Average Medicaid Case Management Services Payments in Cincinnati, OH: $46.17
Avg. Paid
$46.17
Range
$0.00 – $1,269
Total Claims
1,228,372
Providers
204
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 Cincinnati, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carestar, Inc.
4540 Cooper Rd Ste 200 |
$35.60 | 982,773 | 529,665 |
|
Council On Aging Of Southwestern Ohio
175 Tri County Pkwy Ste 175 |
$36.45 | 119,975 | 62,686 |
|
Constance Nicole Greathouse
3012 Glenmore Ave Ste 14 |
$19.42 | 9,568 | 437 |
|
Jessica Schaefer
401 E Mcmillan St |
$88.66 | 3,506 | 1,722 |
|
Racheal Eileen Rauck
3200 Vine St |
$26.42 | 3,498 | 1,662 |
|
Jordan Bayless
615 Elsinore Pl Ste 200 |
$220.36 | 2,869 | 2,780 |
|
Frans L Geeraerts
1101 Summit Rd |
$26.73 | 2,852 | 1,554 |
|
Aleesha Himes
4633 Aicholtz Rd |
$105.17 | 2,685 | 1,094 |
|
Caroline Evelyn Wittman
3333 Burnet Ave |
$95.02 | 2,669 | 1,344 |
|
Rebecca Brookover
5566 Cheviot Rd |
$147.49 | 2,365 | 1,596 |
|
Stevie Arretta Mccarty-Spires
4633 Aicholtz Rd |
$95.40 | 2,287 | 826 |
|
Hope Elise Krieger
3333 Burnet Ave |
$105.37 | 2,043 | 796 |
|
Krystal Nicole Ball
5566 Cheviot Rd |
$109.95 | 2,026 | 864 |
|
Natasha Lynn Swafford
4633 Aicholtz Rd |
$103.72 | 1,941 | 855 |
|
Abigail Jeanne Hentz
400 Oak St |
$139.47 | 1,909 | 873 |
|
Erica J Hoffman
3333 Burnet Ave |
$118.60 | 1,863 | 750 |
|
Taisha Rone
401 E Mcmillan St |
$190.52 | 1,832 | 1,297 |
|
Peter Joseph Readnour
3333 Burnett Ave |
$160.47 | 1,790 | 872 |
|
Melissa D Beckett
100 Crowne Point Pl |
$54.64 | 1,717 | 603 |
|
Karyn Feldkamp
3333 Burnet Ave |
$174.48 | 1,682 | 896 |
|
Arin Blevins
400 Oak St |
$140.16 | 1,645 | 743 |
|
Kristen Fornwald
3333 Burnet Ave |
$129.92 | 1,635 | 744 |
|
Anedra L Shafer-Cornett
400 Oak St |
$140.91 | 1,598 | 785 |
|
Grace Ann Stannard
400 Oak St |
$143.90 | 1,571 | 693 |
|
Kortnee Cross
7162 Reading Rd Ste 900 |
$121.73 | 1,544 | 784 |
|
Leah A Moore
401 E Mcmillan St |
$105.83 | 1,480 | 571 |
|
Sophie Quandt
3333 Burnet Ave |
$122.88 | 1,449 | 592 |
|
Darienne Holmes
3333 Burnet Ave |
$160.68 | 1,440 | 700 |
|
Krystal Michele Smith
4633 Aicholtz Rd |
$9.32 | 1,418 | 348 |
|
Isaiah Febus
401 E Mcmillan St |
$198.75 | 1,391 | 950 |
|
Joe Edward Coates
3333 Burnet Ave |
$208.54 | 1,375 | 869 |
|
Erin Rose Myers
401 E Mcmillan St |
$102.05 | 1,295 | 547 |
|
Milo Boggan
5050 Madison Rd |
$85.34 | 1,266 | 447 |
|
Markia Roberts
7162 Reading Rd Ste 900 |
$157.30 | 1,223 | 654 |
|
Trudy Lanaille Ward
5566 Cheviot Rd |
$264.67 | 1,170 | 1,040 |
|
Emma Grace Liles
3333 Burnet Ave |
$204.51 | 1,112 | 636 |
|
Deborah Lynne Jones
3333 Burnet Ave |
$112.26 | 1,084 | 204 |
|
Kitty J Stephens
5566 Cheviot Rd |
$288.09 | 1,069 | 798 |
|
Zoe Nichol Fields
3333 Burnet Ave |
$201.67 | 1,036 | 613 |
|
Irene Teresa Wright
5400 Edalbert Dr |
$107.32 | 1,033 | 534 |
|
Taylor Lee
754 Old State Route 74 Ste C |
$118.27 | 1,018 | 586 |
|
Kristin Lynn Steel
5566 Cheviot Rd |
$276.12 | 986 | 830 |
|
Darian Jayne Wolfinbarger
754 Old State Route 74 |
$12.84 | 983 | 244 |
|
Dernae K Malone
5400 Edalbert Dr |
$4.92 | 980 | 254 |
|
Tiesha Denae Hankerson
5566 Cheviot Rd |
$348.93 | 943 | 785 |
|
Laura Michelle Redmond
4633 Aicholtz Rd |
$0.00 | 920 | 112 |
|
Ashley M Oliver
5050 Madison Rd |
$101.25 | 910 | 242 |
|
Emily Catherine Varma
4968 Glenway Ave |
$106.92 | 858 | 174 |
|
Anna Anderson
3333 Burnet Ave |
$192.70 | 855 | 288 |
|
Julie Hess
3333 Burnet Ave |
$159.19 | 799 | 219 |
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 Cincinnati, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Cincinnati, OH is $46.17 per claim, based on 1,228,372 claims from 204 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 Cincinnati, OH?
There are 204 Medicaid providers offering Case Management Services related services in Cincinnati, OH according to public payment data.
What is the price range for Case Management Services in Cincinnati, OH?
Medicaid reimbursement for Case Management Services in Cincinnati, OH ranges from $0.00 to $1,269 per claim, with an average of $46.17. 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 Cincinnati, OH
Blood Work & Lab Tests
Avg $7.16
12,933,390 claims
Office Visit
Avg $57.26
6,244,164 claims
Emergency Room Visit
Avg $94.36
2,312,527 claims
Home Health Visit
Avg $67.23
2,297,701 claims
Behavioral & Mental Health Therapy
Avg $87.07
2,275,452 claims
Substance Abuse Treatment
Avg $55.29
2,244,339 claims
Psychiatric Evaluation
Avg $79.56
1,780,978 claims
Urinalysis & Urine Tests
Avg $2.81
1,707,210 claims