Average Medicaid Personal Care Services Payments in Springfield, MA: $86.61
Avg. Paid
$86.61
Range
$5.63 – $382.81
Total Claims
764,746
Providers
13
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 Springfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
International Health Solutions,Inc
604 Cottage St |
$57.73 | 455,048 | 25,506 |
|
A Better Life Homecare Llc
20 Maple St Fl 2 |
$85.75 | 85,546 | 6,368 |
|
Greater Springfield Senior Services, Inc.
66 Industry Ave |
$114.10 | 80,748 | 14,617 |
|
Colony Care Senior Living, Inc.
74 Walnut St |
$290.08 | 41,542 | 11,056 |
|
Patient Centered Medical Care Inc
68 Wollaston St |
$55.43 | 33,719 | 3,216 |
|
Allied Health Systems. Llc
1145 Main St |
$5.63 | 16,578 | 1,358 |
|
A Better Life Homecare Llc
120 Maple St Ste 303 |
$59.77 | 15,165 | 1,660 |
|
O'Connell Professional Nurse Service Inc.
1 Federal St |
$216.01 | 12,641 | 3,824 |
|
Department Of Developmental Services
Springfield Cm |
$382.81 | 12,544 | 2,050 |
|
International Health Solutions, Inc
260 Cottage St |
$36.36 | 6,462 | 269 |
|
Metrocare Of Springfield Homecare Inc
125 Liberty St Ste 402 |
$219.47 | 2,404 | 854 |
|
Apex Healthcare Services
1985 Main St |
$95.63 | 1,832 | 195 |
|
Andventure, Llc
2071 Roosevelt Ave |
$47.00 | 517 | 73 |
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 Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Springfield, MA is $86.61 per claim, based on 764,746 claims from 13 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 Springfield, MA?
There are 13 Medicaid providers offering Personal Care Services related services in Springfield, MA according to public payment data.
What is the price range for Personal Care Services in Springfield, MA?
Medicaid reimbursement for Personal Care Services in Springfield, MA ranges from $5.63 to $382.81 per claim, with an average of $86.61. 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 Springfield, MA
Substance Abuse Treatment
Avg $20.44
8,386,620 claims
Office Visit
Avg $71.94
2,654,243 claims
Blood Work & Lab Tests
Avg $7.91
2,608,014 claims
Psychiatric Evaluation
Avg $77.04
2,573,099 claims
Behavioral & Mental Health Therapy
Avg $146.55
1,190,715 claims
Emergency Room Visit
Avg $119.65
960,403 claims
Non-Emergency Medical Transportation
Avg $22.82
911,143 claims
Case Management Services
Avg $59.99
712,832 claims