Average Medicaid Personal Care Services Payments in West Allis, WI: $15.42
Avg. Paid
$15.42
Range
$4.92 – $233.83
Total Claims
305,976
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 West Allis, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
West Allis School District
9333 W Lincoln Ave |
$4.92 | 291,942 | 20,392 |
|
The Home Care Agency, Inc.
7017 W Greenfield Ave |
$233.83 | 14,034 | 3,442 |
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 West Allis, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in West Allis, WI is $15.42 per claim, based on 305,976 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 West Allis, WI?
There are 2 Medicaid providers offering Personal Care Services related services in West Allis, WI according to public payment data.
What is the price range for Personal Care Services in West Allis, WI?
Medicaid reimbursement for Personal Care Services in West Allis, WI ranges from $4.92 to $233.83 per claim, with an average of $15.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in West Allis, WI
Blood Work & Lab Tests
Avg $10.67
2,219,954 claims
Substance Abuse Treatment
Avg $10.23
794,082 claims
Urinalysis & Urine Tests
Avg $6.94
408,963 claims
Culture & Microbiology Tests
Avg $7.05
275,777 claims
Office Visit
Avg $34.91
227,990 claims
Home Health Visit
Avg $34.84
227,188 claims
Pathology & Lab Services
Avg $27.38
221,804 claims
Physical Therapy
Avg $23.22
151,407 claims