Average Medicaid Personal Care Services Payments in Worcester, MA: $79.25
Avg. Paid
$79.25
Range
$6.52 – $230.18
Total Claims
257,855
Providers
14
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 Worcester, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elder Services Of Worcester Area, Inc
67 Millbrook St Ste 100 |
$84.39 | 163,495 | 30,546 |
|
Ace Medical Services Inc
90 Madison St |
$45.27 | 22,647 | 4,029 |
|
Epic Health Services Inc
67 Millbrook St Ste 405 |
$6.52 | 16,847 | 1,592 |
|
Independence Healthcare Corporation
100 Grove St Ste 310 |
$105.60 | 15,348 | 4,366 |
|
Catholic Charities Of The Diocese Of Worcester
25 W Chester St |
$81.81 | 12,068 | 3,028 |
|
Department Of Developmental Services
Worcester Cm |
$230.18 | 7,030 | 1,180 |
|
Pinnacle Home Healthcare Services, Inc
324 Grove St |
$36.54 | 6,892 | 862 |
|
Mas Medical Staffing Corporation
338 Plantation St |
$66.65 | 5,431 | 1,024 |
|
Family Services Organization Of Worcester, Inc
799 W Boylston St |
$56.00 | 4,381 | 806 |
|
Taphys Health Services Llc
221 Chandler St Ste 201 |
$151.89 | 1,681 | 494 |
|
Elder Services Of Worcester Area, Inc
411 Chandler St |
$77.78 | 1,172 | 184 |
|
Top Aid Healthcare
11 Crestwood St |
$87.67 | 408 | 102 |
|
Century Homecare, Llc
65 Water St Ste 2 |
$92.74 | 250 | 39 |
|
Omama Services Incorporated
484 Main St Ste 535 |
$54.58 | 205 | 36 |
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 Worcester, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Worcester, MA is $79.25 per claim, based on 257,855 claims from 14 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 Worcester, MA?
There are 14 Medicaid providers offering Personal Care Services related services in Worcester, MA according to public payment data.
What is the price range for Personal Care Services in Worcester, MA?
Medicaid reimbursement for Personal Care Services in Worcester, MA ranges from $6.52 to $230.18 per claim, with an average of $79.25. 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 Worcester, MA
Substance Abuse Treatment
Avg $21.52
6,777,067 claims
Office Visit
Avg $63.47
2,032,687 claims
Psychiatric Evaluation
Avg $73.77
1,006,360 claims
Non-Emergency Medical Transportation
Avg $31.12
1,000,136 claims
Home Health Visit
Avg $34.51
979,234 claims
Dental Cleaning & Exam
Avg $35.51
850,672 claims
Blood Work & Lab Tests
Avg $12.59
846,391 claims
Behavioral & Mental Health Therapy
Avg $166.04
808,172 claims