Average Medicaid Case Management Services Payments in Gainesville, FL: $38.01
Avg. Paid
$38.01
Range
$0.00 – $147.71
Total Claims
60,075
Providers
37
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 Gainesville, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rana Michelle Tallador
4300 Sw 13Th St |
$37.46 | 17,070 | 3,890 |
|
Elder Care Of Alachua County Inc.
5701 Nw 34Th Blvd |
$147.71 | 4,381 | 4,332 |
|
Laura Michelle Frazier
1329 Sw 16Th St |
$18.43 | 3,968 | 1,581 |
|
Joan Brewer
1329 Sw 16Th St |
$20.29 | 3,959 | 2,083 |
|
Megan Rhoades
4300 Sw 13Th St |
$48.39 | 3,893 | 881 |
|
Jeffrey Frazier
1600 Sw Archer Rd |
$18.69 | 2,979 | 1,918 |
|
Trea Christene Curtis
1600 Sw Archer Rd |
$19.57 | 2,085 | 1,126 |
|
Angela A Ankrom
1701 Sw 16Th Ave Bldg B |
$22.08 | 2,076 | 1,910 |
|
Danisha Lashae Williams
1701 Sw 16Th Ave |
$19.56 | 2,050 | 1,063 |
|
Tonneika Buchanan
1600 Sw Archer Rd |
$19.10 | 2,041 | 1,125 |
|
Vincent Williams
1600 Sw Archer Rd |
$24.74 | 1,820 | 1,280 |
|
David Ivan Kranson
4140 Nw 27Th Ln Ste F |
$57.10 | 1,735 | 350 |
|
Elizabeth Gonzalez
1701 Sw 16Th Ave |
$24.74 | 1,561 | 746 |
|
Candis Nicole Vinson
1701 Sw 16Th Ave Bldg B |
$26.69 | 1,426 | 843 |
|
Kimberly Erickson
1600 Sw Archer Rd |
$15.91 | 1,379 | 1,067 |
|
Kathryn Holland Timmons
1700 Sw 16Th Ave Bldg B |
$23.26 | 1,279 | 836 |
|
Lisa Ehrbar
1600 Sw Archer Rd Rm Hd113 |
$27.94 | 926 | 786 |
|
Jacqueline Lewis
1600 Sw Archer Rd Rm Hd-118 |
$35.35 | 688 | 402 |
|
Maryjoan Jennifer Fouquet
1600 Sw Archer Rd |
$29.07 | 582 | 314 |
|
Latoya Lasha Reshard-Wallace
1701 Sw 16Th Ave |
$24.12 | 571 | 268 |
|
Esperanza Velez
1701 Sw 16Th Ave |
$22.26 | 497 | 445 |
|
Florida Clinical Practice Association Inc
1600 Sw Archer Rd |
$13.07 | 465 | 284 |
|
Meridian Behavioral Healthcare, Inc.
4300 Sw 13Th St |
$32.75 | 393 | 144 |
|
Kenneth Wayne James
1701 Sw 16Th Ave Bldg B |
$21.67 | 318 | 145 |
|
Joyce Calixtro
1600 Sw Archer Rd |
$20.25 | 291 | 126 |
|
Virginia Rivera
4300 Sw 13Th St |
$23.24 | 271 | 261 |
|
Janice Lynne Counts
1600 Sw Archer Rd |
$21.45 | 248 | 157 |
|
Tamelia Malcolm
1329 Sw 16Th St |
$20.13 | 222 | 114 |
|
Rebecca A Thomas
825 Nw 23Rd Ave |
$19.75 | 170 | 84 |
|
Katherine Andrea Walker
1600 Sw Archer Rd |
$0.00 | 151 | 106 |
|
Dina Vouis
1600 Sw Archer Rd # Hd-114 |
$23.59 | 150 | 76 |
|
Alan Paulin
4300 Sw 13Th St |
$50.56 | 126 | 40 |
|
Charise Marie Leon
1701 Sw 16Th Ave Bldg B |
$29.09 | 102 | 83 |
|
Yaqin Li
1701 Sw 16Th Ave Bldg B |
$37.64 | 84 | 41 |
|
Evelyn Cruz
4300 Sw 13Th St |
$27.29 | 46 | 30 |
|
Megan Johnston
1600 Sw Archer Rd |
$16.19 | 36 | 27 |
|
Melissa Hamblet
2631 Nw 41St St Ste E5 |
$11.05 | 36 | 18 |
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 Gainesville, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Gainesville, FL is $38.01 per claim, based on 60,075 claims from 37 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 Gainesville, FL?
There are 37 Medicaid providers offering Case Management Services related services in Gainesville, FL according to public payment data.
What is the price range for Case Management Services in Gainesville, FL?
Medicaid reimbursement for Case Management Services in Gainesville, FL ranges from $0.00 to $147.71 per claim, with an average of $38.01. 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 Gainesville, FL
Blood Work & Lab Tests
Avg $2.72
2,132,563 claims
Office Visit
Avg $44.68
885,779 claims
Emergency Room Visit
Avg $81.28
751,230 claims
X-Ray
Avg $4.46
646,866 claims
Speech Therapy
Avg $20.88
349,074 claims
Urinalysis & Urine Tests
Avg $1.01
338,004 claims
EKG / ECG (Electrocardiogram)
Avg $6.02
236,914 claims
Dental Cleaning & Exam
Avg $32.15
203,652 claims