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 |
|---|---|---|---|
|
Brianne Leigh Fender Dunning
1018 Chase Dr |
$121.50 | 12 | 12 |
|
Ca'Lantrica Hunt
2408 Susannah St Ste 1 |
$72.90 | 15 | 14 |
|
Amanda Crawford
2700 S Roan St Ste 105 |
$0.00 | 18 | 12 |
|
Nikki Faye Roberts
2 Red Bush Ct |
$247.00 | 24 | 24 |
|
Michael Todd Wilkerson
3114 Browns Mill Rd |
$78.11 | 28 | 14 |
|
Haley Cantrell Adkins
3114 Browns Mill Rd |
$236.26 | 62 | 60 |
|
Jordan Danielle Conley
2408 Susannah St Ste 1 |
$244.76 | 138 | 137 |
|
Craig M Haire
401 E Main St |
$2.32 | 210 | 82 |
|
Matthew Shawn Thomas
3114 Browns Mill Rd |
$0.12 | 261 | 117 |
|
Jeanne Lynne Lewis
403 N State Of Franklin Rd |
$134.90 | 272 | 161 |
|
Alicia Merie Caffrey
102 N Broadway St |
$179.18 | 297 | 264 |
|
Seth Clayton Thompson
108 Furches Dr Apt 14 |
$181.85 | 336 | 303 |
|
Roger Dale Johnson
207 E Myrtle Ave |
$259.35 | 348 | 344 |
|
Meghan Marie Hollier
1018 Chase Dr |
$194.59 | 411 | 359 |
|
Donald Lentz Henson
3114 Browns Mill Rd |
$0.52 | 472 | 151 |
|
Kent Steven Wright
301 Med Tech Pkwy Ste 120 |
$128.62 | 495 | 316 |
|
Kimberly Dawn Lilley
1018 Chase Dr |
$214.44 | 496 | 454 |
|
Jennifer C. Wisdom-Schepers
3114 Browns Mill Rd |
$0.27 | 665 | 327 |
|
Charla Barefield Bacon
1018 Chase Dr |
$153.01 | 872 | 826 |
|
Jerome J Cohan
1018 Chase Dr |
$175.98 | 888 | 779 |
|
Jennifer Stuart Miller
3915 Bristol Hwy Ste 101 |
$113.24 | 892 | 796 |
|
Zachary A. Hammons
1018 Chase Dr |
$226.90 | 894 | 868 |
|
Marianne E Filka
2408 Susannah St Ste 1 |
$1.52 | 980 | 320 |
|
Lauren Berry
1018 Chase Dr |
$207.82 | 1,006 | 898 |
|
Andrew Nathan Brown
378 Marketplace Dr Ste 5 |
$229.64 | 1,460 | 1,319 |
|
Timothy Scott Smyth
1018 Chase Dr |
$217.40 | 1,655 | 1,537 |
|
East Tennessee Recovery, Pllc
2408 Susannah St Ste 1 |
$80.19 | 2,007 | 1,616 |
|
Michelle L Arwood
2 Professional Park Dr Ste 21 |
$220.54 | 3,068 | 2,881 |
|
Rebecca Dian Greenway
2408 Susannah St Ste 1 |
$228.92 | 3,487 | 3,298 |
|
Emmalea Elizabeth Johnston
2408 Susannah St Ste 1 |
$125.41 | 3,662 | 2,206 |
|
Pyung Suh
401 E Main St |
$229.88 | 4,298 | 4,074 |
|
Anna S Vaneaton
3114 Browns Mill Rd |
$140.26 | 11,600 | 7,332 |
|
Susan Gilman
2112 N Roan St Ste 300 |
$242.21 | 13,075 | 12,459 |
|
Catalyst Health Solutions,Llc
1018 Chase Dr |
$216.63 | 16,402 | 15,034 |
|
The Arc Of Washington County, Inc
2700 S Roan St |
$236.03 | 35,388 | 35,257 |
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
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Avg $37.73
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Tucson, AZ
Avg $33.22
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Nashville, TN
Avg $197.77
5,117,343 claims · 28 providers
Miami, FL
Avg $82.94
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New York, NY
Avg $322.62
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Montgomery, AL
Avg $50.35
3,554,330 claims · 24 providers
Oklahoma City, OK
Avg $178.61
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Mesa, AZ
Avg $32.09
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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