Average Medicaid Case Management Services Payments in Arlington, VA: $290.33
Avg. Paid
$290.33
Range
$0.00 – $2,149
Total Claims
22,581
Providers
6
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 Arlington, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Devon Jay Lawrence
2105 N Lexington St |
$0.00 | 47 | 26 |
|
John Hossein Molaiy
1635 N George Mason Dr |
$5.84 | 49 | 33 |
|
Flourish Health Medical Practice Llc
1655 Fort Myer Dr Ste 700 |
$2,149 | 99 | 97 |
|
Gloria J Rodriguez
4250 Fairfax Dr Ste 600 |
$370.56 | 1,438 | 1,438 |
|
Arlington County
2100 Washington Blvd Fl 2 |
$108.75 | 4,056 | 3,353 |
|
Arlington County Government Department Of Managment & Finance
2120 Washington Blvd |
$317.84 | 16,892 | 16,676 |
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 Arlington, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Arlington, VA is $290.33 per claim, based on 22,581 claims from 6 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 Arlington, VA?
There are 6 Medicaid providers offering Case Management Services related services in Arlington, VA according to public payment data.
What is the price range for Case Management Services in Arlington, VA?
Medicaid reimbursement for Case Management Services in Arlington, VA ranges from $0.00 to $2,149 per claim, with an average of $290.33. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
Phoenix, AZ
Avg $37.73
14,607,817 claims · 601 providers
Tucson, AZ
Avg $33.22
5,915,648 claims · 255 providers
Nashville, TN
Avg $197.77
5,117,343 claims · 28 providers
Miami, FL
Avg $82.94
3,929,993 claims · 325 providers
New York, NY
Avg $322.62
3,682,218 claims · 65 providers
Montgomery, AL
Avg $50.35
3,554,330 claims · 24 providers
Oklahoma City, OK
Avg $178.61
2,960,059 claims · 360 providers
Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in Arlington, VA
Office Visit
Avg $47.67
487,162 claims
Blood Work & Lab Tests
Avg $3.81
270,366 claims
Non-Emergency Medical Transportation
Avg $31.41
222,676 claims
Home Health Visit
Avg $173.48
185,067 claims
Physical Therapy
Avg $26.40
181,473 claims
Substance Abuse Treatment
Avg $508.30
164,119 claims
Emergency Room Visit
Avg $134.76
131,100 claims
Vaccines & Immunizations
Avg $10.14
125,308 claims