Average Medicaid Personal Care Services Payments in Dunn, NC: $92.86
Avg. Paid
$92.86
Range
$86.06 – $93.85
Total Claims
35,658
Providers
4
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 Dunn, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Merchant Health Systems, Inc.
801 W Cumberland St |
$91.73 | 1,895 | 97 |
|
A&E Home Care
902 E Edgerton St |
$86.06 | 2,763 | 113 |
|
Adapt Incorporated
1206 N Ellis Ave |
$90.86 | 3,348 | 160 |
|
Affinity Care Nc Inc
801 W Cumberland St |
$93.85 | 27,652 | 1,168 |
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 Dunn, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Dunn, NC is $92.86 per claim, based on 35,658 claims from 4 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 Dunn, NC?
There are 4 Medicaid providers offering Personal Care Services related services in Dunn, NC according to public payment data.
What is the price range for Personal Care Services in Dunn, NC?
Medicaid reimbursement for Personal Care Services in Dunn, NC ranges from $86.06 to $93.85 per claim, with an average of $92.86. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Dunn, NC
Office Visit
Avg $54.30
232,724 claims
Blood Work & Lab Tests
Avg $6.17
196,299 claims
Speech Therapy
Avg $64.41
126,562 claims
Emergency Room Visit
Avg $123.15
111,005 claims
Vaccines & Immunizations
Avg $16.38
89,352 claims
Behavioral & Mental Health Therapy
Avg $66.03
81,007 claims
Dental Cleaning & Exam
Avg $20.27
71,519 claims
Urinalysis & Urine Tests
Avg $3.93
67,408 claims