Average Medicaid Case Management Services Payments in Greenville, SC: $57.95
Avg. Paid
$57.95
Range
$30.96 – $146.98
Total Claims
137,944
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 Greenville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Center For Developmental Services
29 N Academy St |
$56.95 | 58,594 | 21,729 |
|
Ahead Start Llc
117 Manly St |
$41.13 | 38,225 | 11,341 |
|
Promising Futures, Llc
880 S Pleasantburg Dr Ste 3A |
$52.66 | 11,880 | 3,004 |
|
Office Of The Governor Continuum Of Care
37 Villa Rd |
$146.98 | 10,658 | 3,504 |
|
Greenville County Disabilities And Special Needs Board
1700 Ridge Road |
$51.49 | 6,089 | 2,581 |
|
Greenville County Commission On Alcohol And Drug Abuse
130 Industrial Dr Ste C |
$47.87 | 5,385 | 2,905 |
|
Brilliant Beginnings, Llc
103 Lovett Dr |
$46.17 | 4,897 | 1,087 |
|
Prisma Health University Medical Group
200 Patewood Dr |
$30.96 | 1,447 | 1,327 |
|
Engage In Play Early Intervention
110 Seabury Dr |
$48.82 | 354 | 89 |
|
Julie S Jones
890 W Faris Rd |
$88.47 | 186 | 75 |
|
Natalie Brown Dixon
2905 White Horse Rd |
$62.66 | 80 | 80 |
|
Mary Ratchford Crosswell
2905 White Horse Rd |
$82.13 | 64 | 63 |
|
Lyle Lesesne Pritchard
2905 White Horse Rd |
$78.17 | 43 | 43 |
|
Fanika Delsae Lowe
2905 White Horse Rd |
$62.51 | 29 | 29 |
|
Nancy Ann Henderson
20 Medical Ridge Dr |
$78.60 | 13 | 13 |
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 Greenville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Greenville, SC is $57.95 per claim, based on 137,944 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 Greenville, SC?
There are 15 Medicaid providers offering Case Management Services related services in Greenville, SC according to public payment data.
What is the price range for Case Management Services in Greenville, SC?
Medicaid reimbursement for Case Management Services in Greenville, SC ranges from $30.96 to $146.98 per claim, with an average of $57.95. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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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 Greenville, SC
Office Visit
Avg $63.19
2,475,692 claims
Blood Work & Lab Tests
Avg $35.65
1,555,095 claims
Emergency Room Visit
Avg $67.16
1,080,286 claims
Home Health Visit
Avg $59.64
1,047,244 claims
Speech Therapy
Avg $47.69
743,694 claims
Physical Therapy
Avg $57.38
728,352 claims
X-Ray
Avg $13.48
718,516 claims
Personal Care Services
Avg $25.98
610,919 claims