Average Medicaid Case Management Services Payments in Lexington, KY: $271.70
Avg. Paid
$271.70
Range
$0.00 – $559.59
Total Claims
237,411
Providers
120
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carla J. Barrowman, Inc.
4750 Hartland Pkwy |
$316.17 | 37,652 | 36,372 |
|
Columbus Medical Services, Llc
2333 Alexandria Dr |
$355.89 | 34,096 | 33,352 |
|
Encore Adhc, Llc
2432 Regency Rd Ste 200 |
$95.12 | 17,644 | 16,798 |
|
Bluegrass Area Development District
699 Perimeter Dr |
$272.69 | 13,337 | 13,078 |
|
Carlos Serna
831 W Maxwell St |
$369.74 | 11,604 | 11,512 |
|
Lhcg Lxx, Llc
880 Corporate Dr Ste 400 |
$124.19 | 10,726 | 10,497 |
|
Carol M O'Brien
1351 Newtown Pike |
$315.94 | 7,534 | 6,679 |
|
Just Family, Inc
249 E Main St |
$89.69 | 7,045 | 6,766 |
|
Caretenders Vs Of Central Ky, Llc
771 Corporate Dr Ste 1020 |
$89.26 | 5,097 | 4,708 |
|
Kay Hubbard
501 Darby Creek Rd |
$299.45 | 4,773 | 4,471 |
|
Stephen Burnham Lamb
436 W 2Nd St |
$301.95 | 4,648 | 4,324 |
|
Phyllis Leigh
961 Beasley St Ste 170 |
$285.89 | 3,819 | 3,301 |
|
Daniel Alto Lee
278 Southland Dr Ste 204 |
$279.80 | 3,678 | 3,160 |
|
Alexandria Filomena Carlos
1351 Newtown Pike Bldg 1 |
$267.44 | 3,471 | 2,934 |
|
Toni Nicole Webb
1101 Veterans Dr |
$278.85 | 3,285 | 2,647 |
|
Spencer Danielle Seese
340 Legion Dr Ste 28 |
$255.65 | 3,191 | 2,727 |
|
Julie A Lebrun
861 Corporate Dr |
$302.48 | 2,813 | 2,487 |
|
Christina Woodruff
1351 Newtown Pike Bldg 1 |
$368.40 | 2,712 | 2,568 |
|
David Waters
409 W New Circle Rd |
$248.26 | 2,638 | 2,128 |
|
Heather Rene' Larrabee
1351 Newtown Pike |
$325.58 | 2,539 | 2,287 |
|
Lesley B Gifford
1351 Newtown Pike |
$303.78 | 2,397 | 2,091 |
|
Kathleen Ann Burnett
1351 Newtown Pike Bldg 1 |
$323.38 | 2,312 | 2,078 |
|
Peter A Coats
459 Marquis Ave |
$265.71 | 2,160 | 1,704 |
|
Richard Louis Wheeler
160 Moore Dr Ste 201 |
$284.23 | 2,065 | 1,861 |
|
Andrea L Baker
740 S Limestone |
$274.98 | 2,002 | 1,786 |
|
Jason Muzzillo
152 E Reynolds Rd Ste 103 |
$368.90 | 1,803 | 1,588 |
|
Glenna J Henson
1351 Newtown Pike |
$250.96 | 1,796 | 1,523 |
|
Lisa Bryant
2800 Ashbrooke Dr |
$288.27 | 1,685 | 1,390 |
|
Kathryn E Larson
1353 W Main St |
$334.27 | 1,480 | 1,244 |
|
Nikita Sutton
1401 Harrodsburg Rd Ste A530 |
$559.59 | 1,406 | 1,379 |
|
Elizabeth Sullins Tovar
3150 Custer Dr Ste 101 |
$224.82 | 1,372 | 981 |
|
Janet Lynne Lewis
2250 Thunderstick Dr Ste 1104 |
$293.10 | 1,303 | 1,073 |
|
Terri J Powell
845 Lane Allen Rd |
$259.66 | 1,265 | 1,137 |
|
Joann Elizabeth Chavez-Holder
2250 Thunderstick Dr Ste 1104 |
$272.82 | 1,257 | 977 |
|
Katherine L. Pennington
3147 Custer Dr |
$236.57 | 1,172 | 889 |
|
Afton Communiy Day, Inc.
3743 Red River Dr |
$129.13 | 1,109 | 1,082 |
|
Laura E Whitmer
2250 Thunderstick Dr Ste 1104 |
$315.24 | 1,062 | 926 |
|
Kimberly R Snapp
1351 Newtown Pike |
$292.16 | 1,057 | 968 |
|
Tiffany Nicole Wright
436 W2Nd St |
$292.26 | 1,056 | 925 |
|
Megan B Begley
101 N Eagle Creek Dr |
$272.25 | 1,045 | 905 |
|
Latoya Burns Vaughn
1351 Newtown Pike |
$297.21 | 908 | 848 |
|
Lisa Nicholson
1351 Newtown Pike |
$210.77 | 901 | 591 |
|
Stephanie M. Raglin
1524 Versailles Rd |
$278.73 | 819 | 729 |
|
Hospice Of The Bluegrass, Inc
1733 Harrodsburg Rd |
$299.18 | 801 | 675 |
|
David Allen Gammon
3296 Ridgecane Rd |
$157.56 | 733 | 485 |
|
Christina Emery
2250 Leestown Rd Bldg 27-2 |
$247.35 | 732 | 669 |
|
Kimberly Roberts
366 Waller Ave Ste 103 |
$289.01 | 730 | 661 |
|
Katherine Daye Jones
900 Beasley St |
$293.99 | 726 | 604 |
|
Bryan Alan Hemrick
1351 Newtown Pike Bldg 1 |
$314.70 | 708 | 679 |
|
April Marie Smith
2250 Thunderstick Dr Ste 1104 |
$213.30 | 690 | 486 |
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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Lexington, KY is $271.70 per claim, based on 237,411 claims from 120 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 Lexington, KY?
There are 120 Medicaid providers offering Case Management Services related services in Lexington, KY according to public payment data.
What is the price range for Case Management Services in Lexington, KY?
Medicaid reimbursement for Case Management Services in Lexington, KY ranges from $0.00 to $559.59 per claim, with an average of $271.70. 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 Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Physical Therapy
Avg $62.23
1,009,326 claims
Substance Abuse Treatment
Avg $82.19
953,868 claims
Dental Cleaning & Exam
Avg $36.91
818,313 claims