Average Medicaid Case Management Services Payments in Charleston, WV: $84.34
Avg. Paid
$84.34
Range
$0.00 – $180.84
Total Claims
282,160
Providers
22
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 Charleston, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wv Birth To Three
350 Capitol St Rm 427 |
$90.26 | 107,171 | 72,328 |
|
Allied Nursing And Community Service
4628 Pennsylvania Ave |
$118.91 | 45,221 | 44,710 |
|
Home Base Inc.
713 Bigley Ave |
$84.48 | 31,339 | 7,939 |
|
The Arc Of The Three Rivers, Inc.
1021 Quarrier St |
$95.26 | 21,961 | 11,741 |
|
Stevenson, Llc
1 Cantley Dr |
$72.36 | 17,985 | 4,994 |
|
Children'S Home Society Of West Virginia
1422 Kanawha Blvd E |
$0.00 | 15,660 | 3,528 |
|
Kanawha County Schools
200 Elizabeth St |
$12.86 | 10,415 | 8,387 |
|
Kanawha Valley Center Inc
200 Bradford Street |
$42.69 | 10,304 | 2,311 |
|
Elder Aide Solutions
513 Central Ave. |
$117.02 | 6,173 | 6,160 |
|
Right Start, Llc
1296 Quail Pointe |
$82.56 | 5,298 | 3,011 |
|
Mountain Care Network
1021 Quarrier St Ste 310 |
$53.37 | 2,840 | 904 |
|
My September Llc
301 Washington St W |
$167.59 | 2,169 | 2,156 |
|
All-Aid International, Inc.
612 Virginia St E |
$121.82 | 1,457 | 1,219 |
|
Mountain Care Network
1021 Quarrier St Ste 310 |
$62.66 | 1,377 | 613 |
|
Kanawha Home Health Case Management
20 Brooks St |
$180.84 | 797 | 795 |
|
Partnership Of African American Churches Inc.
1514 Kanawha Blvd W |
$8.84 | 741 | 304 |
|
Charleston Area Medical Center, Inc.
501 Morris St |
$33.98 | 671 | 655 |
|
Devaraj Behavioral Healthcare Pllc
412 Tennessee Ave |
$44.08 | 244 | 118 |
|
Scott Alan Naegele
830 Pennsylvania Ave |
$18.52 | 174 | 96 |
|
Womens Health Center Of West Virginia Inc
510 Washington St W |
$17.85 | 111 | 71 |
|
The Children'S Home Society Of West Virginia, Inc.
1422 Kanawha Blvd E |
$80.37 | 36 | 12 |
|
Enact, Inc.
1701 5Th Ave Ste 7 |
$40.74 | 16 | 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 Charleston, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Charleston, WV is $84.34 per claim, based on 282,160 claims from 22 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 Charleston, WV?
There are 22 Medicaid providers offering Case Management Services related services in Charleston, WV according to public payment data.
What is the price range for Case Management Services in Charleston, WV?
Medicaid reimbursement for Case Management Services in Charleston, WV ranges from $0.00 to $180.84 per claim, with an average of $84.34. 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 Charleston, WV
Blood Work & Lab Tests
Avg $19.50
1,537,486 claims
Office Visit
Avg $41.70
1,465,982 claims
Pathology & Lab Services
Avg $20.19
1,043,744 claims
Substance Abuse Treatment
Avg $93.30
723,285 claims
Emergency Room Visit
Avg $127.35
605,148 claims
X-Ray
Avg $13.71
490,576 claims
Urinalysis & Urine Tests
Avg $10.76
438,273 claims
Physical Therapy
Avg $108.21
435,894 claims