Average Medicaid Personal Care Services Payments in Spruce Pine, NC: $119.60
Avg. Paid
$119.60
Range
$119.56 – $119.69
Total Claims
126,426
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 Spruce Pine, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carolina Home Care Specialists, Inc.
125 Skyview Circle |
$119.69 | 39,380 | 2,017 |
|
Hospice & Palliative Care Of The Blue Ridge Inc
236 Hospital Dr |
$119.56 | 87,046 | 4,740 |
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 Spruce Pine, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Spruce Pine, NC is $119.60 per claim, based on 126,426 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 Spruce Pine, NC?
There are 2 Medicaid providers offering Personal Care Services related services in Spruce Pine, NC according to public payment data.
What is the price range for Personal Care Services in Spruce Pine, NC?
Medicaid reimbursement for Personal Care Services in Spruce Pine, NC ranges from $119.56 to $119.69 per claim, with an average of $119.60. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Spruce Pine, NC
Blood Work & Lab Tests
Avg $5.44
42,940 claims
Emergency Room Visit
Avg $119.08
38,939 claims
Office Visit
Avg $48.90
21,746 claims
Durable Medical Equipment (DME)
Avg $25.35
18,728 claims
Case Management Services
Avg $175.39
15,512 claims
Urinalysis & Urine Tests
Avg $3.75
9,729 claims
Nursing Facility Care
Avg $12.17
7,811 claims
EKG / ECG (Electrocardiogram)
Avg $13.60
5,745 claims