Average Medicaid Personal Care Services Payments in Pharr, TX: $75.21
Avg. Paid
$75.21
Range
$43.15 – $91.56
Total Claims
289,031
Providers
8
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 Pharr, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ace Primary Homecare Inc
920 W Ferguson St |
$91.56 | 183,751 | 14,688 |
|
Guadalupe Home Care Inc
112 W Juan Balli Rd |
$47.37 | 46,298 | 1,949 |
|
All-Valley Primary Home Care Inc
1910 Tesoro St |
$47.64 | 22,126 | 909 |
|
San Jose Health Care, Llc
121 E Park Ave |
$45.82 | 14,518 | 615 |
|
Trebar Inc.
221 South Cage Blvd. |
$45.34 | 14,471 | 606 |
|
Mami Rosa Homecare Inc
131 W Clark Ave # A-1 |
$43.15 | 4,948 | 192 |
|
My Morning Star Attendant Services Inc
300 E Nolana Loop Ste D |
$44.50 | 2,684 | 117 |
|
All-Valley Home Health, Inc.
1910 Tesoro St |
$45.82 | 235 | 12 |
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 Pharr, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Pharr, TX is $75.21 per claim, based on 289,031 claims from 8 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 Pharr, TX?
There are 8 Medicaid providers offering Personal Care Services related services in Pharr, TX according to public payment data.
What is the price range for Personal Care Services in Pharr, TX?
Medicaid reimbursement for Personal Care Services in Pharr, TX ranges from $43.15 to $91.56 per claim, with an average of $75.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $59.18
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Other Procedures in Pharr, TX
Office Visit
Avg $33.77
758,543 claims
Vaccines & Immunizations
Avg $6.06
360,348 claims
Blood Work & Lab Tests
Avg $6.11
287,773 claims
Dental Cleaning & Exam
Avg $41.57
135,470 claims
Speech Therapy
Avg $78.70
134,553 claims
Physical Therapy
Avg $62.99
124,253 claims
Home Health Visit
Avg $16.82
76,548 claims
Urinalysis & Urine Tests
Avg $1.65
42,563 claims