Average Medicaid Personal Care Services Payments in Wilmington, NC: $102.06
Avg. Paid
$102.06
Range
$11.11 – $139.36
Total Claims
222,523
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 Wilmington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Care Providers Of Wilmington
1612 Doctors Cir |
$102.59 | 63,728 | 2,554 |
|
Pd Of Wilmington Inc
100 B The Eastwood Center |
$98.89 | 62,033 | 2,050 |
|
Bayada Home Health Care, Inc.
5040 New Centre Dr Ste F |
$114.80 | 53,316 | 2,273 |
|
Avid Health At Home North Carolina
1508 Military Cutoff Rd Ste 304 |
$46.65 | 22,620 | 808 |
|
Senior Choices Unlimited Llc
5710 Oleander Dr Ste 102 |
$139.36 | 20,504 | 1,005 |
|
Oaces Community Health Care
321 N Front St |
$11.11 | 322 | 12 |
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 Wilmington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Wilmington, NC is $102.06 per claim, based on 222,523 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 Wilmington, NC?
There are 6 Medicaid providers offering Personal Care Services related services in Wilmington, NC according to public payment data.
What is the price range for Personal Care Services in Wilmington, NC?
Medicaid reimbursement for Personal Care Services in Wilmington, NC ranges from $11.11 to $139.36 per claim, with an average of $102.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Personal Care Services in Other Cities
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Avg $80.56
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Missoula, MT
Avg $98.11
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Miami, FL
Avg $33.56
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Phoenix, AZ
Avg $130.72
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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
4,411,375 claims · 29 providers
Other Procedures in Wilmington, NC
Office Visit
Avg $55.56
1,298,205 claims
Speech Therapy
Avg $55.85
566,290 claims
Emergency Room Visit
Avg $138.32
511,613 claims
Psychiatric Evaluation
Avg $41.28
438,201 claims
Blood Work & Lab Tests
Avg $11.72
431,588 claims
Substance Abuse Treatment
Avg $59.14
392,292 claims
Dental Cleaning & Exam
Avg $31.04
328,640 claims
Physical Therapy
Avg $63.02
316,863 claims