39.70
306,811 claims
Psychiatric Evaluation
Avg $129.73
269,505 claims