Average Medicaid Case Management Services Payments in Butler, PA: $118.26
Avg. Paid
$118.26
Range
$96.07 – $398.94
Total Claims
72,069
Providers
8
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 Butler, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Center For Community Resources, Inc.
212 - 214 S. Main St |
$96.07 | 62,797 | 27,140 |
|
Mrunali Luke
116 Woody Dr |
$254.41 | 3,909 | 3,815 |
|
Jeanine M Wigton
250B Butler Cmns |
$271.07 | 3,483 | 3,409 |
|
Denise Lynn Shearer
901 East Brady Street |
$272.07 | 752 | 750 |
|
Matthew Raymond Blumer
220 S Main St Ste A |
$398.94 | 483 | 483 |
|
Luke Zigrossi
1 Hospital Way |
$235.52 | 387 | 384 |
|
James Minshull
911 E Brady St |
$277.22 | 143 | 143 |
|
Elsa K Gamwo
325 New Castle Rd |
$203.56 | 115 | 115 |
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 Butler, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Butler, PA is $118.26 per claim, based on 72,069 claims from 8 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 Butler, PA?
There are 8 Medicaid providers offering Case Management Services related services in Butler, PA according to public payment data.
What is the price range for Case Management Services in Butler, PA?
Medicaid reimbursement for Case Management Services in Butler, PA ranges from $96.07 to $398.94 per claim, with an average of $118.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $33.22
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Avg $197.77
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Miami, FL
Avg $82.94
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New York, NY
Avg $322.62
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Montgomery, AL
Avg $50.35
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Avg $178.61
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Avg $32.09
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Other Procedures in Butler, PA
Office Visit
Avg $51.28
125,896 claims
Blood Work & Lab Tests
Avg $6.80
28,617 claims
Physical Therapy
Avg $46.22
28,273 claims
Ambulance Transport
Avg $95.77
26,336 claims
Speech Therapy
Avg $22.10
23,850 claims
EKG / ECG (Electrocardiogram)
Avg $6.55
20,982 claims
Emergency Room Visit
Avg $86.50
19,976 claims
Dental Cleaning & Exam
Avg $25.72
13,676 claims