Average Medicaid Personal Care Services Payments in Wilson, NC: $92.16
Avg. Paid
$92.16
Range
$81.69 – $102.57
Total Claims
532,667
Providers
7
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 Wilson, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Action Health Staffing
2000 Nash St N Ste A |
$84.27 | 10,479 | 339 |
|
Higher Heights Home Care
1815 Forest Hills Rd W |
$92.25 | 23,915 | 963 |
|
Johnson Home Health Care
501 Walton St Sw |
$100.89 | 31,783 | 1,266 |
|
Myles Home Health Agency
210 Nash St S |
$101.30 | 47,537 | 1,652 |
|
Interim Healthcare Of The Triad, Inc.
2526 Ward Blvd |
$81.69 | 85,911 | 3,279 |
|
Phillips Home Health Care
806 Tarboro St W |
$102.57 | 156,585 | 5,534 |
|
Interim Healthcare - Morris Group, Inc.
2526 Ward Blvd |
$84.46 | 176,457 | 6,180 |
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 Wilson, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Wilson, NC is $92.16 per claim, based on 532,667 claims from 7 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 Wilson, NC?
There are 7 Medicaid providers offering Personal Care Services related services in Wilson, NC according to public payment data.
What is the price range for Personal Care Services in Wilson, NC?
Medicaid reimbursement for Personal Care Services in Wilson, NC ranges from $81.69 to $102.57 per claim, with an average of $92.16. 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
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Mesa, AZ
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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 Wilson, NC
Substance Abuse Treatment
Avg $125.52
477,537 claims
Office Visit
Avg $51.18
366,389 claims
Dental Cleaning & Exam
Avg $30.64
217,562 claims
Vaccines & Immunizations
Avg $14.38
151,821 claims
Speech Therapy
Avg $60.60
135,390 claims
Blood Work & Lab Tests
Avg $13.26
127,379 claims
Pathology & Lab Services
Avg $35.83
81,552 claims
Dental Filling
Avg $96.34
62,289 claims