Average Medicaid Personal Care Services Payments in Sparta, WI: $7.79
Avg. Paid
$7.79
Range
$7.79 – $7.79
Total Claims
50,022
Providers
1
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 Sparta, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sparta Area School District
506 N Black River St |
$7.79 | 50,022 | 3,758 |
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 Sparta, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Sparta, WI is $7.79 per claim, based on 50,022 claims from 1 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 Sparta, WI?
There are 1 Medicaid providers offering Personal Care Services related services in Sparta, WI according to public payment data.
What is the price range for Personal Care Services in Sparta, WI?
Medicaid reimbursement for Personal Care Services in Sparta, WI ranges from $7.79 to $7.79 per claim, with an average of $7.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Phoenix, AZ
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Avg $85.66
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San Antonio, TX
Avg $59.18
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Other Procedures in Sparta, WI
Behavioral & Mental Health Therapy
Avg $103.44
110,439 claims
Chiropractic Care
Avg $20.49
59,549 claims
Non-Emergency Medical Transportation
Avg $10.96
29,743 claims
Blood Work & Lab Tests
Avg $6.97
28,615 claims
Emergency Room Visit
Avg $215.52
27,238 claims
Office Visit
Avg $40.51
26,290 claims
Speech Therapy
Avg $10.05
18,653 claims
Eye Exam
Avg $20.51
15,865 claims