Average Medicaid Case Management Services Payments in Austin, TX: $117.16
Avg. Paid
$117.16
Range
$0.00 – $345.34
Total Claims
58,625
Providers
17
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 Austin, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Easter Seals Central Texas Inc
8001 Centre Park Dr Ste 130 |
$92.55 | 20,653 | 15,780 |
|
Girling Health Care, Inc.
6836 Austin Center Blvd Ste 300 |
$179.33 | 18,983 | 18,943 |
|
Any Baby Can Of Austin, Inc.
6207 Sheridan Ave |
$58.25 | 15,423 | 10,458 |
|
Michelle Crystal Marie Owens
2802 Webberville Rd |
$286.34 | 977 | 753 |
|
Claudia Torresmutt
333 E Slaughter Ln Apt 218 |
$131.46 | 644 | 458 |
|
Austin Travis County Mental Health And Mental Retardation Center
1430 Collier St |
$90.21 | 590 | 369 |
|
Latasha Vanin
2901 Montopolis Dr |
$345.34 | 450 | 439 |
|
Candace Eliahu
10515 N Mopac Expy Ste A120 |
$0.00 | 265 | 261 |
|
Karen Curtin
11111 Research Blvd Ste 320 |
$302.00 | 162 | 161 |
|
Nicholas Cahill
1165 Airport Blvd |
$144.28 | 111 | 65 |
|
Lindsey Brotsch
5015 S Ih 35 Ste 200 |
$41.51 | 91 | 74 |
|
Eric D Nguyen
5000 W Slaughter Ln Ste 100 |
$0.00 | 87 | 26 |
|
Jaime A. Escareno
105 W Riverside Dr |
$87.43 | 68 | 66 |
|
Michelle M Wise
1524 S Ih 35 |
$53.73 | 55 | 52 |
|
Jose Garcia
8302 Minnesota Ln |
$0.00 | 37 | 36 |
|
Christina W Smith
5809 Abby Ann Ln |
$129.76 | 16 | 12 |
|
Jennifer Ells
8505 Cross Park Dr Ste 120 |
$131.48 | 13 | 12 |
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 Austin, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Austin, TX is $117.16 per claim, based on 58,625 claims from 17 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 Austin, TX?
There are 17 Medicaid providers offering Case Management Services related services in Austin, TX according to public payment data.
What is the price range for Case Management Services in Austin, TX?
Medicaid reimbursement for Case Management Services in Austin, TX ranges from $0.00 to $345.34 per claim, with an average of $117.16. 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 Austin, TX
Blood Work & Lab Tests
Avg $7.09
4,048,248 claims
Personal Care Services
Avg $51.29
3,439,018 claims
Office Visit
Avg $39.88
1,367,991 claims
X-Ray
Avg $5.51
1,081,382 claims
Vaccines & Immunizations
Avg $3.40
861,990 claims
Dental Cleaning & Exam
Avg $37.36
759,881 claims
Emergency Room Visit
Avg $125.71
658,275 claims
Urinalysis & Urine Tests
Avg $2.52
612,948 claims