Average Medicaid Personal Care Services Payments in Wausau, WI: $22.56
Avg. Paid
$22.56
Range
$2.48 – $22.58
Total Claims
60,076
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 Wausau, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wausau School District
415 Seymour St |
$22.58 | 59,993 | 4,610 |
|
Opportunity Of North Central Wisconsin, Inc.
740 N 3Rd St |
$2.48 | 83 | 26 |
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 Wausau, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Wausau, WI is $22.56 per claim, based on 60,076 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 Wausau, WI?
There are 2 Medicaid providers offering Personal Care Services related services in Wausau, WI according to public payment data.
What is the price range for Personal Care Services in Wausau, WI?
Medicaid reimbursement for Personal Care Services in Wausau, WI ranges from $2.48 to $22.58 per claim, with an average of $22.56. 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 Wausau, WI
Behavioral & Mental Health Therapy
Avg $108.56
685,809 claims
Substance Abuse Treatment
Avg $12.84
545,752 claims
Blood Work & Lab Tests
Avg $8.21
282,160 claims
Office Visit
Avg $35.51
242,386 claims
Dental Cleaning & Exam
Avg $34.47
137,544 claims
Emergency Room Visit
Avg $47.55
118,931 claims
Psychiatric Evaluation
Avg $67.61
110,291 claims
Chiropractic Care
Avg $18.62
101,312 claims