What Home Health Therapists Actually Earn Per Visit in Acadiana (Real Numbers)

Here are the real numbers: in Acadiana, home health PT, OT, and SLP visits pay $60 each, PTA and COTA visits pay $45, and an OASIS Start of Care pays $100. Those rates are the same for every therapist on the team, published up front, and paid directly. No negotiating, no guessing.

Most therapy staffing companies treat pay like a secret you have to pry out of them on a phone call. I have never understood that. I have practiced physical therapy since 2014, and I built Borges Therapy Services to be the contract I always wished someone had handed me. So I am going to do the thing almost nobody in Lafayette will do in writing: tell you exactly what the work pays.

The rates, in one table

Here is the whole rate card. No tiers you have to unlock, no “depends on experience” runaround.

Discipline	Pay per visit
PT, OT, SLP (regular visits, evals, discharges)	$60
PTA, COTA (regular visits)	$45
OASIS Start of Care	$100

A few honest clarifications, because the details matter. The $60 rate for physical therapists, occupational therapists, and speech-language pathologists covers regular visits, evaluations, and discharges alike. Assistants (PTAs and COTAs) earn $45 per visit. An OASIS Start of Care pays a premium at $100 because of the time and documentation it takes. An OASIS discharge, on the other hand, pays the regular $60, and I would rather tell you that up front than have you find out later.

Every therapist on my team earns these same rates. The person driving to a visit in Youngsville makes the same per visit as the person in New Iberia or Carencro. That is the point of publishing them.

Per-visit pay is only half the story

When therapists hear “$60 a visit,” the first question is always the right one: how many visits, and how far apart? A per-visit rate only tells you what you make. What you actually earn per hour depends on how tightly your day is packed and how little of it you spend behind the wheel.

This is where home health in a region like Acadiana can quietly beat a clinic salary. We cluster your caseload by city, so your visits sit close together instead of scattered across three parishes. Short drives between clustered visits are the whole game.

Here is the math, kept simple. Say you cluster six physical therapy visits around Youngsville and Broussard on a Tuesday. At $60 a visit, that day brings in $360. If those six visits plus the short drives between them fill about five hours of your time, you are looking at roughly $70 an hour of working time, before taxes and expenses. Load the day heavier, or keep the drives tighter, and that number climbs.

That is an illustration, not a promise. Your real effective hourly depends on your discipline, how many visits you take, and how well the towns line up. If you want to run your own scenario, the effective-hourly calculator on our careers page lets you slide the numbers yourself.

The 1099 side nobody explains

These are 1099 contract positions, and that cuts both ways. You are responsible for your own taxes, which is a real thing to plan for. But you also get the deductions that come with being a contractor. Your mileage between visits, your blood pressure cuff and pulse oximeter, your therabands and balance pads, the bag you carry: as a 1099 contractor, that equipment and that driving are typically tax deductible. For a job that involves this much driving around Acadiana, that matters more than most people expect. Talk to a tax professional about your own situation, but do not overlook it when you compare an offer.

And you are paid directly by Borges Therapy Services, not left waiting on an agency billing cycle. One relationship, one source of pay.

Quick answers

How much does a home health PT make per visit in Acadiana? Sixty dollars per visit for physical therapists, occupational therapists, and speech-language pathologists, covering regular visits, evaluations, and discharges.

Do PTAs and COTAs earn less? Yes. Assistants earn $45 per visit. It is a different scope of work, and the rate reflects that.

What does an OASIS visit pay? An OASIS Start of Care pays $100. An OASIS discharge pays the regular $60.

How is this different from what an agency pays a staff therapist? You are paid directly, at a published rate that is the same for everyone, and you choose your own caseload and cities. You are not slotted into a set schedule at a number you had to negotiate alone.

The bottom line

Good therapists deserve to know what a job pays before they spend an hour on the phone finding out. In Acadiana, home health PT, OT, and SLP visits pay $60, PTA and COTA visits pay $45, and an OASIS Start of Care pays $100. Cluster your caseload, keep your drives short, and the hourly takes care of itself.

If those numbers work for you, see where we are hiring and apply in two minutes. Rates are published, the same for everyone, and you will hear from me by the next business day.