Average Medicaid Personal Care Services Payments in Boston, MA: $97.75
Avg. Paid
$97.75
Range
$46.57 – $766.56
Total Claims
523,999
Providers
9
Typical Payment Range
Typical Medicaid Personal Care Services payments fall between $41.30 and $131.93 per claim (median: $76.58). The top 10% of payments exceed $303.40.
Based on per-provider averages across all Medicaid claims in this category.
Medicaid-funded personal care services that help beneficiaries with activities of daily living, including bathing, dressing, grooming, and meal preparation.
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 Personal Care Services in Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Midtown Home Health Services, Inc.
75 Kneeland St |
$71.87 | 194,757 | 29,545 |
|
Boston Senior Home Care
110 Chauncy St |
$149.97 | 180,405 | 31,898 |
|
Suburban Homemaking & Maternity Agency, Inc.
1050 Commonwealth Ave |
$67.41 | 145,603 | 14,584 |
|
Mavencare (Ma) Inc.
745 Atlantic Ave Ste 209 |
$48.75 | 1,353 | 209 |
|
Boston Senior Home Care
89 South St |
$66.65 | 1,284 | 275 |
|
Patricia Paisley
2 Canaan St |
$766.56 | 204 | 182 |
|
Suburban Home Health Care Inc
1050 Commonwealth Ave |
$46.57 | 183 | 24 |
|
Lori Wiviott Tishler
75 Francis Street |
$74.00 | 115 | 19 |
|
Ma Department Of Developmental Services
500 Harrison Ave |
$320.52 | 95 | 78 |
What to Expect: Personal Care Services
Personal care services are provided by trained aides in your home. Services include help with bathing, dressing, grooming, toileting, meal preparation, and light housekeeping. A care plan is developed based on your needs. Hours of service vary from a few hours per day to around-the-clock care. Services must be authorized by Medicaid.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| S5125 | Attendant care service /15m | $78.74 | 398,071,209 | 3,041 |
| S5130 | Homaker service nos per 15m | $55.89 | 87,575,527 | 2,827 |
| S5126 | Attendant care service /diem | $90.43 | 49,138,345 | 71 |
| S5131 | Homemaker service nos /diem | $135.63 | 1,273,707 | 76 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Personal Care Services cost in Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Boston, MA is $97.75 per claim, based on 523,999 claims from 9 providers. Typical payments fall between $41.30 and $131.93. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Personal Care Services in Boston, MA?
There are 9 Medicaid providers offering Personal Care Services related services in Boston, MA according to public payment data.
What is the price range for Personal Care Services in Boston, MA?
Medicaid reimbursement for Personal Care Services in Boston, MA ranges from $46.57 to $766.56 per claim, with an average of $97.75. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Personal Care Services in Other Cities
Latham, NY
Avg $80.56
32,717,488 claims · 1 providers
Missoula, MT
Avg $98.11
18,071,820 claims · 10 providers
Miami, FL
Avg $33.56
10,537,763 claims · 195 providers
Phoenix, AZ
Avg $130.72
9,443,796 claims · 45 providers
Sturgis, MI
Avg $44.83
5,684,948 claims · 1 providers
Mesa, AZ
Avg $128.56
5,487,878 claims · 14 providers
Alpharetta, GA
Avg $85.66
5,304,153 claims · 2 providers
San Antonio, TX
Avg $59.18
4,411,375 claims · 29 providers
Other Procedures in Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims