Average Medicaid Personal Care Services Payments in Rocky Mount, NC: $118.12
Avg. Paid
$118.12
Range
$73.71 – $175.26
Total Claims
40,657
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 Rocky Mount, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Union Home Care Inc
1434 S Church St |
$175.26 | 11,103 | 392 |
|
Devoted Home Health Agency,Inc
854 Tiffany Blvd Ste 202A |
$121.76 | 10,916 | 369 |
|
Carolina Nursing Services
3204 Sunset Ave Ste C |
$73.81 | 8,553 | 348 |
|
Home Life Care Inc
990 N Winstead Ave |
$85.46 | 5,271 | 174 |
|
From Our Heart Home Care
3202 Sunset Ave |
$104.84 | 2,879 | 88 |
|
Good Shepherd Home Health Care Inc.
148 S. Washington St. Harambee Sq. |
$73.71 | 1,593 | 63 |
|
Finch Home Care Agency
600 N Grace St |
$76.54 | 342 | 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 Rocky Mount, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Rocky Mount, NC is $118.12 per claim, based on 40,657 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 Rocky Mount, NC?
There are 7 Medicaid providers offering Personal Care Services related services in Rocky Mount, NC according to public payment data.
What is the price range for Personal Care Services in Rocky Mount, NC?
Medicaid reimbursement for Personal Care Services in Rocky Mount, NC ranges from $73.71 to $175.26 per claim, with an average of $118.12. 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 Rocky Mount, NC
Office Visit
Avg $53.06
549,209 claims
Blood Work & Lab Tests
Avg $9.98
235,912 claims
Dental Cleaning & Exam
Avg $30.40
138,905 claims
Substance Abuse Treatment
Avg $35.29
134,569 claims
Vaccines & Immunizations
Avg $14.01
129,482 claims
Emergency Room Visit
Avg $114.71
100,682 claims
Prescription Medications
Avg $3.03
79,261 claims
Case Management Services
Avg $61.65
76,047 claims