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 |
|---|---|---|---|
|
Sarah Jean Kindler
Uk Kentucky Neuroscience Institute |
$0.00 | 12 | 12 |
|
Nicole Lavy-Joy
342 Waller Ave Ste D |
$212.80 | 14 | 13 |
|
Emily Frances Sachs
201 Mechanic St |
$278.40 | 14 | 13 |
|
James Campbell
501 Darby Creek Rd |
$334.00 | 16 | 16 |
|
Jessica Michelle Marshal
1351 Newtown Pike Bldg 1 |
$62.62 | 16 | 12 |
|
Ida B Marr
1113 Centre Pkwy |
$355.92 | 17 | 17 |
|
Christopher M Lyon
2416 Regency Rd |
$3.75 | 19 | 13 |
|
Matthew Mayes
715 Shaker Dr Ste 80 |
$246.06 | 19 | 14 |
|
Tamara Mccauley Hurst
3201 Mist Lake Ct |
$181.32 | 25 | 17 |
|
2Nd Home Adult Day Health Care Llc
2432 Regency Rd Ste 200 |
$133.93 | 28 | 26 |
|
Dennis R. Northrip
2416 Regency Road |
$1.04 | 28 | 17 |
|
Hannah Gaye Shelton
3301 Leestown Rd |
$0.00 | 34 | 34 |
|
Mubashir Qazi
161 N Eagle Creek Dr |
$10.06 | 34 | 29 |
|
Shannon M Wyatt
245 Fountain Ct Ste 225 |
$212.45 | 37 | 26 |
|
Avichai Eres
161 N Eagle Creek Dr |
$15.14 | 46 | 37 |
|
Kaitlin Nicole Welch
2250 Thunderstick Dr |
$330.95 | 46 | 45 |
|
Michael Holmes
496 Southland Dr |
$229.19 | 54 | 44 |
|
Joshua Aaron Rodocker
2400 Greatstone Point |
$331.38 | 58 | 57 |
|
Daisy E Brown
1125 Commercial Dr |
$229.95 | 67 | 50 |
|
Candice Blackburn Henderson
274 Southland Dr Ste 204 |
$195.78 | 68 | 53 |
|
Todd Cote
1733 Harrodsburg Rd |
$145.45 | 69 | 48 |
|
Kimberly Khadoo-Baynham
201 Mechanic St |
$89.38 | 71 | 29 |
|
Anthony W Flynn
1351 Newtown Pike Bldg 1 |
$192.16 | 73 | 42 |
|
Amanda L Crabtree
1351 Newtown Pike |
$285.39 | 79 | 65 |
|
Amy L Smith
861 Corporate Dr |
$337.57 | 83 | 76 |
|
Ronald Clay Bibb
365 Waller Ave Ste 100 |
$275.04 | 85 | 72 |
|
John Curtis Montague
900 Beasley St |
$279.04 | 86 | 69 |
|
Eric J. Webb
1351 Newtown Pike Bldg 1 |
$297.45 | 89 | 88 |
|
Charles Richard Nelton
575 W Main St |
$222.11 | 90 | 65 |
|
Sarah Rhomberg
1351 Newtown Pike |
$300.74 | 95 | 88 |
|
Brandie Lee Bruner
575 W Main St |
$0.00 | 98 | 98 |
|
William Washington
1109 Centurian Rd |
$274.54 | 99 | 83 |
|
Rebecca Groves
2331 Fortune Dr Ste 225 |
$311.69 | 112 | 108 |
|
Rae Lyn Glover
651 Longview Dr |
$158.18 | 120 | 105 |
|
Anastasia A. S. Jandes
2041 Creative Dr Ste 100 #54448 |
$250.52 | 121 | 109 |
|
David Allen Shadd
360 W Loudon Ave |
$304.43 | 141 | 129 |
|
Curtis Welling
360 W Loudon Ave |
$0.00 | 149 | 128 |
|
William R Crowe
2444 Harrodsburg Rd |
$318.51 | 194 | 186 |
|
David Thomas
600 Perimeter Dr Ste 125 |
$302.86 | 196 | 183 |
|
Lauren Elizabeth Downey
1600 Harrodsburg Rd |
$146.89 | 208 | 116 |
|
Jennifer Gross
3161 Custer Dr Ste 4 |
$349.35 | 218 | 211 |
|
Keisha Coleman
1351 Newtown Pike Bldg 1 |
$293.04 | 221 | 210 |
|
Jessica N Sucik
496 Southland Dr |
$469.30 | 278 | 278 |
|
Benjamin Tyler Scott
575 W Main St |
$268.12 | 279 | 245 |
|
Leila M Goodpaster
3205 Elk Lake Ct. |
$297.30 | 303 | 282 |
|
Bluegrass Area Development District
699 Perimeter Dr |
$78.00 | 309 | 297 |
|
Michele Boyle
900 Beasley St |
$270.62 | 310 | 281 |
|
Cristin Lynn Lesher
740 S Limestone Ste J233 |
$306.17 | 318 | 288 |
|
Robert Kyle May
503 Darby Creek Rd Ste C |
$259.00 | 332 | 281 |
|
Matthew Frye
1351 Newtown Pike Bldg 1 |
$231.58 | 348 | 294 |
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