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 |
|---|---|---|---|
|
Pedro Gonzalez Garcia
18901 Nw 78Th Pl |
$53.57 | 112,873 | 14,760 |
|
Ileana Alvarez Velazquez
4385 W 16Th Ave |
$38.05 | 107,737 | 7,479 |
|
Jenny A Bernal
3414 W 84Th St # D110 |
$66.21 | 106,934 | 13,986 |
|
Isis Osuli Lopez
54 E 5Th St |
$42.37 | 90,860 | 9,568 |
|
Yanetsy Fiallo
2300 W 84Th St Ste 406 |
$60.15 | 60,010 | 6,330 |
|
Katia Vazquez Martinez
54 E 5Th St |
$43.80 | 57,737 | 6,000 |
|
Yudeylis Lau
5901 Nw 183Rd St Ste 310 |
$56.27 | 53,807 | 8,865 |
|
Clarisa Carballo
630 W 36Th St |
$58.19 | 49,599 | 5,918 |
|
Alina Diaz
705 E 8Th Ave Ste 102 |
$61.80 | 41,716 | 5,041 |
|
Anais Rodriguez
6823 W 36Th Ave |
$62.37 | 41,462 | 7,895 |
|
Felix Rodriguez
241 W 37Th St |
$58.31 | 40,575 | 5,575 |
|
Osmany Vega Perez
1651 W 37Th St Ste 404 |
$67.21 | 36,556 | 4,662 |
|
Mercedes Lopez
4175 W 20Th Ave |
$66.54 | 34,295 | 11,599 |
|
Hilda Maria Fernandez Calana
3908 W 12Th Ave |
$69.52 | 32,796 | 2,756 |
|
Niurka Oralia De La Torre
1822 E 4Th Ave Ste B |
$56.14 | 32,617 | 4,647 |
|
Aleida Hernandez
5901 Nw 183Rd St Ste 142 |
$63.21 | 27,508 | 2,724 |
|
Yaser Rodriguez Suarez
900 E 9Th St |
$36.17 | 27,157 | 2,799 |
|
Paula Gaviria
4175 W 20Th Ave |
$53.33 | 26,752 | 3,794 |
|
Teddy Valarezo
4175 W 20Th Ave |
$62.09 | 26,480 | 8,942 |
|
Raydel Fernandez
890 Se 2Nd Pl |
$44.96 | 24,873 | 2,706 |
|
Lifestar Case Management Services, Inc
3414 W 84Th St Ste D110 |
$74.64 | 24,796 | 2,657 |
|
Icel Lopez-Delgado
2300 W 84Th St Ste 105 |
$58.29 | 23,922 | 3,244 |
|
Oscar Benitez Dominguez
2750 W 68Th St # 127-128 |
$46.52 | 20,623 | 2,618 |
|
Tania Romero Montoya
4175 W 20Th Ave |
$65.18 | 20,614 | 6,591 |
|
Maria Bringas
4175 W 20Th Ave |
$75.97 | 19,760 | 2,439 |
|
Belkys Calana Gonzalez Posada
3908 W 12Th Ave |
$70.43 | 19,683 | 1,423 |
|
Elvira Parrado Garcia
465 E 30Th St Apt 208 |
$78.35 | 19,248 | 2,273 |
|
Dorey Arderi Guerra
900 E 9Th St |
$68.48 | 19,173 | 1,749 |
|
Esperanza Acosta
900 W 49Th St Ste 406 |
$50.18 | 18,878 | 1,479 |
|
Vivian Fennen
4175 W 20Th Ave |
$49.08 | 18,254 | 2,307 |
|
Eduardo Evora
4118 W 12Th Ave |
$70.15 | 16,286 | 2,064 |
|
Nelly Mola
1651 W 37Th St Ste 404 |
$56.75 | 15,528 | 2,200 |
|
Rosa Vargas
4175 W 20Th Ave |
$64.38 | 15,406 | 5,035 |
|
Iosif Bonet Solis
6140 W 10Th Ave |
$53.17 | 15,319 | 1,870 |
|
Yasnay Gomez Villiva
383 W 34Th St |
$63.84 | 14,091 | 1,597 |
|
Noelvis Santana Estevez
496 W 45Th Pl |
$46.11 | 13,226 | 621 |
|
Yeni Corcho Arevalo
1370 W 83Rd St |
$69.40 | 12,186 | 1,657 |
|
Ovial Reyes Amat
810 W 81St Pl |
$66.38 | 10,375 | 1,120 |
|
One Soul Cmh Inc
5901 Nw 183Rd St Ste 126 |
$63.70 | 10,036 | 1,036 |
|
Claudia Lorenzo
4175 W 20Th Ave |
$83.66 | 8,851 | 3,210 |
|
Humberto Fernandez
7782 Nw 200Th St |
$63.33 | 8,518 | 838 |
|
Lifestar Mental Wellness Center Inc, Cmhc
3416 W 84Th St Ste 108 |
$86.47 | 8,185 | 1,069 |
|
Liansy Gonzalez
551 W 51St Pl |
$51.39 | 8,062 | 1,294 |
|
Ariadna Gonzalez Bermudez
18300 Nw 62Nd Ave Ste 200 |
$71.14 | 6,875 | 523 |
|
Alina M Regueiro Torrens
3414 W 84Th St Ste 110 |
$63.49 | 6,421 | 868 |
|
Greter Bermudez Ramos
1330 West 54 Street Apto 207C |
$59.30 | 6,070 | 584 |
|
Martha Meszaros
4175 W 20Th Ave |
$52.52 | 4,273 | 1,261 |
|
Arlety Perez Gonzalez
7641 Nw 182Nd Ter |
$71.97 | 3,725 | 306 |
|
Gilda Sosa
2300 W 84Th St Ste 105 |
$69.07 | 2,707 | 655 |
|
Juan Jesus Cecilio
4175 W 20Th Ave |
$53.72 | 2,307 | 378 |
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