Average Medicaid Home Health Visit Payments in Worcester, MA: $34.51
Avg. Paid
$34.51
Range
$0.18 – $106.80
Total Claims
979,234
Providers
16
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 Worcester, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Epic Health Services Inc
67 Millbrook St Ste 405 |
$25.64 | 272,246 | 24,270 |
|
Vna Care Network, Inc.
67 Millbrook Street |
$40.41 | 156,695 | 53,414 |
|
Century Homecare, Llc
65 Water St Ste 2 |
$29.45 | 151,028 | 16,793 |
|
Elder Services Of Worcester Area, Inc
67 Millbrook St Ste 100 |
$81.95 | 144,707 | 28,572 |
|
City Home Care, Llc
425 Lake Ave N Ste 102 |
$3.86 | 106,917 | 7,931 |
|
Pinnacle Home Healthcare Services, Inc
324 Grove St |
$25.58 | 91,569 | 4,764 |
|
Prestige Health Care Services Inc
101 Pleasant St Ste 206 |
$34.97 | 16,496 | 1,294 |
|
Ace Medical Services Inc
90 Madison St |
$34.83 | 14,304 | 1,340 |
|
Jewish Healthcare Center Inc.
629 Salisbury St |
$0.18 | 8,442 | 2,856 |
|
Acclaim Home Health Care, Inc
120 Stafford St |
$14.83 | 7,002 | 1,572 |
|
Elder Services Of Worcester Area, Inc
411 Chandler St |
$15.63 | 6,701 | 324 |
|
Arca Health Vna Llc
627 Main St Ste 200 |
$26.56 | 2,185 | 395 |
|
Top Aid Healthcare
11 Crestwood St |
$106.80 | 644 | 39 |
|
City Home Care, Llc
425 Lake Ave N Ste 102 |
$7.62 | 133 | 12 |
|
Mas Medical Staffing Corporation
338 Plantation St |
$68.00 | 83 | 12 |
|
Cornerstone Healthcare Systems Llc
65 James St |
$7.00 | 82 | 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 Worcester, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in Worcester, MA is $34.51 per claim, based on 979,234 claims from 16 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 Worcester, MA?
There are 16 Medicaid providers offering Home Health Visit related services in Worcester, MA according to public payment data.
What is the price range for Home Health Visit in Worcester, MA?
Medicaid reimbursement for Home Health Visit in Worcester, MA ranges from $0.18 to $106.80 per claim, with an average of $34.51. 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 Worcester, MA
Substance Abuse Treatment
Avg $21.52
6,777,067 claims
Office Visit
Avg $63.47
2,032,687 claims
Psychiatric Evaluation
Avg $73.77
1,006,360 claims
Non-Emergency Medical Transportation
Avg $31.12
1,000,136 claims
Dental Cleaning & Exam
Avg $35.51
850,672 claims
Blood Work & Lab Tests
Avg $12.59
846,391 claims
Behavioral & Mental Health Therapy
Avg $166.04
808,172 claims
Emergency Room Visit
Avg $101.48
753,637 claims