Average Medicaid Personal Care Services Payments in Sioux Falls, SD: $119.40
Avg. Paid
$119.40
Range
$39.77 – $281.44
Total Claims
213,761
Providers
19
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 Sioux Falls, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sanford Home Health
2710 W 12Th St |
$39.77 | 380 | 74 |
|
First Choice Home Care,Llc
1515 E 10Th St |
$281.44 | 523 | 268 |
|
Schoepp Llc
2500 W 46Th St |
$137.54 | 778 | 272 |
|
Haven Home Care Services
200 N Phillips Ave Ste L104 |
$103.35 | 1,040 | 130 |
|
The Evangelical Lutheran Good Samaritan Society
5320 W 49Th St Ste 47 |
$60.30 | 1,177 | 235 |
|
Jallah Kpanquoi
3905 S Grand Slam Pl Apt 7 |
$56.78 | 2,308 | 279 |
|
Diversified Enterprises, Inc.
3608 S Southeastern Ave |
$46.34 | 2,935 | 539 |
|
Sd Falls Homecare Llc
5024 S Bur Oak Pl |
$79.79 | 4,431 | 577 |
|
Kore Cares, Llc
3701 W 49Th St |
$76.67 | 6,544 | 1,244 |
|
Prosperous Home Health Llc
400 N Main Ave |
$73.43 | 6,976 | 556 |
|
Weber Home Care Services Llc
5421 W 41St St Ste 208 |
$86.83 | 7,121 | 551 |
|
Eli Home Care Llc
4329 N Alaska Ave |
$75.13 | 7,123 | 791 |
|
Gift Home Health Care Llc
102 N Krohn Pl Ste 210 |
$40.73 | 9,324 | 870 |
|
Kore Cares In Home Services, Llc
3101 W 41St St Ste 210 |
$70.03 | 9,882 | 976 |
|
Loyal In-Home Care Llc
3408 E Madison St |
$103.08 | 10,043 | 1,429 |
|
Alpha Sigma Health Group, Inc.
2804 East 26Th Street |
$69.24 | 24,529 | 4,182 |
|
South Dakota Home Care, Inc.
1400 W Russell St |
$58.20 | 29,821 | 3,411 |
|
Iwe Inc.
608 N West Ave |
$90.85 | 41,912 | 7,096 |
|
Independent Living Choices
4107 S Carnegie Circle |
$275.78 | 46,914 | 2,948 |
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 Sioux Falls, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Sioux Falls, SD is $119.40 per claim, based on 213,761 claims from 19 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 Sioux Falls, SD?
There are 19 Medicaid providers offering Personal Care Services related services in Sioux Falls, SD according to public payment data.
What is the price range for Personal Care Services in Sioux Falls, SD?
Medicaid reimbursement for Personal Care Services in Sioux Falls, SD ranges from $39.77 to $281.44 per claim, with an average of $119.40. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Personal Care Services in Other Cities
Latham, NY
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
9,443,796 claims · 45 providers
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 Sioux Falls, SD
Office Visit
Avg $50.32
948,639 claims
Blood Work & Lab Tests
Avg $10.61
501,187 claims
Vaccines & Immunizations
Avg $11.07
358,214 claims
Psychiatric Evaluation
Avg $63.31
349,102 claims
X-Ray
Avg $9.88
280,494 claims
Emergency Room Visit
Avg $92.67
213,799 claims
Speech Therapy
Avg $21.62
173,302 claims
Home Health Visit
Avg $98.45
161,116 claims