Average Medicaid Case Management Services Payments in El Paso, TX: $113.78
Avg. Paid
$113.78
Range
$1.23 – $270.28
Total Claims
16,032
Providers
15
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 El Paso, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
El Paso Community Mhmr
1600 Montana Ave. |
$110.01 | 6,194 | 4,994 |
|
Jazmin Paloma Lombrana
724 Horncastle Rd |
$120.62 | 4,551 | 2,259 |
|
Sunwest Behavioral Associates Pa
6028 Surety Dr |
$111.28 | 1,804 | 1,022 |
|
Mindful Living Center, Llc
1714 N Mesa St |
$270.28 | 836 | 526 |
|
Jean R Joseph-Vanderpool
6028 Surety Dr |
$28.24 | 631 | 475 |
|
Red Sector A Inc.
1600 N Lee Trevino Dr Ste C3 |
$59.44 | 624 | 611 |
|
Paso Del Norte Children'S Development Center
1101 E Schuster Ave |
$133.13 | 509 | 478 |
|
La Familia Del Paso, Inc
1511 E Yandell Dr |
$58.50 | 298 | 206 |
|
Hemispheres Mind Care, Pllc
1600 N Lee Trevino Dr Ste C3 |
$63.76 | 188 | 185 |
|
Region 19 Education Service Center
6611 Boeing Dr |
$50.43 | 106 | 93 |
|
Christie Francis
5005 N Piedras St |
$46.66 | 94 | 37 |
|
Institute For Mental Health, P.A.
6633 N Mesa St Ste 103 |
$32.48 | 63 | 39 |
|
Rafael Armendariz
6974 Gateway Blvd E |
$1.23 | 50 | 44 |
|
Therese Hadden
2489 Ricker Road |
$2.56 | 44 | 25 |
|
Octavio E. Gutierrez
1600 N Lee Trevino |
$74.02 | 40 | 38 |
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 El Paso, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in El Paso, TX is $113.78 per claim, based on 16,032 claims from 15 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 El Paso, TX?
There are 15 Medicaid providers offering Case Management Services related services in El Paso, TX according to public payment data.
What is the price range for Case Management Services in El Paso, TX?
Medicaid reimbursement for Case Management Services in El Paso, TX ranges from $1.23 to $270.28 per claim, with an average of $113.78. 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 El Paso, TX
Office Visit
Avg $46.37
2,780,417 claims
Vaccines & Immunizations
Avg $7.78
1,519,516 claims
Emergency Room Visit
Avg $138.81
968,153 claims
Dental Cleaning & Exam
Avg $38.29
959,310 claims
Personal Care Services
Avg $63.88
821,382 claims
Blood Work & Lab Tests
Avg $14.36
702,778 claims
Physical Therapy
Avg $54.21
597,599 claims
Speech Therapy
Avg $67.05
530,977 claims