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 |
|---|---|---|---|
|
Journey Through Life Tx Llc
7151 Office City Dr |
$156.40 | 23,358 | 8,325 |
|
Admore Behavioral Therapy
5821 Southwest Fwy Ste 200 |
$100.08 | 20,965 | 3,915 |
|
Winners Circle Group Of Texas Inc
11811 North Fwy Ste 385 |
$159.01 | 19,677 | 2,769 |
|
Rx Health Llc
1034 Regional Park Drive |
$272.69 | 11,700 | 2,622 |
|
The Harris Center For Mental Health And Idd
9401 Southwest Fwy |
$143.10 | 7,502 | 6,603 |
|
Cye Ga Llc
2626 S Loop W Ste 435 |
$166.97 | 7,347 | 3,638 |
|
Marvelous Counseling & Therapy Pllc
13700 Veterans Memorial Dr Ste 100 |
$132.44 | 4,590 | 2,684 |
|
Houston Circle Of Hope Services
7324 Southwest Fwy Ste 835 |
$220.24 | 4,425 | 1,381 |
|
Abundant Life Therapeutic Services Texas
260 N Sam Houston Pkwy E Ste 350 |
$146.71 | 3,407 | 1,720 |
|
Ashley Reece
3730 Cypress Creek Pkwy Ste 103 |
$236.96 | 3,351 | 774 |
|
United Human Service
6201 Bonhomme Rd Ste 435S |
$101.16 | 2,712 | 512 |
|
Mattie Marie Mason
18503 Mill Path Ct |
$126.04 | 2,511 | 1,504 |
|
Chosen Behavioral Pllc
2700 Cypress Creek Pkwy |
$138.52 | 2,082 | 1,155 |
|
Aoc Outreach Services
6671 Southwest Fwy Ste 675 |
$135.36 | 2,079 | 444 |
|
Deborah Jones
515 N Sam Houston Pkwy E Ste 215 |
$128.89 | 1,884 | 1,335 |
|
Eduvention Mentoring And Consulting Llc
8711 Highway 6 N Ste 270 |
$138.39 | 1,876 | 575 |
|
Oprah Montague
3730 Cypress Creek Pkwy Ste 103 |
$235.78 | 1,839 | 580 |
|
Family 1St Counseling Center Incorporated
3730 Cypress Creek Pkwy Ste 103 |
$243.62 | 1,771 | 350 |
|
Village Life Center Texas
2101 Crawford St Ste 208 |
$123.27 | 1,724 | 989 |
|
Life Enhancement Services Of Texas Llc
350 Glenborough Dr Ste 138 |
$134.37 | 1,642 | 810 |
|
New Directions Therapeutic Center Llc
11821 East Fwy Ste 320 |
$128.38 | 1,542 | 548 |
|
Safe Place Counseling & Consulting
11767 Katy Fwy Ste 1130 |
$113.85 | 1,532 | 609 |
|
Their Strength Companionships For Mental Health Llc
14405 Walters Rd Ste 845 |
$139.22 | 1,278 | 358 |
|
Nirvana Behavioral Solutions,Llc
7111 Harwin Dr Ste 130 |
$181.68 | 1,274 | 226 |
|
Creation Living Center
16325 Westheimer Road |
$179.39 | 1,128 | 1,126 |
|
Segnik Group Inc
7001 Corporate Dr |
$179.87 | 1,077 | 1,077 |
|
Legacy Community Health Services, Inc
1415 California St |
$0.00 | 1,051 | 702 |
|
It Takes A Village Mental Health Services
2101 Citywest Blvd Ste 125 |
$126.36 | 973 | 184 |
|
Positive Life & Learning Solutions
10023 Main St C-4 Houston, Tx 77025 |
$151.65 | 943 | 318 |
|
Jillian Ellen Mitki
1941 East Rd |
$49.79 | 899 | 478 |
|
Tameka R Pounds
10325 Cypresswood Dr Apt 1212 |
$192.83 | 667 | 248 |
|
The Empowerment Center
9002 Chimney Rock Rd |
$141.13 | 561 | 60 |
|
Carrie Butler
1110 Nasa Pkwy |
$129.11 | 560 | 277 |
|
Nurturing Arms Counseling Services Llc
7324 Southwest Fwy Ste 800 |
$145.87 | 497 | 269 |
|
Vibrant Comprehensive Services Llc
16310 Tomball Pkwy Unit 1503 |
$181.21 | 478 | 269 |
|
Find Your Destiny Counseling Services Llc
4201 Cypress Creek Pkwy Ste 355 |
$95.77 | 415 | 115 |
|
Angela I Okotie-Eboh
2420 Fannin St |
$63.52 | 404 | 151 |
|
Carl W Miller
11999 Katy Fwy |
$43.00 | 346 | 145 |
|
Marva Mcdowell
13700 Veterans Memorial Dr Ste 235 |
$131.52 | 296 | 203 |
|
Evolve Outreach Of Texas Llc
2101 Crawford St Ste 311 |
$134.27 | 232 | 90 |
|
Grace Behavioral Health Center
6666 Harwin Dr Ste 400 |
$124.09 | 230 | 177 |
|
Family Solutions Of Louisiana, Inc.
350 N Sam Houston Pkwy E Ste 121 |
$0.00 | 220 | 95 |
|
Ameisha Jashon Scott
2626 S Loop W Ste 430 |
$43.83 | 219 | 113 |
|
Pathways Behavioral Health, Inc
440 Louisiana St Ste 803 |
$120.60 | 206 | 105 |
|
Diamond Experience Co.
401 Franklin St Ste 2400 |
$150.63 | 196 | 91 |
|
Elevate Comprehensive Services Llc
17117 Westheimer Rd # 8 |
$237.23 | 153 | 130 |
|
Tlw Transformation Center
1550 La Concha Ln |
$62.06 | 131 | 49 |
|
Kimberly Hall
2855 Mangum Rd Ste A415 |
$0.00 | 122 | 38 |
|
Creative Outlook Counseling & Consulting Services, Pllc
4902 Lockwood Dr |
$130.49 | 119 | 42 |
|
Preferred Healthcare Group Llc
5959 Westheimer Rd Ste 425 |
$177.82 | 97 | 57 |
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