Average Medicaid Case Management Services Payments in Edinburg, TX: $139.07
Avg. Paid
$139.07
Range
$0.00 – $160.32
Total Claims
58,995
Providers
19
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 Edinburg, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Osama B Nahas
2505 W Trenton Rd |
$0.00 | 13 | 13 |
|
Alma Dolores Medina
341 Hollywood Dr |
$124.15 | 43 | 40 |
|
Lorena Singh
341 Hollywood Dr |
$130.00 | 93 | 58 |
|
Ruth Contreras
328 Hollywood Dr |
$131.58 | 108 | 63 |
|
Patricia Anne York Raymond
410 S Jackson Rd # 3397 |
$133.63 | 177 | 157 |
|
Education Service Center Region I Of Texas
1900 W Schunior St |
$0.00 | 226 | 196 |
|
Norma Mireles
341 Hollywood Dr |
$128.03 | 237 | 216 |
|
Cristal Cristal Arroyo
341 Hollywood Dr |
$131.77 | 249 | 178 |
|
Gloria Gonzales Pena
341 Hollywood Dr |
$132.76 | 518 | 393 |
|
Laura Menchaca
341 Hollywood Dr |
$129.74 | 1,230 | 1,134 |
|
Jacquelin Renee Edwards
341 Hollywood Dr |
$127.86 | 1,389 | 1,005 |
|
Amanda Iris Avila
341 Hollywood Dr |
$129.47 | 1,795 | 1,557 |
|
Armando Vasquez
341 Hollywood Dr |
$129.31 | 1,900 | 1,498 |
|
Victoria Alvarado
2715 Longoria Ln |
$130.30 | 4,122 | 3,268 |
|
Advancing Together
341 Hollywood Dr |
$109.85 | 5,217 | 3,481 |
|
Mayra Yadira Garcia
341 Hollywood Dr |
$129.26 | 5,634 | 5,033 |
|
Cynthia A Arteaga
341 Hollywood |
$127.78 | 5,844 | 4,555 |
|
Elma Perez Torresmutt
341 Hollywood Dr |
$129.31 | 7,257 | 5,319 |
|
Tropical Texas Behavioral Health
1901 S 24Th Ave |
$160.32 | 22,943 | 15,658 |
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 Edinburg, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Edinburg, TX is $139.07 per claim, based on 58,995 claims from 19 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 Edinburg, TX?
There are 19 Medicaid providers offering Case Management Services related services in Edinburg, TX according to public payment data.
What is the price range for Case Management Services in Edinburg, TX?
Medicaid reimbursement for Case Management Services in Edinburg, TX ranges from $0.00 to $160.32 per claim, with an average of $139.07. 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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Mesa, AZ
Avg $32.09
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Other Procedures in Edinburg, TX
Office Visit
Avg $39.60
1,601,805 claims
Blood Work & Lab Tests
Avg $8.03
994,855 claims
Personal Care Services
Avg $66.62
932,589 claims
Vaccines & Immunizations
Avg $6.07
492,039 claims
Dental Cleaning & Exam
Avg $43.69
427,789 claims
Physical Therapy
Avg $59.61
294,805 claims
Speech Therapy
Avg $81.81
279,480 claims
Urinalysis & Urine Tests
Avg $3.46
217,843 claims