Average Medicaid Case Management Services Payments in Hialeah, FL: $57.62
Avg. Paid
$57.62
Range
$0.00 – $3,517
Total Claims
1,437,779
Providers
71
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 Hialeah, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Orlando Santana
4175 W 20Th Ave |
$0.00 | 18 | 13 |
|
Jenny Bermudez
1200 W 62Nd St |
$31.60 | 25 | 13 |
|
Karelia Ruiz
17670 Nw 78Th Ave Ste 201 |
$0.00 | 72 | 69 |
|
Larga Vida Medical Service Llc
900 E 9Th St |
$70.21 | 82 | 17 |
|
One Soul Cmh, Inc
5901 Nw 183Rd St Ste 128 |
$24.62 | 176 | 25 |
|
Rosaida Group Home, Inc
955 Se 1 Street |
$3,517 | 190 | 171 |
|
Holding Fate Services Llc
3750 W 16Th Ave Ste 232U |
$85.79 | 215 | 26 |
|
Mark Antonio Hernandez
2387 W 68Th St |
$19.04 | 222 | 128 |
|
Maria Luisa Gonzalez Ibarra
8001 W 26Th Ave |
$54.66 | 237 | 65 |
|
Diana Marin
5590 W 20Th Ave Ste 400-401 |
$67.58 | 326 | 47 |
|
New Sunrise Community Behavioral Llc
17670 Nw 78Th Ave Ste 113 |
$14.68 | 331 | 25 |
|
Alma Community Center Inc
5590 W 20Th Ave Ste 404 |
$69.54 | 355 | 72 |
|
Rosirenee Quesada Rodriguez
1840 W 49Th St Ste 727 |
$61.18 | 469 | 43 |
|
Healing Touch C&C Inc
4385 W 16Th Ave |
$59.20 | 520 | 53 |
|
Rogelio Morales
8316 Nw 195Th Ter |
$87.61 | 619 | 157 |
|
Naylin Rizo
14242 Nw 83Rd Ct |
$96.14 | 795 | 88 |
|
Elsie I Finke
4175 W 20Th Ave |
$49.41 | 1,249 | 224 |
|
Joenna Fernandez
1875 W 56Th St Apt 309 |
$24.10 | 1,259 | 161 |
|
Dayana Mendez
6130 W 21St Ct Apt 304 |
$17.22 | 1,588 | 133 |
|
Florida Behavioral System Llc
240 E 1St Ave Ste 211 |
$91.00 | 1,602 | 155 |
|
Blue Paradise Medical Center Llc
5941 Nw 173Rd Dr Unit B6 |
$75.83 | 1,687 | 128 |
|
Juan Jesus Cecilio
4175 W 20Th Ave |
$53.72 | 2,307 | 378 |
|
Gilda Sosa
2300 W 84Th St Ste 105 |
$69.07 | 2,707 | 655 |
|
Arlety Perez Gonzalez
7641 Nw 182Nd Ter |
$71.97 | 3,725 | 306 |
|
Martha Meszaros
4175 W 20Th Ave |
$52.52 | 4,273 | 1,261 |
|
Greter Bermudez Ramos
1330 West 54 Street Apto 207C |
$59.30 | 6,070 | 584 |
|
Alina M Regueiro Torrens
3414 W 84Th St Ste 110 |
$63.49 | 6,421 | 868 |
|
Ariadna Gonzalez Bermudez
18300 Nw 62Nd Ave Ste 200 |
$71.14 | 6,875 | 523 |
|
Liansy Gonzalez
551 W 51St Pl |
$51.39 | 8,062 | 1,294 |
|
Lifestar Mental Wellness Center Inc, Cmhc
3416 W 84Th St Ste 108 |
$86.47 | 8,185 | 1,069 |
|
Humberto Fernandez
7782 Nw 200Th St |
$63.33 | 8,518 | 838 |
|
Claudia Lorenzo
4175 W 20Th Ave |
$83.66 | 8,851 | 3,210 |
|
One Soul Cmh Inc
5901 Nw 183Rd St Ste 126 |
$63.70 | 10,036 | 1,036 |
|
Ovial Reyes Amat
810 W 81St Pl |
$66.38 | 10,375 | 1,120 |
|
Yeni Corcho Arevalo
1370 W 83Rd St |
$69.40 | 12,186 | 1,657 |
|
Noelvis Santana Estevez
496 W 45Th Pl |
$46.11 | 13,226 | 621 |
|
Yasnay Gomez Villiva
383 W 34Th St |
$63.84 | 14,091 | 1,597 |
|
Iosif Bonet Solis
6140 W 10Th Ave |
$53.17 | 15,319 | 1,870 |
|
Rosa Vargas
4175 W 20Th Ave |
$64.38 | 15,406 | 5,035 |
|
Nelly Mola
1651 W 37Th St Ste 404 |
$56.75 | 15,528 | 2,200 |
|
Eduardo Evora
4118 W 12Th Ave |
$70.15 | 16,286 | 2,064 |
|
Vivian Fennen
4175 W 20Th Ave |
$49.08 | 18,254 | 2,307 |
|
Esperanza Acosta
900 W 49Th St Ste 406 |
$50.18 | 18,878 | 1,479 |
|
Dorey Arderi Guerra
900 E 9Th St |
$68.48 | 19,173 | 1,749 |
|
Elvira Parrado Garcia
465 E 30Th St Apt 208 |
$78.35 | 19,248 | 2,273 |
|
Belkys Calana Gonzalez Posada
3908 W 12Th Ave |
$70.43 | 19,683 | 1,423 |
|
Maria Bringas
4175 W 20Th Ave |
$75.97 | 19,760 | 2,439 |
|
Tania Romero Montoya
4175 W 20Th Ave |
$65.18 | 20,614 | 6,591 |
|
Oscar Benitez Dominguez
2750 W 68Th St # 127-128 |
$46.52 | 20,623 | 2,618 |
|
Icel Lopez-Delgado
2300 W 84Th St Ste 105 |
$58.29 | 23,922 | 3,244 |
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 Hialeah, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Hialeah, FL is $57.62 per claim, based on 1,437,779 claims from 71 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 Hialeah, FL?
There are 71 Medicaid providers offering Case Management Services related services in Hialeah, FL according to public payment data.
What is the price range for Case Management Services in Hialeah, FL?
Medicaid reimbursement for Case Management Services in Hialeah, FL ranges from $0.00 to $3,517 per claim, with an average of $57.62. 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 Hialeah, FL
Home Health Visit
Avg $45.78
6,110,568 claims
Personal Care Services
Avg $26.96
4,301,517 claims
Office Visit
Avg $31.22
1,061,174 claims
Behavioral & Mental Health Therapy
Avg $76.84
945,390 claims
Speech Therapy
Avg $57.69
603,545 claims
Physical Therapy
Avg $53.82
597,771 claims
Blood Work & Lab Tests
Avg $5.35
516,319 claims
Dental Cleaning & Exam
Avg $28.25
294,954 claims