Average Medicaid Personal Care Services Payments in Mcallen, TX: $63.38
Avg. Paid
$63.38
Range
$41.16 – $129.20
Total Claims
875,432
Providers
30
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 Mcallen, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sol Del Valle Primary Home Care, Inc.
2309 N 35Th St |
$90.47 | 231,209 | 18,593 |
|
Apex Primary Care Inc
11321 N Bentsen Rd |
$43.49 | 77,381 | 3,236 |
|
Rio Grande Valley Phc/Cba, Llc
612 W Nolana Ave |
$50.57 | 64,601 | 3,246 |
|
Health Care Unlimited, Inc
1100 E Laurel |
$44.87 | 61,706 | 2,661 |
|
Alegria Primary Home Care, Inc.
900 E Redbud Ave Ste E |
$47.35 | 61,016 | 2,461 |
|
Estrella Phc Services
7028 N 5Th St |
$62.53 | 43,580 | 2,354 |
|
Mi Valle Health Care, Llc
5500 N 29Th St |
$129.20 | 43,484 | 4,928 |
|
Volver A Casa Home Health Services, Inc.
1801 S 5Th St |
$50.52 | 36,715 | 1,856 |
|
4 Genesis Primary Home Care, Llc
9700 N. 23Rd St |
$52.45 | 36,514 | 1,608 |
|
Legacy Home Care Services, Inc.
3900 N 10Th St Ste 200B |
$48.93 | 28,001 | 1,206 |
|
Hjc Home Health Care Services, Inc.
725 E Esperanza Ave |
$43.53 | 27,400 | 1,106 |
|
Fuera Investment Group Llc
3421 W Us Highway 83 Ste 3 |
$44.41 | 25,261 | 1,020 |
|
Maria Luisa Mendoza
1821 N 23Rd St Ste 116 |
$54.49 | 16,804 | 573 |
|
Corazon Health Care Services Llc
833 N Ware Rd |
$42.81 | 11,676 | 497 |
|
Goodwill Healthcare Team Inc
1111 W Nolana Ave Ste N |
$53.11 | 11,472 | 501 |
|
Gardenia Phc Services, Llc.
704 S. 11Th St. Ste. C |
$42.41 | 10,885 | 469 |
|
Cielo Azul Provider Services, Llc.
3241 N. 38Th St. |
$47.18 | 9,384 | 435 |
|
Abc Primary Home Care Services, Llc
214 N 16Th St Ste 306 |
$41.54 | 9,248 | 470 |
|
New Era Medical Services Inc
4106 N 22Nd St |
$46.70 | 9,206 | 349 |
|
One Lac, Inc.
701 East Esperanza |
$45.41 | 8,509 | 362 |
|
Thank You Nurses, Ltd.
3517 N Ware Rd |
$45.29 | 7,400 | 343 |
|
Presidente Home Care, Inc.
405 North Main Street |
$51.32 | 6,964 | 310 |
|
Mano Amiga Primary Home Care, Llc
1101 Vine Ave Ste C |
$45.85 | 6,753 | 258 |
|
Policarpio Enterprises Llc
801 E Nolana Ave |
$42.15 | 6,564 | 295 |
|
Nurses That Care Sitter Services, Inc
5411 N Mccoll Rd |
$46.57 | 6,120 | 246 |
|
Amorosa Healthcare Services, Llc
900 E. Redbud Ave. |
$47.35 | 5,629 | 235 |
|
Ams A Medical Service, Inc.
5411 N Mccoll Rd |
$44.89 | 4,187 | 170 |
|
Medi-Lab Provider Services Llc
1307 S 10Th St Ste 2 |
$41.16 | 4,023 | 180 |
|
Dhc Divine Health Care, Llc
4309 North 10Th Street |
$44.09 | 3,024 | 220 |
|
El Jardin Provider Services, Llc.
725 N. Ware Rd Ste A |
$42.31 | 716 | 40 |
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 Mcallen, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Mcallen, TX is $63.38 per claim, based on 875,432 claims from 30 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 Mcallen, TX?
There are 30 Medicaid providers offering Personal Care Services related services in Mcallen, TX according to public payment data.
What is the price range for Personal Care Services in Mcallen, TX?
Medicaid reimbursement for Personal Care Services in Mcallen, TX ranges from $41.16 to $129.20 per claim, with an average of $63.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Personal Care Services in Other Cities
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Avg $80.56
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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
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Sturgis, MI
Avg $44.83
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Mesa, AZ
Avg $128.56
5,487,878 claims · 14 providers
Alpharetta, GA
Avg $85.66
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San Antonio, TX
Avg $59.18
4,411,375 claims · 29 providers
Other Procedures in Mcallen, TX
Office Visit
Avg $34.30
1,812,622 claims
Blood Work & Lab Tests
Avg $6.37
629,855 claims
Physical Therapy
Avg $43.78
459,714 claims
Vaccines & Immunizations
Avg $6.56
436,231 claims
Urinalysis & Urine Tests
Avg $3.15
342,921 claims
Dental Cleaning & Exam
Avg $38.45
308,893 claims
Speech Therapy
Avg $83.20
295,326 claims
Emergency Room Visit
Avg $120.78
203,406 claims