Average Medicaid Case Management Services Payments in Lavalette, WV: $68.14
Avg. Paid
$68.14
Range
$49.33 – $208.04
Total Claims
11,575
Providers
8
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 Lavalette, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mainstream Services, Incorporated
4757C Route 152 |
$49.33 | 9,154 | 2,681 |
|
Autism Management Group
4552 Route 152 |
$69.65 | 1,132 | 377 |
|
Alexandra Rhoads
4757 Route 152 Ste 2 |
$196.44 | 393 | 373 |
|
Tara Henry
4757 Route 152 Ste 2 |
$205.04 | 248 | 248 |
|
Rachel Dawn Scarberry
4757 Route 152 Ste 2 |
$190.05 | 221 | 213 |
|
Kortni Packo
4757 Route 152 Ste 2 |
$208.04 | 168 | 168 |
|
Nattia Inyangette
4757 Route 152 Ste 2 |
$206.44 | 132 | 132 |
|
Adam Clay Stephenson
4757 Route 152 Ste 2 |
$204.72 | 127 | 127 |
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 Lavalette, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Lavalette, WV is $68.14 per claim, based on 11,575 claims from 8 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 Lavalette, WV?
There are 8 Medicaid providers offering Case Management Services related services in Lavalette, WV according to public payment data.
What is the price range for Case Management Services in Lavalette, WV?
Medicaid reimbursement for Case Management Services in Lavalette, WV ranges from $49.33 to $208.04 per claim, with an average of $68.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Lavalette, WV
Personal Care Services
Avg $316.86
44,489 claims
Substance Abuse Treatment
Avg $135.20
6,818 claims
Emergency Room Visit
Avg $99.24
6,030 claims
Blood Work & Lab Tests
Avg $4.90
3,385 claims
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Avg $131.93
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Avg $99.05
1,540 claims
Urinalysis & Urine Tests
Avg $0.62
1,035 claims
Chiropractic Care
Avg $23.62
845 claims