Average Medicaid Personal Care Services Payments in Racine, WI: $20.59
Avg. Paid
$20.59
Range
$3.83 – $198.40
Total Claims
151,984
Providers
3
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 Racine, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Racine Unified School District
2220 Northwestern Ave |
$20.54 | 143,712 | 11,252 |
|
21St Century Preparatory School
1220 Mound Ave |
$3.83 | 7,527 | 688 |
|
Covered Llc
1006 Washington Ave |
$198.40 | 745 | 200 |
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 Racine, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Racine, WI is $20.59 per claim, based on 151,984 claims from 3 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 Racine, WI?
There are 3 Medicaid providers offering Personal Care Services related services in Racine, WI according to public payment data.
What is the price range for Personal Care Services in Racine, WI?
Medicaid reimbursement for Personal Care Services in Racine, WI ranges from $3.83 to $198.40 per claim, with an average of $20.59. 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
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
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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 Racine, WI
Blood Work & Lab Tests
Avg $10.30
644,485 claims
Office Visit
Avg $39.50
493,194 claims
Physical Therapy
Avg $24.72
232,185 claims
Emergency Room Visit
Avg $55.72
205,431 claims
Speech Therapy
Avg $12.59
193,369 claims
Urinalysis & Urine Tests
Avg $9.40
164,590 claims
Non-Emergency Medical Transportation
Avg $10.46
163,491 claims
Dental Cleaning & Exam
Avg $27.10
140,599 claims