Average Medicaid Case Management Services Payments in Grand Rapids, MI: $257.72
Avg. Paid
$257.72
Range
$0.06 – $588.33
Total Claims
342,799
Providers
27
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 Grand Rapids, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kent County Cmh Authority
790 Fuller Ave Ne |
$311.24 | 83,264 | 71,914 |
|
Reliance Community Care Partners
2100 Raybrook Se |
$445.13 | 64,863 | 62,235 |
|
D A Blodgett-St Johns
2172 Dean Lake Ave Ne |
$232.64 | 54,207 | 44,886 |
|
Cherry Street Services, Inc.
550 Cherry St Se |
$170.88 | 24,762 | 17,299 |
|
Arbor Circle Corporation
1115 Ball Ave Ne |
$190.42 | 23,309 | 11,161 |
|
Thresholds Inc
4255 Kalamazoo Ave Se |
$191.80 | 22,679 | 21,197 |
|
Pine Rest Christian Mental Health Services
320 Commerce Ave Sw |
$228.20 | 16,450 | 10,485 |
|
Spectrum Health Primary Care Partners
1840 Wealthy St Se |
$28.76 | 14,532 | 12,276 |
|
Family Outreach Center
1939 S Division |
$123.99 | 10,894 | 4,072 |
|
Patricia J Hawkins
339 Division Ave S |
$168.01 | 8,794 | 7,275 |
|
Cherry Street Services, Inc.
100 Cherry St Se |
$15.53 | 6,743 | 6,529 |
|
Bethany Christian Services Inc.
901 Eastern Ave Ne |
$162.89 | 2,928 | 1,177 |
|
Advantage Health/Saint Mary'S Medical Group
245 State St Se |
$0.28 | 2,179 | 1,923 |
|
Cherry Street Services, Inc.
669 Stocking Ave Nw |
$9.55 | 1,962 | 1,547 |
|
Advantage Health Saint Mary'S Medical Group
200 Jefferson Se |
$0.06 | 1,343 | 1,242 |
|
Ann Cudney
1131 Ionia Ave Nw |
$109.41 | 1,022 | 432 |
|
Michigan Pain Consultants Pc
2060 East Paris Ave Se |
$40.84 | 905 | 822 |
|
Kent County Cmh Authority
790 Fuller Ave Ne |
$195.20 | 636 | 549 |
|
Alger Pediatrics Pc
733 Alger St Se |
$34.01 | 627 | 607 |
|
Spectrum Health Primary Care Partners
4069 Lake Dr Se |
$32.46 | 304 | 293 |
|
Jaima Elizabeth Walton
35 Michigan St Ne Ste 5201 |
$47.52 | 138 | 132 |
|
Cancer & Hematology Centers Of Western Mi, P.C.
145 Michigan St Ne Ste 3100 |
$34.01 | 129 | 127 |
|
Pine Rest Christian Mental Health Services
300 68Th St Se |
$94.92 | 41 | 38 |
|
Cascade Pediatrics Llp
5150 Cascade Rd Se |
$19.06 | 27 | 26 |
|
Emily Oosterhouse
1870 Leonard St Ne |
$7.10 | 25 | 12 |
|
Forest Hills Pediatric Associates, Pc
877 Forest Hill Ave Se |
$33.70 | 24 | 24 |
|
Area Agency On Aging Of Western Michigan Inc.
1279 Cedar St Ne |
$588.33 | 12 | 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 Grand Rapids, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Grand Rapids, MI is $257.72 per claim, based on 342,799 claims from 27 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 Grand Rapids, MI?
There are 27 Medicaid providers offering Case Management Services related services in Grand Rapids, MI according to public payment data.
What is the price range for Case Management Services in Grand Rapids, MI?
Medicaid reimbursement for Case Management Services in Grand Rapids, MI ranges from $0.06 to $588.33 per claim, with an average of $257.72. 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 Grand Rapids, MI
Office Visit
Avg $56.03
3,306,257 claims
Blood Work & Lab Tests
Avg $4.19
2,384,351 claims
Substance Abuse Treatment
Avg $24.17
2,223,309 claims
X-Ray
Avg $7.57
2,155,834 claims
Emergency Room Visit
Avg $106.82
1,903,454 claims
Psychiatric Evaluation
Avg $79.32
1,323,354 claims
Physical Therapy
Avg $24.71
1,298,324 claims
Vaccines & Immunizations
Avg $10.34
1,229,009 claims