Average Medicaid Case Management Services Payments in Lewiston, ID: $35.94
Avg. Paid
$35.94
Range
$22.44 – $250.12
Total Claims
4,021
Providers
10
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 Lewiston, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Beverly Lynn Fowler
2337 3Rd Ave N |
$47.69 | 26 | 16 |
|
North Central District Health Department
215 10Th St |
$250.12 | 45 | 37 |
|
Alli Inclusion Support Services
806 3Rd St |
$48.61 | 124 | 46 |
|
Mark Jones
1020 Main St |
$59.56 | 132 | 45 |
|
Brenda Mckenzie
531 Bryden Ave |
$24.02 | 132 | 47 |
|
Crystal Ann Nystrom
2335 Main St |
$56.88 | 145 | 66 |
|
Sara Light Bennett
1720 18Th Ave |
$37.68 | 172 | 69 |
|
Alicia Flynne Powell
1203 Idaho St |
$46.60 | 428 | 120 |
|
James R Phillips
532 Bryden Ave |
$50.10 | 617 | 193 |
|
Susan Calls Case Management
313 D St |
$22.44 | 2,200 | 699 |
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 Lewiston, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Lewiston, ID is $35.94 per claim, based on 4,021 claims from 10 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 Lewiston, ID?
There are 10 Medicaid providers offering Case Management Services related services in Lewiston, ID according to public payment data.
What is the price range for Case Management Services in Lewiston, ID?
Medicaid reimbursement for Case Management Services in Lewiston, ID ranges from $22.44 to $250.12 per claim, with an average of $35.94. 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
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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 Lewiston, ID
Home Health Visit
Avg $125.71
258,838 claims
Office Visit
Avg $56.09
241,299 claims
Blood Work & Lab Tests
Avg $9.49
144,948 claims
Substance Abuse Treatment
Avg $102.12
86,773 claims
Personal Care Services
Avg $24.13
57,477 claims
Emergency Room Visit
Avg $69.45
55,045 claims
Physical Therapy
Avg $34.35
41,636 claims
Vaccines & Immunizations
Avg $13.39
40,115 claims