Average Medicaid Case Management Services Payments in Canton, OH: $65.01
Avg. Paid
$65.01
Range
$0.00 – $303.39
Total Claims
11,696
Providers
16
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 Canton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jermel Bailey
100 Central Plz N |
$0.00 | 71 | 13 |
|
Sarah Dunn
2866 Whipple Ave Nw |
$93.69 | 73 | 37 |
|
Koby Micheal Todd
100 Central Plaza |
$0.00 | 117 | 25 |
|
Pamela Rae Walton
1341 Market Ave N |
$56.98 | 231 | 68 |
|
Hollie Pena
624 Market Ave N |
$303.39 | 390 | 277 |
|
Brandon Harris
624 Market Ave N |
$0.00 | 410 | 119 |
|
Renee Wine
562 49Th St Sw |
$0.00 | 628 | 165 |
|
Alexus Campbell
3712 Martindale Rd Ne Apt E |
$59.13 | 748 | 295 |
|
Rachel Miller
3706 Martindale Rd Ne Apt F |
$25.22 | 769 | 173 |
|
Gabriella Caitlin Behrns
100 Central Plz N |
$25.91 | 842 | 146 |
|
Andrea Andrusewicz
100 Central Plz N |
$72.22 | 883 | 216 |
|
Rosetta Ballard
919 2Nd St Ne |
$21.09 | 910 | 230 |
|
Stephen Higgins
919 2Nd St Ne |
$136.41 | 1,040 | 514 |
|
Celestine Barnes
1657 Edwards Ave Ne |
$162.89 | 1,137 | 739 |
|
Erin Reynolds
716 Schneider St Ne Apt K3 |
$60.28 | 1,364 | 459 |
|
Lydia J Frere
4942 Higbee Ave Nw Ste C |
$21.26 | 2,083 | 94 |
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 Canton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Canton, OH is $65.01 per claim, based on 11,696 claims from 16 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 Canton, OH?
There are 16 Medicaid providers offering Case Management Services related services in Canton, OH according to public payment data.
What is the price range for Case Management Services in Canton, OH?
Medicaid reimbursement for Case Management Services in Canton, OH ranges from $0.00 to $303.39 per claim, with an average of $65.01. 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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Miami, FL
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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
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Other Procedures in Canton, OH
Office Visit
Avg $46.47
1,276,960 claims
Home Health Visit
Avg $66.21
1,047,837 claims
Blood Work & Lab Tests
Avg $5.42
1,012,747 claims
Emergency Room Visit
Avg $90.78
740,307 claims
Psychiatric Evaluation
Avg $70.83
631,711 claims
Behavioral & Mental Health Therapy
Avg $76.93
535,285 claims
X-Ray
Avg $7.48
381,505 claims
Nursing Facility Care
Avg $11.21
248,952 claims