Average Medicaid Case Management Services Payments in Georgetown, KY: $284.19
Avg. Paid
$284.19
Range
$230.66 – $386.30
Total Claims
10,696
Providers
11
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 Georgetown, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Patrick Young
110 E Main St Ste 103 |
$258.95 | 2,351 | 2,078 |
|
Natasha Painter
110 Roach St |
$320.74 | 2,063 | 1,820 |
|
Adam Dwight Culbertson
1154A Lexington Rd |
$256.32 | 1,649 | 1,421 |
|
New Vista Of The Bluegrass Inc
110 Roach St |
$386.30 | 1,493 | 1,442 |
|
Shannon Dale Bailey
105 Eastside Dr |
$246.30 | 1,050 | 1,039 |
|
Osama Ali
204 Bevins Ln Ste A |
$239.89 | 741 | 558 |
|
Mitzi Finn
110 Roach St |
$262.37 | 491 | 425 |
|
Danielle Marie Hurt
2689 Frankfort Rd |
$235.64 | 421 | 304 |
|
Melissa Renee Deaton
215 Montgomery Ave |
$236.62 | 334 | 288 |
|
Jaime Ison Varney
203 Champion Way Ste 7 |
$230.66 | 61 | 53 |
|
Heather Anne James
517 S Broadway St |
$294.24 | 42 | 41 |
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 Georgetown, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Georgetown, KY is $284.19 per claim, based on 10,696 claims from 11 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 Georgetown, KY?
There are 11 Medicaid providers offering Case Management Services related services in Georgetown, KY according to public payment data.
What is the price range for Case Management Services in Georgetown, KY?
Medicaid reimbursement for Case Management Services in Georgetown, KY ranges from $230.66 to $386.30 per claim, with an average of $284.19. 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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Avg $32.09
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Avg $38.80
387,461 claims
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Avg $11.51
252,571 claims
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Avg $62.52
143,272 claims
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138,532 claims
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Avg $36.04
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