Average Medicaid Personal Care Services Payments in Coral Gables, FL: $27.28
Avg. Paid
$27.28
Range
$24.17 – $39.89
Total Claims
376,825
Providers
5
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 Coral Gables, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
A And Y Geriatric Service Inc
4343 W Flagler St Ste 500 |
$27.20 | 150,830 | 8,386 |
|
Prn Nursings Services, Inc
770 Ponce De Leon Blvd |
$24.17 | 142,555 | 9,491 |
|
Konfidence Home Health Care, Corp.
5200 Sw 8Th St |
$39.89 | 41,401 | 3,259 |
|
Home Preferred Solution Corp
2828 Coral Way |
$25.24 | 39,094 | 2,693 |
|
Joy Life Nursing Inc
717 Ponce De Leon Blvd Ste 316 |
$31.77 | 2,945 | 217 |
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 Coral Gables, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Coral Gables, FL is $27.28 per claim, based on 376,825 claims from 5 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 Coral Gables, FL?
There are 5 Medicaid providers offering Personal Care Services related services in Coral Gables, FL according to public payment data.
What is the price range for Personal Care Services in Coral Gables, FL?
Medicaid reimbursement for Personal Care Services in Coral Gables, FL ranges from $24.17 to $39.89 per claim, with an average of $27.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Coral Gables, FL
Behavioral & Mental Health Therapy
Avg $81.70
592,741 claims
Home Health Visit
Avg $52.98
428,286 claims
Office Visit
Avg $34.53
357,757 claims
Emergency Room Visit
Avg $100.21
231,998 claims
Case Management Services
Avg $67.89
211,237 claims
Physical Therapy
Avg $51.47
175,871 claims
Speech Therapy
Avg $56.34
83,985 claims
Vaccines & Immunizations
Avg $6.73
81,504 claims