Average Medicaid Case Management Services Payments in Idaho Falls, ID: $48.12
Avg. Paid
$48.12
Range
$26.42 – $250.12
Total Claims
426,038
Providers
47
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 Idaho Falls, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marisol Ramirez Angeles
2275 W Broadway St |
$66.00 | 16 | 12 |
|
Jerilyn Taylor
615 Hoopes Ave |
$50.13 | 41 | 15 |
|
Michelle M Hunt
2275 West Broadway |
$43.18 | 43 | 12 |
|
Vista Family Services Llc
452 D Street |
$40.10 | 47 | 12 |
|
Ryan Brent Beckstead
490 Park Ave Ste 4 |
$42.77 | 67 | 29 |
|
Victoria L Mecham
320 B St Ste 109 |
$45.50 | 80 | 40 |
|
Daniel James Mcisaac
2420 E 25Th St |
$47.08 | 96 | 49 |
|
Answers, Llc
855 N Capital Ave Ste 1 |
$100.34 | 127 | 49 |
|
Eastern Idaho Public Health District
1250 Hollipark Dr |
$250.12 | 151 | 97 |
|
Travis Kurt Bybee
767 S Woodruff Ave |
$60.02 | 187 | 93 |
|
Innovative Health Care Concepts, Inc.
790 S Holmes Ave |
$26.42 | 205 | 60 |
|
Shaylene Peninger
3914 Summer Sun |
$56.92 | 213 | 133 |
|
Jessie Elaine Sullivan
660 S Woodruff Ave |
$41.29 | 282 | 90 |
|
Caryl M Frugoli
548 Lomax |
$108.45 | 299 | 118 |
|
Aaa American Healthcare Llc
1301 E 17Th St |
$67.36 | 407 | 186 |
|
Luke & Spencer Behavioral Health Pllc
1904 Jennie Lee Dr |
$86.85 | 412 | 115 |
|
Beehive Rehabilitation And Counseling, Pa
545 Shoup Ave |
$56.35 | 478 | 150 |
|
Cherity Woolf
2539 Channing Way Ste 101 |
$45.27 | 599 | 166 |
|
Megan Howard
1970 E 17Th St Ste 115 |
$45.45 | 660 | 306 |
|
America Health Inc
1301 E 17Th St |
$73.04 | 847 | 248 |
|
Angelina Lerae Norton
3760 Washington Pkwy |
$45.01 | 1,167 | 342 |
|
Aaron Schaerrer
2267 Teton Plz |
$44.73 | 1,196 | 506 |
|
Bonnie Horsburgh
2267 Teton Plz |
$45.36 | 1,372 | 574 |
|
Tamara K. Pettingill
1302 E 17Th St |
$77.86 | 1,382 | 375 |
|
Larry Calabro
540 3Rd St |
$57.08 | 1,387 | 362 |
|
Joanna Laree Trussel Berg
2539 Channing Way Ste 100 |
$63.28 | 1,428 | 610 |
|
Rick G Goldman
3385 Potomac Way |
$55.65 | 1,462 | 372 |
|
Traci Alene Kettle
211 S Woodruff Ave Ste A3 |
$47.19 | 1,560 | 859 |
|
Robert Siddoway
254 E St |
$32.12 | 1,897 | 639 |
|
Human Dynamics And Diagnostics, Llc
2267 Teton Plz |
$37.21 | 2,134 | 810 |
|
Eric Olson
320 B St Ste 110 |
$49.14 | 2,384 | 785 |
|
Kristi L Nelson
1908 Jennie Lee Dr |
$30.71 | 2,398 | 474 |
|
Ethan Smith
540 3Rd St |
$51.49 | 2,681 | 691 |
|
Aaa American Healthcare Llc
1301 E 17Th St |
$72.55 | 6,855 | 1,953 |
|
Shawna Teneyck
1565 E Lincoln Rd |
$38.13 | 7,543 | 2,702 |
|
Lynetta Ruth Hagler
1277 E 17Th St |
$58.38 | 7,667 | 2,298 |
|
Joel Buxton
2635 Channing Way |
$38.91 | 9,182 | 1,958 |
|
Joshua D. Smith And Associates Inc
540 3Rd St |
$58.52 | 9,299 | 2,508 |
|
Associates For Family Independence
2588 E 98Th N |
$92.16 | 11,454 | 5,645 |
|
Steven Orme
545 Shoup Ave |
$52.88 | 11,711 | 1,952 |
|
Vanessa K French
2420 E 25Th St |
$53.48 | 11,746 | 2,921 |
|
Lisa Bell
482 Constitution Way Ste 109 |
$104.92 | 13,331 | 4,891 |
|
Riverside Service Group Inc
461 River Pkwy |
$58.04 | 19,969 | 7,996 |
|
Brett L Hampton
1970 E 17Th St Ste 202 |
$59.85 | 20,080 | 6,265 |
|
Thomas E. Tueller
2275 W Broadway St Ste G |
$51.86 | 25,158 | 7,850 |
|
See Opportunities And Achieve Results
1380 Benton St |
$38.87 | 98,466 | 23,462 |
|
Innovative Health Care Concepts, Inc
790 S Holmes Ave |
$39.43 | 145,872 | 48,364 |
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 Idaho Falls, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Idaho Falls, ID is $48.12 per claim, based on 426,038 claims from 47 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 Idaho Falls, ID?
There are 47 Medicaid providers offering Case Management Services related services in Idaho Falls, ID according to public payment data.
What is the price range for Case Management Services in Idaho Falls, ID?
Medicaid reimbursement for Case Management Services in Idaho Falls, ID ranges from $26.42 to $250.12 per claim, with an average of $48.12. 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 Idaho Falls, ID
Office Visit
Avg $61.52
566,749 claims
Blood Work & Lab Tests
Avg $7.24
547,065 claims
Physical Therapy
Avg $62.36
366,638 claims
Substance Abuse Treatment
Avg $117.95
364,872 claims
Speech Therapy
Avg $47.43
320,858 claims
Home Health Visit
Avg $47.78
296,402 claims
Behavioral & Mental Health Therapy
Avg $91.88
294,557 claims
Psychiatric Evaluation
Avg $58.25
262,949 claims