Average Medicaid Case Management Services Payments in Caldwell, ID: $80.90
Avg. Paid
$80.90
Range
$25.92 – $249.36
Total Claims
20,202
Providers
12
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 Caldwell, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Human Supports Of Idaho, Inc.
314 Badiola St |
$62.92 | 16,407 | 4,442 |
|
Southwest District Health
13307 Miami Ln |
$249.36 | 2,041 | 1,375 |
|
Donald Schultze
524 Cleveland Blvd Ste 230 |
$46.75 | 687 | 290 |
|
Samantha Potts
106 N 9Th Ave |
$50.97 | 363 | 195 |
|
Sara Jane Winkelman
1609 S Kimball Ave Ste 201 |
$70.03 | 213 | 81 |
|
Heather Louise Carrizales
524 S 9Th Ave Ste 103 |
$48.34 | 191 | 97 |
|
Heather Allum
1609 S Kimball Ave Ste 201 |
$73.86 | 115 | 45 |
|
Estella Acosta
524 Cleveland Blvd |
$57.06 | 75 | 53 |
|
Susan M Martinelli
2814S Indiana Ave |
$67.34 | 44 | 12 |
|
Michonne Pieksma
2423 S Georgia Ave |
$25.92 | 27 | 27 |
|
Linda Ramirez
923 Grant St |
$42.57 | 27 | 12 |
|
Vallivue School District #139
5207 S Montana Ave |
$57.74 | 12 | 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 Caldwell, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Caldwell, ID is $80.90 per claim, based on 20,202 claims from 12 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 Caldwell, ID?
There are 12 Medicaid providers offering Case Management Services related services in Caldwell, ID according to public payment data.
What is the price range for Case Management Services in Caldwell, ID?
Medicaid reimbursement for Case Management Services in Caldwell, ID ranges from $25.92 to $249.36 per claim, with an average of $80.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Tucson, AZ
Avg $33.22
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Nashville, TN
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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Oklahoma City, OK
Avg $178.61
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Avg $32.09
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Other Procedures in Caldwell, ID
Office Visit
Avg $44.71
187,554 claims
Dental Cleaning & Exam
Avg $47.09
126,901 claims
Speech Therapy
Avg $21.97
103,418 claims
Substance Abuse Treatment
Avg $146.14
101,538 claims
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Avg $8.77
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Avg $6.74
80,967 claims
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Avg $118.00
61,050 claims
Ambulance Transport
Avg $123.57
59,603 claims