Average Medicaid Personal Care Services Payments in Durham, NC: $114.74
Avg. Paid
$114.74
Range
$72.87 – $153.76
Total Claims
101,759
Providers
10
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 Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
B & C Care System, Inc
2917 Guess Rd |
$124.02 | 32,262 | 1,078 |
|
Milestones Family Services
212 N Corcoran St |
$137.79 | 26,277 | 989 |
|
Nuangels Home Care
2220 Sedwick Rd Ste 202 |
$98.95 | 15,021 | 627 |
|
Star Healthcare Agency, Inc.
4422 N Roxboro St |
$85.83 | 9,011 | 337 |
|
Bayada Home Health Care, Inc,
3790 Guess Rd Ste 202 |
$77.66 | 6,842 | 308 |
|
Lei Ventures,Llc
1058 W Club Blvd Ste 3300 |
$72.87 | 5,501 | 201 |
|
Spring Valley Living Llc
2141 East Geer St |
$119.85 | 4,842 | 140 |
|
Quality Life Home Health Care Llc
800 Elmira Ave |
$153.76 | 1,016 | 38 |
|
Amaris Home Care Llc
2530 Meridian Pkwy Ste 300 |
$150.12 | 606 | 24 |
|
Php Of Nc, Inc
4125 Ben Franklin Blvd |
$89.66 | 381 | 38 |
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 Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Durham, NC is $114.74 per claim, based on 101,759 claims from 10 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 Durham, NC?
There are 10 Medicaid providers offering Personal Care Services related services in Durham, NC according to public payment data.
What is the price range for Personal Care Services in Durham, NC?
Medicaid reimbursement for Personal Care Services in Durham, NC ranges from $72.87 to $153.76 per claim, with an average of $114.74. 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 Durham, NC
Office Visit
Avg $53.48
1,229,002 claims
Dental Cleaning & Exam
Avg $29.86
790,132 claims
Substance Abuse Treatment
Avg $122.82
746,211 claims
X-Ray
Avg $5.74
576,677 claims
Blood Work & Lab Tests
Avg $13.80
572,218 claims
Speech Therapy
Avg $57.51
491,949 claims
Psychiatric Evaluation
Avg $65.37
472,359 claims
Emergency Room Visit
Avg $105.90
448,598 claims