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Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in Edmond, OK: $60.43

Avg. Paid

$60.43

Range

$13.01 – $490.23

Total Claims

219,819

Providers

29

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 Edmond, OK

Provider Avg. Paid Claims Patients
Sand Lily Healthcare, Inc.

2120 S Broadway

 $61.71 137,380 35,013
Family Care Home Health

865 E 33Rd St

 $60.49 40,233 11,903
Healthcomp Ltd

3500 S Boulevard

 $63.74 28,080 6,872
Peter Matthew Mahan

2821 Mustang Trl

 $31.55 4,618 1,684
Penny Lynn Mahan

2821 Mustang Trl

 $31.01 2,823 1,147
Cristina D Yarbrough

1701 Godhania Rd

 $31.03 1,492 417
Krystal Jane Lawson

755 W Covell Rd Ste 100

 $26.83 1,422 669
Cortigan Y Houston

1015 Waterwood Pkwy Ste G-B2

 $43.38 554 255
Dakota Vann

600 Liberty Ln

 $37.24 520 203
Brandy Horton

600 N Blackwelder Ave Apt 41

 $104.33 351 267
Carrington Scott

3116 Firewheel Rd

 $28.85 323 205
Savanah Brook Parks

2908 Astoria Way

 $125.82 309 307
Mariah Jewel Boyles

19800 Harness Ct

 $22.81 307 104
Forrest William Paige

2220 Marshall Dr

 $22.44 280 185
Jacqueline Espindola

15200 Sugar Loaf Dr

 $490.23 194 190
David Hernandez

122 1/2 E 3Rd St

 $42.29 192 122
Mary Beth Sargeant

2500 Thomas Dr Apt 721

 $13.01 164 114
Omari Cole

1001 W Danforth Rd

 $36.35 143 72
Whitney Louise Moore

901 S Bryant Ave

 $27.07 88 48
Erika Allison Davis Shade

1700 S Boulevard Ste B

 $16.62 68 55
William Samuel Mckee

820 W 15Th St

 $29.82 67 57
Victoria Chavez

2300 Nw 195Th St

 $13.35 64 51
Eduardo Santiago

400 S Broadway # 6

 $42.79 35 25
Latricia D Taylor

14020 N Western Ave # 101

 $27.96 25 19
Maritza Rivera

1732 S Kelly Ave

 $31.44 21 13
Gina Bustin

4 N Baumann Ave

 $68.92 19 13
Stephanie Stasha Raschtschenia

19125 Meadows Crossing Dr

 $13.78 18 13
Leslie Burnside

600 N Blackwelder Ave Apt 24

 $20.21 16 13
Charles Boyles

400 S Broadway Ste 5

 $125.04 13 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 Edmond, OK?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Edmond, OK is $60.43 per claim, based on 219,819 claims from 29 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 Edmond, OK?

There are 29 Medicaid providers offering Case Management Services related services in Edmond, OK according to public payment data.

What is the price range for Case Management Services in Edmond, OK?

Medicaid reimbursement for Case Management Services in Edmond, OK ranges from $13.01 to $490.23 per claim, with an average of $60.43. 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 Edmond, OK

Office Visit

Avg $90.89

333,239 claims

Substance Abuse Treatment

Avg $66.31

264,781 claims

Dental Cleaning & Exam

Avg $28.35

165,874 claims

X-Ray

Avg $11.17

127,523 claims

Speech Therapy

Avg $64.72

97,851 claims

Vaccines & Immunizations

Avg $16.88

85,855 claims

Physical Therapy

Avg $86.80

56,109 claims

Eye Exam

Avg $46.00

34,706 claims