Home Health Per-Visit Pay Calculator — What Each Agency Owes You This Period

How per-visit pay works

Per-visit pay pays for the visit, not the day. Each visit type carries its own rate, and the rates are rarely close together: a start of care with its full assessment and its paperwork is worth more than a routine follow-up, a recertification usually sits somewhere between, and discharge visits are often priced closer to routine even though the documentation is heavier. Some agencies pay something for a missed visit where the patient was not home and the trip was made anyway; many pay nothing, which is why that row defaults to zero here rather than to a figure this tool has no business inventing. The consequence of the structure is that two clinicians with identical visit counts can be paid very differently, purely because of the mix.

Why clinicians get short-paid

The gap between what a week feels worth and what lands in the bank usually comes from unpaid time rather than wrong rates. Documentation finished at nine in the evening, the drive between two towns, the phone call to a physician's office, the visit that was cancelled at the door — none of them are visits, so under a per-visit rate card none of them are paid. That is what the pay per hour figure is for. Set the minutes for each visit type to the time the visit really costs you, including the notes and the driving that belong to it, and the hourly number stops flattering the week.

The second source of shortfall is the visit that happened but never reached the remittance: a PRN visit nobody logged, a recertification paid at the routine rate, a second visit on the same day counted once. Those are found only by comparing a list you kept with the list the agency paid.

Reconciling remittances

Reconciling means matching visit by visit, not total by total. Keep your own dated list with the patient, the visit type and the miles, then check the agency's statement against it line by line: the count of each visit type, the rate applied to each one, the mileage, and anything the statement adjusts. Query discrepancies in the pay period they appear in, while the visit is still fresh and the note is still findable — once two periods have passed, the conversation is about memory rather than records. Working for more than one agency makes this harder, because the periods rarely align; running each agency separately here, then reading the combined line, keeps them from blurring together.

Reimbursed miles versus deducted miles

These are two different things and you do not get both for the same mile. Miles an agency reimburses under an accountable plan come back to you as an expense reimbursement; a mile that has been reimbursed cannot then be deducted. Miles nobody reimburses are the ones worth counting, and whether they can be deducted depends on how you are engaged — the position for an employee receiving a W-2 differs from the position for an independent contractor filing a Schedule C — and on the tax rules in force for the year in question. The figure above simply applies the IRS standard mileage rate to your unreimbursed miles so you know the size of what is at stake; IRS Publication 463 sets out the rules, and a tax preparer should confirm them for your situation. Keep a contemporaneous log either way — the home health mileage calculator does that arithmetic, and the frequency order calculator turns an order into the visits this page prices.

This tool is a planning aid based on the numbers you enter. It quotes no pay rate, mileage policy or agency figure of its own, and it is not tax, legal or employment advice — confirm your rate card against your own contract and remittances, and any tax treatment with a qualified preparer. Last reviewed: September 2026.

Frequently asked questions

How is the effective hourly rate worked out?

Visit pay for the week is divided by the hours you entered for those visits. Hours come from the average visit length you set for each agency, multiplied by the visits of each type, so a 45-minute routine visit and a 90-minute start of care are counted differently. Mileage reimbursement is deliberately left out of that figure, because reimbursement pays back a cost you already incurred rather than paying you for time. If you want the number that includes documentation and drive time, raise the average visit length to cover them — the calculator uses whatever length you give it.

Can I deduct the miles an agency already reimbursed?

No. Miles reimbursed under an accountable plan are paid back to you tax free and cannot also be deducted, which is why this tool counts only the miles you told it nobody reimburses. Whether those unreimbursed miles are deductible at all depends on how you are engaged and on current law — the rules differ for an employee receiving a W-2 and for an independent contractor filing a Schedule C. The figure shown is the standard mileage rate applied to your unreimbursed miles, not a promise of a deduction. Check IRS Publication 463 or your tax preparer before claiming it.

My agency pays different rates for the same visit type. What do I enter?

Enter the rate you are actually paid most often for that type, then run the calculator a second time with the other rate to see the spread. Per-visit rate cards vary by discipline, by payer, by whether you are an employee or a contractor, and sometimes by the individual patient, and nothing here is a rate quoted from any agency or any survey — every figure in the result comes from the numbers you typed. If your rate card has visit types this tool does not list, put them in the closest row and note the difference when you reconcile.