Average Medicaid Personal Care Services Payments in Somerville, MA: $146.65
Avg. Paid
$146.65
Range
$136.37 – $179.32
Total Claims
63,721
Providers
2
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 Somerville, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Somerville Cambridge Elder Services
61 Medford St |
$136.37 | 48,462 | 9,002 |
|
Homemaker Services, Inc.
7 Davis Sq |
$179.32 | 15,259 | 3,961 |
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 Somerville, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Somerville, MA is $146.65 per claim, based on 63,721 claims from 2 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 Somerville, MA?
There are 2 Medicaid providers offering Personal Care Services related services in Somerville, MA according to public payment data.
What is the price range for Personal Care Services in Somerville, MA?
Medicaid reimbursement for Personal Care Services in Somerville, MA ranges from $136.37 to $179.32 per claim, with an average of $146.65. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Somerville, MA
Ambulance Transport
Avg $90.64
682,509 claims
Non-Emergency Medical Transportation
Avg $30.19
248,533 claims
Dental Cleaning & Exam
Avg $36.84
149,112 claims
Office Visit
Avg $55.30
119,469 claims
Eye Exam
Avg $34.78
68,781 claims
Home Health Visit
Avg $1,114
61,038 claims
Behavioral & Mental Health Therapy
Avg $69.49
60,786 claims
Physical Therapy
Avg $15.31
42,206 claims