Average Medicaid Personal Care Services Payments in Pembroke, NC: $110.90
Avg. Paid
$110.90
Range
$101.55 – $139.25
Total Claims
343,365
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 Pembroke, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Caring Touch Home Health Care, Llc
799 James Lynn Dr |
$114.24 | 79,595 | 3,238 |
|
Cynthia Sueann Dial
113 Vance Street |
$103.15 | 68,372 | 2,399 |
|
Tender Hearts Homecare Llc
401 E 3Rd St |
$101.55 | 63,435 | 1,886 |
|
Sandhills Home Care, Llc
401 E 3Rd St |
$108.29 | 40,572 | 1,502 |
|
Chaparral Youth Services Ii
68-B Three Hunts Drive |
$133.05 | 36,271 | 1,406 |
|
Heavenly Touch, Llc
636 Prospect Rd. |
$105.71 | 31,129 | 1,209 |
|
Helping Angels Home Care Llc
204 W 3Rd St |
$130.33 | 15,030 | 613 |
|
Kindcare Llc
30 Three Hunts Dr |
$113.65 | 7,410 | 213 |
|
Chosen Home Care Inc
30 Drakes Branch Dr |
$108.17 | 1,183 | 38 |
|
Angels Of Mercy Home And Health Care, Llc
564 Candy Park Rd Ste 102 |
$139.25 | 368 | 13 |
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 Pembroke, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Pembroke, NC is $110.90 per claim, based on 343,365 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 Pembroke, NC?
There are 10 Medicaid providers offering Personal Care Services related services in Pembroke, NC according to public payment data.
What is the price range for Personal Care Services in Pembroke, NC?
Medicaid reimbursement for Personal Care Services in Pembroke, NC ranges from $101.55 to $139.25 per claim, with an average of $110.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Phoenix, AZ
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Sturgis, MI
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Mesa, AZ
Avg $128.56
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Alpharetta, GA
Avg $85.66
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San Antonio, TX
Avg $59.18
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Other Procedures in Pembroke, NC
Case Management Services
Avg $127.49
241,990 claims
Office Visit
Avg $46.88
165,890 claims
Psychiatric Evaluation
Avg $68.75
55,336 claims
Vaccines & Immunizations
Avg $14.11
51,445 claims
Dental Cleaning & Exam
Avg $30.42
43,457 claims
Speech Therapy
Avg $62.01
43,039 claims
Behavioral & Mental Health Therapy
Avg $76.45
38,541 claims
Blood Work & Lab Tests
Avg $10.14
25,352 claims