Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in Madison, WI: $133.04

Avg. Paid

$133.04

Range

$0.00 – $516.44

Total Claims

152,948

Providers

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 Madison, WI

Provider	Avg. Paid	Claims	Patients
Dane County Department Of Human Services 1202 Northport Dr	$63.86	69,261	59,596
Dane County Human Services 1202 Northport Dr	$37.39	31,366	4,791
University Of Wisconsin Hospitals And Clinics Authority 600 Highland Ave	$417.23	16,284	16,153
Care Wisconsin First, Inc. 2802 International Ln	$516.44	14,309	11,778
Journey Mental Health Center, Inc. 49 Kessel Ct	$1.26	7,608	5,209
City Of Madison 210 Martin Luther King Jr. Blvd.	$19.79	3,294	1,797
Marsha E Ritter Jones 600 Highland Ave	$249.16	1,982	1,865
Lisa Woods 49 Kessel Ct	$0.00	736	523
Nichole C. Zenz 702 W Main St	$0.00	594	509
Lyda Thao 815 Forward Dr	$0.00	551	442
Jessica Brown 303 S Paterson St Ste 1A	$0.00	512	399
Bryan Frazier 49 Kessel Ct	$0.00	497	396
Molly Margeaux Roberts 49 Kessel Ct	$0.00	494	364
Anne-Marie Kiera' Westenberg 49 Kessel Ct	$0.00	426	390
Season Adrienne Schwarzbrott 49 Kessel Ct	$0.00	414	312
Brett Michael Masbruch 3113 E Washington Ave	$0.00	384	331
Emily Bosma 1925 Winnebago St	$0.00	327	285
Jason Meir 300 Femrite Drive	$0.00	317	266
Amanda M Henschel 49 Kessel Ct	$0.00	293	251
Robin L Lickel 25 Kessel Ct Ste 105	$0.00	287	249
Maria C Mcdonald 7633 Ganser Way Ste 204	$0.00	286	262
Tami Soleim 49 Kessel Ct	$0.00	272	259
Alyssa Kelly 49 Kessel Ct	$0.00	188	128
Rachel Marie Deroos 49 Kessel Ct	$0.00	185	167
Rachel Overholt 49 Kessel Ct	$0.00	179	143
Christine Terese Haas 49 Kessel Ct	$0.00	177	161
Erin E Friedl 25 Kessel Ct Ste 105	$0.00	169	40
Kailin E Rickert-Kauffman 700 Regent St	$0.00	167	146
Miriam Elie Porat 49 Kessel Ct	$0.00	153	115
Molly Willihnganz 6333 Odana Rd Ste 20	$0.00	148	127
Jennifer E Wangerin 25 Kessel Ct Ste 105	$0.00	112	98
Nikita Kohli 49 Kessel Ct	$0.00	83	63
Bailey A Brewer 49 Kessel Ct Rm 215	$0.00	76	69
Robin Heimerl 49 Kessel Ct	$0.00	75	75
Alisson Burda 700 Ray O Vac Dr	$0.00	67	67
Dezarae Avalos 25 Kessel Ct	$0.00	66	64
Jordan J Dennison 49 Kessel Ct	$0.00	61	49
Jennifer Lea Burkel 122 W Washington Ave Ste 630	$0.00	55	49
Neelanjana Mitra 49 Kessel Ct	$0.00	48	34
Andrea Lynn Galka 625 W Washington Ave	$0.00	48	48
Cheylene T Schank 2702 International Ln Ste 102	$0.00	48	41
Amanda J Knollenberg 7102 Mineral Point Rd	$0.00	44	40
Genoa Healthcare Llc 49 Kessel Ct	$0.00	39	32
Simran Arora 26 Schroeder Ct Ste 210	$0.00	37	37
Rachel Marie Eklund 49 Kessel Ct	$0.00	32	29
Amanda Schroedl 49 Kessel Ct	$0.00	31	20
Lisa (Pema) Antoniotti 49 Kessel Ct	$0.00	28	27
Shelley Hoepfner 49 Kessel Ct	$0.00	25	25
Anne-Marie Foteck Makongho 49 Kessel Ct	$0.00	17	12
Sarah Elizabeth Glomski 521 E Washington Ave	$0.00	16	14

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 Madison, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Madison, WI is $133.04 per claim, based on 152,948 claims from 56 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 Madison, WI?

There are 56 Medicaid providers offering Case Management Services related services in Madison, WI according to public payment data.

What is the price range for Case Management Services in Madison, WI?

Medicaid reimbursement for Case Management Services in Madison, WI ranges from $0.00 to $516.44 per claim, with an average of $133.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Case Management Services Payments in Madison, WI: $133.04

Providers Offering Case Management Services in Madison, WI

What to Expect: Case Management Services

Cost Components

Frequently Asked Questions

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