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Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in Lorain, OH: $107.34

Avg. Paid

$107.34

Range

$0.00 – $501.06

Total Claims

20,478

Providers

23

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 Lorain, OH

Provider Avg. Paid Claims Patients
Charnelle Dionne Cannon

1865 N Ridge Rd E Ste C

 $0.00 51 12
Karen J Sharaba

1865 N Ridge Rd E

 $91.12 54 25
Erick Hernandez

1865 N Ridge Rd E

 $84.46 75 36
Amy E Loch

2173 N Ridge Rd E

 $481.25 81 61
Tanya Humes

1865 N Ridge Rd E Ste A

 $219.35 157 120
Sabrina Lynn Settlemire

6140 S Broadway

 $43.85 185 68
Patrick Jama

1865 N Ridge Rd E Ste E

 $33.15 203 65
Savannah Marie Von Eitzen

1865 N Ridge Rd E Ste E

 $25.43 222 88
Ursala Mckissick

1865 N Ridge Rd E Ste C

 $207.94 238 131
Diane Solomon

1865 N Ridge Rd E Ste C

 $51.75 240 55
Jordyn Nicole Mikes

1865 N Ridge Rd E Ste E

 $162.84 252 160
Sydney Ann Casanova

1865 N Ridge Rd E Ste C

 $0.00 270 76
Andrea Michelle Lara

1865 N Ridge Rd E Ste A

 $46.39 278 109
Kayla Lowery

1865 N Ridge Rd E Ste D

 $501.06 294 277
Brian Roger Tibbetts

1865 N Ridge Rd E Ste E

 $88.54 303 150
Jennifer Frances Daggett

1865 N Ridge Rd E Ste D

 $108.84 464 193
Donnamarie Berardinelli

6140 S Broadway

 $181.80 489 295
Alesha E Swopes

6140 S Broadway

 $114.85 856 288
Shamika Denise Hayworth

6143 Goldenrod Ln

 $177.04 988 644
Jessica L Songer

2173 N Ridge Rd E Ste E

 $107.76 1,161 476
Maureen Allan

1865 N Ridge Rd E Ste C

 $40.17 2,088 483
Brittany L Monet

1865 N Ridge Rd E Ste E

 $12.71 2,512 403
Sara Marie Slutz

1865 N Ridge Rd E Ste A

 $127.47 9,017 3,834

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 Lorain, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Lorain, OH is $107.34 per claim, based on 20,478 claims from 23 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 Lorain, OH?

There are 23 Medicaid providers offering Case Management Services related services in Lorain, OH according to public payment data.

What is the price range for Case Management Services in Lorain, OH?

Medicaid reimbursement for Case Management Services in Lorain, OH ranges from $0.00 to $501.06 per claim, with an average of $107.34. 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 Lorain, OH

Office Visit

Avg $42.76

582,044 claims

Behavioral & Mental Health Therapy

Avg $73.54

353,970 claims

Blood Work & Lab Tests

Avg $5.56

292,761 claims

Psychiatric Evaluation

Avg $68.76

200,757 claims

Substance Abuse Treatment

Avg $132.64

187,034 claims

Emergency Room Visit

Avg $85.32

173,745 claims

Vaccines & Immunizations

Avg $12.47

139,698 claims

Home Health Visit

Avg $77.73

101,545 claims