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Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in Hillsboro, OR: $152.19

Avg. Paid

$152.19

Range

$0.00 – $432.25

Total Claims

61,689

Providers

26

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 Hillsboro, OR

Provider Avg. Paid Claims Patients
Northwest Regional Education Service District

5825 Ne Ray Cir

 $36.38 18,042 13,642
Washington County Health & Human Services

155 N 1St Ave Msc 4

 $413.99 17,192 13,060
Laurie Morrow Ellett

230 Ne 2Nd Ave Ste C

 $12.22 12,653 5,403
Bryan Laurence Kelly

971 Sw Walnut St

 $92.76 3,413 1,054
Bonnie Hochstetler

971 Sw Walnut St

 $81.34 2,343 1,106
Henriksen Llc

3623 Ne John Olsen Ave

 $43.17 1,869 1,171
Jason Paul Wyman

720 Se Washington St

 $0.00 946 361
Washington County Oregon

155 N. First Avenue

 $432.25 848 809
Alison Barbara Dougherty

971 Sw Walnut St

 $67.40 695 453
Elyse Brouhard

486 Se Washington St

 $94.82 556 308
Washington County Oregon

155 N First Avenue

 $332.19 431 358
Monica Maria Arce

226 Se 8Th Ave

 $80.69 411 381
Shaun Richard Babcock

335 Se 8Th Ave

 $123.65 374 151
Veronica Musso

971 Sw Walnut St

 $69.86 364 249
Ramona Elizabeth Mason

1915 Ne Stucki Ave Ste 305

 $122.33 261 179
Mia Karimeh Urias Garcia

971 Sw Walnut St

 $148.14 248 241
Andre Morra

971 Sw Walnut St

 $41.81 226 89
Erica Barton

1915 Ne Stucki Ave Ste 308

 $10.29 217 205
James Dostert

1058 Se Helene Ct Ste A212

 $229.73 187 72
Eric Joseph Swakhammer

1049 Sw Baseline St Ste D480

 $164.50 101 65
Anne Elizabeth Peaper

971 Sw Walnut St

 $126.99 92 84
Priscilla Gandara

1340 E Main St

 $52.28 85 35
Neomie Jaala Lemke

971 Sw Walnut St

 $8.78 83 57
Kathryn Shearer

152 Se 5Th Ave

 $62.00 20 18
Shelley Luetke

971 Sw Walnut St

 $0.00 19 18
Mary Kristine Lopes

239 Ne Lincoln St

 $19.09 13 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 Hillsboro, OR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Hillsboro, OR is $152.19 per claim, based on 61,689 claims from 26 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 Hillsboro, OR?

There are 26 Medicaid providers offering Case Management Services related services in Hillsboro, OR according to public payment data.

What is the price range for Case Management Services in Hillsboro, OR?

Medicaid reimbursement for Case Management Services in Hillsboro, OR ranges from $0.00 to $432.25 per claim, with an average of $152.19. 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 Hillsboro, OR

Office Visit

Avg $60.33

438,239 claims

Dental Cleaning & Exam

Avg $21.06

223,170 claims

Substance Abuse Treatment

Avg $52.16

216,948 claims

Ambulance Transport

Avg $125.60

181,439 claims

Blood Work & Lab Tests

Avg $5.16

151,117 claims

Emergency Room Visit

Avg $163.85

139,746 claims

Physical Therapy

Avg $54.93

95,897 claims

Psychiatric Evaluation

Avg $103.82

82,886 claims