Average Medicaid Case Management Services Payments in Elkins, WV: $105.01
Avg. Paid
$105.01
Range
$0.00 – $175.16
Total Claims
64,802
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 Elkins, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Quality Care Management, Pllc
501 Davis Ave Ste B |
$125.41 | 22,211 | 22,105 |
|
Mountaineer Case Management Llc
1859 Beverly Pike |
$111.05 | 7,640 | 7,205 |
|
Appalachian Community Health Center
725 Yokum Street |
$152.28 | 6,930 | 6,423 |
|
Randolph County Board Of Education
40 11Th St |
$10.94 | 5,177 | 3,279 |
|
Ems, Inc.
100 Bell Street |
$0.00 | 4,716 | 1,120 |
|
Professional Care Case Management, Llc
19 Main St |
$133.34 | 4,271 | 4,265 |
|
Committee On Aging Randolph Co
5Th Street & Railroad Ave |
$116.33 | 4,262 | 4,254 |
|
All Care Of Wv
307 11Th St |
$175.16 | 2,407 | 2,395 |
|
Alternative Home Care Llc
312 Railroad Ave |
$76.47 | 1,931 | 1,892 |
|
Brenda S Lewis
312 Railroad Ave |
$140.39 | 1,561 | 1,547 |
|
Ems, Inc
100 Bell St |
$0.00 | 1,276 | 347 |
|
Laura Ferguson
501 Wilson Ln Ste 3 |
$129.11 | 1,124 | 1,123 |
|
Youth Health Service, Inc
971 Harrison Ave |
$23.38 | 981 | 327 |
|
Mountaineer Home Care Services Llc
301 Central St Apt 3 |
$124.72 | 265 | 262 |
|
Roxanna E Cooper
#1 Fifth Street |
$80.00 | 50 | 50 |
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 Elkins, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Elkins, WV is $105.01 per claim, based on 64,802 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 Elkins, WV?
There are 15 Medicaid providers offering Case Management Services related services in Elkins, WV according to public payment data.
What is the price range for Case Management Services in Elkins, WV?
Medicaid reimbursement for Case Management Services in Elkins, WV ranges from $0.00 to $175.16 per claim, with an average of $105.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Miami, FL
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Montgomery, AL
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Oklahoma City, OK
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Other Procedures in Elkins, WV
Personal Care Services
Avg $338.71
188,159 claims
Blood Work & Lab Tests
Avg $14.00
174,038 claims
Office Visit
Avg $30.90
169,670 claims
Substance Abuse Treatment
Avg $51.55
148,622 claims
Emergency Room Visit
Avg $90.84
75,766 claims
Non-Emergency Medical Transportation
Avg $24.22
68,552 claims
Durable Medical Equipment (DME)
Avg $39.02
57,263 claims
Physical Therapy
Avg $28.07
52,737 claims