Average Medicaid Case Management Services Payments in Abingdon, VA: $224.51
Avg. Paid
$224.51
Range
$23.62 – $264.82
Total Claims
81,490
Providers
21
Typical Payment Range
Typical Medicaid Case Management Services payments fall between $29.56 and $179.61 per claim (median: $67.41). The top 10% of payments exceed $299.49.
Based on per-provider averages across all Medicaid claims in this category.
Care coordination services that help patients navigate the healthcare system, connect with resources, and manage complex medical or social needs.
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 Case Management Services in Abingdon, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer Lynn Estep
301 Falls Dr. Nw Ste 353 |
$243.00 | 12 | 12 |
|
Highlands Community Services
610 Campus Dr |
$132.00 | 12 | 12 |
|
Charity Holloway
406 W Main St Ste 100 |
$221.87 | 23 | 22 |
|
Natalia Blevins-Conner
300 Valley St Ne |
$129.42 | 69 | 58 |
|
Watauga Medical Group
300 Valley St, Ne |
$23.62 | 72 | 64 |
|
Kevin Armstrong
351 Court St |
$229.54 | 104 | 101 |
|
Doctors Office Llc
609 E Main St |
$213.80 | 233 | 210 |
|
Delia Porter
353 Falls Dr Nw |
$43.30 | 296 | 232 |
|
Tara Jill Null
353 Falls Dr Nw |
$155.17 | 391 | 375 |
|
Annie Sensabaugh
137 Court St Se |
$231.51 | 514 | 499 |
|
E&C Counseling Services, Llc
303 Falls Dr Nw |
$185.26 | 585 | 534 |
|
Starting Point Of Virginia, P.C.
301 Falls Dr Nw Ste 353 |
$100.41 | 1,416 | 1,067 |
|
Robin Smith
301 Fall Dr. Nw |
$227.28 | 1,626 | 1,524 |
|
Candace Nicole Carbary
300 Valley St Ne |
$239.53 | 1,628 | 1,612 |
|
Ashley L Greenway
610 Campus Dr |
$211.31 | 1,858 | 1,702 |
|
Melissa Dye
406 W Main St Ste 100 |
$183.09 | 2,193 | 1,853 |
|
Hannah Ellen Ratliff
300 Valley St Ne |
$208.94 | 2,680 | 2,326 |
|
Revida Recovery Centers, Pc
300 Valley St Ne |
$211.58 | 3,716 | 3,437 |
|
Andrew Waller
300 Valley St Ne |
$196.47 | 4,646 | 3,858 |
|
Highlands Community Services
610 Campus Dr |
$264.82 | 27,308 | 25,288 |
|
Starting Point Of Virginia, P.C.
301 Falls Dr Nw Ste 353 |
$209.09 | 32,108 | 29,450 |
What to Expect: Case Management Services
A case manager works with you to coordinate your healthcare and social services. They help schedule appointments, arrange transportation, connect you with community resources, and ensure you understand your treatment plan. Case management is especially helpful for people with chronic conditions, disabilities, or complex medical needs. Meetings may be in person, by phone, or video.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| T1016 | Case management | $53.04 | 98,273,616 | 8,345 |
| T1017 | Targeted case management | $112.10 | 75,144,121 | 9,742 |
| G9012 | Other specified case mgmt | $107.65 | 20,935,656 | 2,248 |
| T2022 | Case management, per month | $203.72 | 18,391,337 | 2,261 |
| G9005 | Mccd, risk adj, maintenance | $160.92 | 12,898,667 | 261 |
| T2023 | Targeted case mgmt per month | $413.92 | 12,595,953 | 2,134 |
| G9008 | Mccd,phys coor-care ovrsght | $74.59 | 4,952,338 | 1,128 |
| G9002 | Mccd,maintenance rate | $93.74 | 4,503,842 | 1,749 |
| G9010 | Mccd, risk adj, level 4 | $4.35 | 2,996,162 | 176 |
| G9006 | Mccd, home monitoring | $83.36 | 2,206,712 | 1,176 |
| G9004 | Mccd, risk adj lo, initial | $17.14 | 1,881,109 | 123 |
| G9011 | Mccd, risk adj, level 5 | $1.80 | 1,085,895 | 76 |
| G9007 | Mccd, sch team conf | $30.13 | 764,968 | 640 |
| G0506 | Comp asses care plan ccm svc | $32.42 | 655,789 | 933 |
| G9001 | Mccd, initial rate | $212.13 | 505,177 | 339 |
| G9003 | Mccd, risk adj hi, initial | $316.88 | 201,792 | 84 |
| G9009 | Mccd, risk adj, level 3 | $203.75 | 153,433 | 534 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Case Management Services cost in Abingdon, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Abingdon, VA is $224.51 per claim, based on 81,490 claims from 21 providers. Typical payments fall between $29.56 and $179.61. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Case Management Services in Abingdon, VA?
There are 21 Medicaid providers offering Case Management Services related services in Abingdon, VA according to public payment data.
What is the price range for Case Management Services in Abingdon, VA?
Medicaid reimbursement for Case Management Services in Abingdon, VA ranges from $23.62 to $264.82 per claim, with an average of $224.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Abingdon, VA
Office Visit
Avg $55.20
485,494 claims
Blood Work & Lab Tests
Avg $9.13
336,873 claims
Substance Abuse Treatment
Avg $217.50
202,489 claims
Behavioral & Mental Health Therapy
Avg $104.68
194,730 claims
Non-Emergency Medical Transportation
Avg $45.54
123,410 claims
Emergency Room Visit
Avg $108.00
114,975 claims
Physical Therapy
Avg $46.99
110,762 claims
Psychiatric Evaluation
Avg $63.20
108,439 claims