Average Medicaid Personal Care Services Payments in Gastonia, NC: $134.29
Avg. Paid
$134.29
Range
$100.41 – $143.84
Total Claims
38,723
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 Gastonia, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Victory Home Health Care, Llc
1519 W Garrison Blvd |
$100.41 | 937 | 36 |
|
Choice Unlimited, Llc
128 E Garrison Blvd Ste A |
$121.43 | 2,795 | 95 |
|
Touchpoint Healthcare Services Inc
1566 Union Rd Ste A |
$109.15 | 7,676 | 312 |
|
Southern Comfort Home Healthcare, Llc
1006 Union Rd |
$143.84 | 27,315 | 1,131 |
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 Gastonia, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Gastonia, NC is $134.29 per claim, based on 38,723 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 Gastonia, NC?
There are 4 Medicaid providers offering Personal Care Services related services in Gastonia, NC according to public payment data.
What is the price range for Personal Care Services in Gastonia, NC?
Medicaid reimbursement for Personal Care Services in Gastonia, NC ranges from $100.41 to $143.84 per claim, with an average of $134.29. 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 Gastonia, NC
Office Visit
Avg $55.63
914,198 claims
Dental Cleaning & Exam
Avg $29.45
324,975 claims
Substance Abuse Treatment
Avg $100.79
307,968 claims
Behavioral & Mental Health Therapy
Avg $167.99
296,373 claims
Vaccines & Immunizations
Avg $13.08
282,013 claims
Blood Work & Lab Tests
Avg $22.08
273,661 claims
Psychiatric Evaluation
Avg $79.45
271,358 claims
Case Management Services
Avg $201.50
241,594 claims