Average Medicaid Personal Care Services Payments in Plano, TX: $70.19
Avg. Paid
$70.19
Range
$49.68 – $260.76
Total Claims
46,170
Providers
7
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 Plano, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Texas Best Care Home Health, Inc.
400 Chisholm Pl |
$52.46 | 20 | 14 |
|
Joab Home Health Agency Llc
2000 N Central Expy Ste 116 |
$260.76 | 2,876 | 514 |
|
Dove Home Care Llc
4105 W Spring Creek Pkwy |
$58.51 | 3,687 | 219 |
|
Caprock Home Health Services, Inc.
801 E Plano Pkwy Ste 135 |
$49.68 | 3,873 | 177 |
|
Abb Healthcare Services. Llc
801 K Ave Ste 10 |
$58.14 | 8,581 | 462 |
|
Veritas Home Health, Llc
2825 Regal Rd |
$57.46 | 11,673 | 501 |
|
Careful Care Services Llc
4237 Lavaca Dr |
$58.98 | 15,460 | 624 |
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 Plano, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Plano, TX is $70.19 per claim, based on 46,170 claims from 7 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 Plano, TX?
There are 7 Medicaid providers offering Personal Care Services related services in Plano, TX according to public payment data.
What is the price range for Personal Care Services in Plano, TX?
Medicaid reimbursement for Personal Care Services in Plano, TX ranges from $49.68 to $260.76 per claim, with an average of $70.19. 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
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Miami, FL
Avg $33.56
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Phoenix, AZ
Avg $130.72
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Sturgis, MI
Avg $44.83
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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 Plano, TX
Office Visit
Avg $42.11
400,639 claims
Behavioral & Mental Health Therapy
Avg $60.35
220,412 claims
Home Health Visit
Avg $25.90
184,240 claims
X-Ray
Avg $7.14
183,249 claims
Dental Cleaning & Exam
Avg $38.11
175,224 claims
Vaccines & Immunizations
Avg $6.47
133,453 claims
Emergency Room Visit
Avg $138.94
130,721 claims
Blood Work & Lab Tests
Avg $17.79
112,755 claims