Average Medicaid Case Management Services Payments in Houston, TX: $155.12
Avg. Paid
$155.12
Range
$0.00 – $272.69
Total Claims
145,169
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 Houston, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cheryce Hunsinger
2626 S Loop W Ste 265 |
$0.00 | 13 | 13 |
|
Cosha Shawntell Joseph
11767 Katy Fwy Ste 1130 |
$14.81 | 13 | 12 |
|
Phyllis M. Syers
9894 Bissonnet St Ste 394 |
$142.75 | 14 | 12 |
|
Jennifer Marie Dasher
1900 North Loop W Ste 590 |
$0.00 | 15 | 15 |
|
Dawn Rochelle Eaden
2656 S Loop W |
$93.45 | 17 | 15 |
|
Dawnielle Colquitt
2150 W. 18Th Street |
$19.26 | 20 | 13 |
|
Luis Ernesto Zepeda
3100 Broadway St Ste 104E |
$0.00 | 29 | 28 |
|
Zhengnan Yin
9600 Bellaire Blvd |
$10.77 | 31 | 29 |
|
Lahor Behavioral Services, Llc
14526 Old Katy Rd Ste 200 |
$215.89 | 32 | 15 |
|
Lei Behavioral Services Llc
6201 Bonhomme Rd Ste 266N |
$222.88 | 38 | 26 |
|
Mary W Kaburu
2323 Polk St Apt 307 |
$0.00 | 39 | 14 |
|
Brisa Rodriguez
947 Point Blank Dr |
$133.74 | 48 | 42 |
|
Irfan Ali
6701 Fannin St |
$53.85 | 50 | 46 |
|
Easter Seals Of Greater Houston, Inc.
4888 Loop Central Dr Ste 200 |
$0.00 | 58 | 39 |
|
Another Chance Behavioral Consultants Llc
12337 Jones Rd Ste 200-12 |
$72.78 | 59 | 29 |
|
Office Of Behavioral Medicine
110 Cypress Station Dr Ste 150 |
$88.12 | 59 | 25 |
|
Latonya Latrice Boothe
225 Pennbright Dr |
$3.95 | 61 | 60 |
|
Bao Thang Pham
12545 Briar Forest Dr Ste A |
$17.71 | 61 | 54 |
|
Miriam Nicole Harris
11281 Richmond Ave Ste J108 |
$0.00 | 65 | 12 |
|
Unlimited Pathways To Change, Llc
5757 Woodway Dr Ste 319 |
$192.03 | 79 | 17 |
|
Stacey Lawrence Rawls
16310 Tomball Pkwy Unit 1503 |
$94.05 | 80 | 35 |
|
Preferred Healthcare Group Llc
5959 Westheimer Rd Ste 425 |
$177.82 | 97 | 57 |
|
Creative Outlook Counseling & Consulting Services, Pllc
4902 Lockwood Dr |
$130.49 | 119 | 42 |
|
Kimberly Hall
2855 Mangum Rd Ste A415 |
$0.00 | 122 | 38 |
|
Tlw Transformation Center
1550 La Concha Ln |
$62.06 | 131 | 49 |
|
Elevate Comprehensive Services Llc
17117 Westheimer Rd # 8 |
$237.23 | 153 | 130 |
|
Diamond Experience Co.
401 Franklin St Ste 2400 |
$150.63 | 196 | 91 |
|
Pathways Behavioral Health, Inc
440 Louisiana St Ste 803 |
$120.60 | 206 | 105 |
|
Ameisha Jashon Scott
2626 S Loop W Ste 430 |
$43.83 | 219 | 113 |
|
Family Solutions Of Louisiana, Inc.
350 N Sam Houston Pkwy E Ste 121 |
$0.00 | 220 | 95 |
|
Grace Behavioral Health Center
6666 Harwin Dr Ste 400 |
$124.09 | 230 | 177 |
|
Evolve Outreach Of Texas Llc
2101 Crawford St Ste 311 |
$134.27 | 232 | 90 |
|
Marva Mcdowell
13700 Veterans Memorial Dr Ste 235 |
$131.52 | 296 | 203 |
|
Carl W Miller
11999 Katy Fwy |
$43.00 | 346 | 145 |
|
Angela I Okotie-Eboh
2420 Fannin St |
$63.52 | 404 | 151 |
|
Find Your Destiny Counseling Services Llc
4201 Cypress Creek Pkwy Ste 355 |
$95.77 | 415 | 115 |
|
Vibrant Comprehensive Services Llc
16310 Tomball Pkwy Unit 1503 |
$181.21 | 478 | 269 |
|
Nurturing Arms Counseling Services Llc
7324 Southwest Fwy Ste 800 |
$145.87 | 497 | 269 |
|
Carrie Butler
1110 Nasa Pkwy |
$129.11 | 560 | 277 |
|
The Empowerment Center
9002 Chimney Rock Rd |
$141.13 | 561 | 60 |
|
Tameka R Pounds
10325 Cypresswood Dr Apt 1212 |
$192.83 | 667 | 248 |
|
Jillian Ellen Mitki
1941 East Rd |
$49.79 | 899 | 478 |
|
Positive Life & Learning Solutions
10023 Main St C-4 Houston, Tx 77025 |
$151.65 | 943 | 318 |
|
It Takes A Village Mental Health Services
2101 Citywest Blvd Ste 125 |
$126.36 | 973 | 184 |
|
Legacy Community Health Services, Inc
1415 California St |
$0.00 | 1,051 | 702 |
|
Segnik Group Inc
7001 Corporate Dr |
$179.87 | 1,077 | 1,077 |
|
Creation Living Center
16325 Westheimer Road |
$179.39 | 1,128 | 1,126 |
|
Nirvana Behavioral Solutions,Llc
7111 Harwin Dr Ste 130 |
$181.68 | 1,274 | 226 |
|
Their Strength Companionships For Mental Health Llc
14405 Walters Rd Ste 845 |
$139.22 | 1,278 | 358 |
|
Safe Place Counseling & Consulting
11767 Katy Fwy Ste 1130 |
$113.85 | 1,532 | 609 |
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 Houston, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Houston, TX is $155.12 per claim, based on 145,169 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 Houston, TX?
There are 71 Medicaid providers offering Case Management Services related services in Houston, TX according to public payment data.
What is the price range for Case Management Services in Houston, TX?
Medicaid reimbursement for Case Management Services in Houston, TX ranges from $0.00 to $272.69 per claim, with an average of $155.12. 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 Houston, TX
Office Visit
Avg $48.27
8,766,644 claims
Vaccines & Immunizations
Avg $6.36
4,720,768 claims
Dental Cleaning & Exam
Avg $39.95
3,744,881 claims
Blood Work & Lab Tests
Avg $9.56
3,408,214 claims
Emergency Room Visit
Avg $183.70
2,360,699 claims
X-Ray
Avg $9.02
1,931,677 claims
Personal Care Services
Avg $67.63
1,546,221 claims
Urinalysis & Urine Tests
Avg $5.15
1,340,067 claims