Average Medicaid Case Management Services Payments in Johnson City, TN: $205.60
Avg. Paid
$205.60
Range
$0.00 – $259.35
Total Claims
106,194
Providers
35
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 Johnson City, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Arc Of Washington County, Inc
2700 S Roan St |
$236.03 | 35,388 | 35,257 |
|
Catalyst Health Solutions,Llc
1018 Chase Dr |
$216.63 | 16,402 | 15,034 |
|
Susan Gilman
2112 N Roan St Ste 300 |
$242.21 | 13,075 | 12,459 |
|
Anna S Vaneaton
3114 Browns Mill Rd |
$140.26 | 11,600 | 7,332 |
|
Pyung Suh
401 E Main St |
$229.88 | 4,298 | 4,074 |
|
Emmalea Elizabeth Johnston
2408 Susannah St Ste 1 |
$125.41 | 3,662 | 2,206 |
|
Rebecca Dian Greenway
2408 Susannah St Ste 1 |
$228.92 | 3,487 | 3,298 |
|
Michelle L Arwood
2 Professional Park Dr Ste 21 |
$220.54 | 3,068 | 2,881 |
|
East Tennessee Recovery, Pllc
2408 Susannah St Ste 1 |
$80.19 | 2,007 | 1,616 |
|
Timothy Scott Smyth
1018 Chase Dr |
$217.40 | 1,655 | 1,537 |
|
Andrew Nathan Brown
378 Marketplace Dr Ste 5 |
$229.64 | 1,460 | 1,319 |
|
Lauren Berry
1018 Chase Dr |
$207.82 | 1,006 | 898 |
|
Marianne E Filka
2408 Susannah St Ste 1 |
$1.52 | 980 | 320 |
|
Zachary A. Hammons
1018 Chase Dr |
$226.90 | 894 | 868 |
|
Jennifer Stuart Miller
3915 Bristol Hwy Ste 101 |
$113.24 | 892 | 796 |
|
Jerome J Cohan
1018 Chase Dr |
$175.98 | 888 | 779 |
|
Charla Barefield Bacon
1018 Chase Dr |
$153.01 | 872 | 826 |
|
Jennifer C. Wisdom-Schepers
3114 Browns Mill Rd |
$0.27 | 665 | 327 |
|
Kimberly Dawn Lilley
1018 Chase Dr |
$214.44 | 496 | 454 |
|
Kent Steven Wright
301 Med Tech Pkwy Ste 120 |
$128.62 | 495 | 316 |
|
Donald Lentz Henson
3114 Browns Mill Rd |
$0.52 | 472 | 151 |
|
Meghan Marie Hollier
1018 Chase Dr |
$194.59 | 411 | 359 |
|
Roger Dale Johnson
207 E Myrtle Ave |
$259.35 | 348 | 344 |
|
Seth Clayton Thompson
108 Furches Dr Apt 14 |
$181.85 | 336 | 303 |
|
Alicia Merie Caffrey
102 N Broadway St |
$179.18 | 297 | 264 |
|
Jeanne Lynne Lewis
403 N State Of Franklin Rd |
$134.90 | 272 | 161 |
|
Matthew Shawn Thomas
3114 Browns Mill Rd |
$0.12 | 261 | 117 |
|
Craig M Haire
401 E Main St |
$2.32 | 210 | 82 |
|
Jordan Danielle Conley
2408 Susannah St Ste 1 |
$244.76 | 138 | 137 |
|
Haley Cantrell Adkins
3114 Browns Mill Rd |
$236.26 | 62 | 60 |
|
Michael Todd Wilkerson
3114 Browns Mill Rd |
$78.11 | 28 | 14 |
|
Nikki Faye Roberts
2 Red Bush Ct |
$247.00 | 24 | 24 |
|
Amanda Crawford
2700 S Roan St Ste 105 |
$0.00 | 18 | 12 |
|
Ca'Lantrica Hunt
2408 Susannah St Ste 1 |
$72.90 | 15 | 14 |
|
Brianne Leigh Fender Dunning
1018 Chase Dr |
$121.50 | 12 | 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 Johnson City, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Johnson City, TN is $205.60 per claim, based on 106,194 claims from 35 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 Johnson City, TN?
There are 35 Medicaid providers offering Case Management Services related services in Johnson City, TN according to public payment data.
What is the price range for Case Management Services in Johnson City, TN?
Medicaid reimbursement for Case Management Services in Johnson City, TN ranges from $0.00 to $259.35 per claim, with an average of $205.60. 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 Johnson City, TN
Office Visit
Avg $41.00
1,254,454 claims
Blood Work & Lab Tests
Avg $6.13
810,124 claims
Ambulance Transport
Avg $19.77
356,576 claims
Non-Emergency Medical Transportation
Avg $5.44
345,590 claims
Emergency Room Visit
Avg $90.83
331,961 claims
Psychiatric Evaluation
Avg $39.41
315,792 claims
Home Health Visit
Avg $80.06
306,249 claims
Nursing Facility Care
Avg $9.59
243,361 claims