Average Medicaid Personal Care Services Payments in Waterloo, IA: $322.89
Avg. Paid
$322.89
Range
$28.97 – $502.45
Total Claims
97,883
Providers
6
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 Waterloo, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Veridian Fiscal Solutions Llc
233 Fisher Dr |
$351.88 | 87,944 | 18,558 |
|
Open Arms Home Health Care - Waterloo, Llc
421 Oak Ave |
$50.99 | 4,516 | 2,464 |
|
Waterloo Visiting Nursing Association
2530 University Ave |
$28.97 | 4,162 | 656 |
|
Unitypoint At Home
3731 University Ave |
$146.65 | 853 | 829 |
|
North Star Community Services, Inc
3420 University Ave |
$502.45 | 306 | 276 |
|
Covenant Medical Center Inc
2055 Kimball Ave Ste 330 |
$298.84 | 102 | 102 |
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 Waterloo, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Waterloo, IA is $322.89 per claim, based on 97,883 claims from 6 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 Waterloo, IA?
There are 6 Medicaid providers offering Personal Care Services related services in Waterloo, IA according to public payment data.
What is the price range for Personal Care Services in Waterloo, IA?
Medicaid reimbursement for Personal Care Services in Waterloo, IA ranges from $28.97 to $502.45 per claim, with an average of $322.89. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Phoenix, AZ
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Sturgis, MI
Avg $44.83
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Mesa, AZ
Avg $128.56
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Alpharetta, GA
Avg $85.66
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San Antonio, TX
Avg $59.18
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Other Procedures in Waterloo, IA
Office Visit
Avg $28.16
739,153 claims
Psychiatric Evaluation
Avg $73.45
295,888 claims
Blood Work & Lab Tests
Avg $1.88
292,063 claims
Emergency Room Visit
Avg $132.61
230,395 claims
Behavioral & Mental Health Therapy
Avg $100.02
178,626 claims
Dental Cleaning & Exam
Avg $22.88
146,099 claims
Vaccines & Immunizations
Avg $9.90
141,531 claims
Non-Emergency Medical Transportation
Avg $31.27
140,190 claims