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
56
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 |
|---|---|---|---|
|
John Mcintosh Coffin
49 Kessel Ct |
$0.00 | 12 | 12 |
|
Gabriela Jump
811 E Washington Ave Ste 400 |
$0.00 | 12 | 12 |
|
Quinton Richard Wedig
2914 Industrial Dr |
$0.00 | 13 | 12 |
|
Bridgette Miller
579 Donofrio Dr Ste 1 |
$0.00 | 14 | 14 |
|
Kayla Eggen
49 Kessel Ct |
$0.00 | 14 | 14 |
|
Rianna Bailey
25 Kessel Ct Ste 100 |
$0.00 | 15 | 14 |
|
Sarah Elizabeth Glomski
521 E Washington Ave |
$0.00 | 16 | 14 |
|
Anne-Marie Foteck Makongho
49 Kessel Ct |
$0.00 | 17 | 12 |
|
Shelley Hoepfner
49 Kessel Ct |
$0.00 | 25 | 25 |
|
Lisa (Pema) Antoniotti
49 Kessel Ct |
$0.00 | 28 | 27 |
|
Amanda Schroedl
49 Kessel Ct |
$0.00 | 31 | 20 |
|
Rachel Marie Eklund
49 Kessel Ct |
$0.00 | 32 | 29 |
|
Simran Arora
26 Schroeder Ct Ste 210 |
$0.00 | 37 | 37 |
|
Genoa Healthcare Llc
49 Kessel Ct |
$0.00 | 39 | 32 |
|
Amanda J Knollenberg
7102 Mineral Point Rd |
$0.00 | 44 | 40 |
|
Andrea Lynn Galka
625 W Washington Ave |
$0.00 | 48 | 48 |
|
Neelanjana Mitra
49 Kessel Ct |
$0.00 | 48 | 34 |
|
Cheylene T Schank
2702 International Ln Ste 102 |
$0.00 | 48 | 41 |
|
Jennifer Lea Burkel
122 W Washington Ave Ste 630 |
$0.00 | 55 | 49 |
|
Jordan J Dennison
49 Kessel Ct |
$0.00 | 61 | 49 |
|
Dezarae Avalos
25 Kessel Ct |
$0.00 | 66 | 64 |
|
Alisson Burda
700 Ray O Vac Dr |
$0.00 | 67 | 67 |
|
Robin Heimerl
49 Kessel Ct |
$0.00 | 75 | 75 |
|
Bailey A Brewer
49 Kessel Ct Rm 215 |
$0.00 | 76 | 69 |
|
Nikita Kohli
49 Kessel Ct |
$0.00 | 83 | 63 |
|
Jennifer E Wangerin
25 Kessel Ct Ste 105 |
$0.00 | 112 | 98 |
|
Molly Willihnganz
6333 Odana Rd Ste 20 |
$0.00 | 148 | 127 |
|
Miriam Elie Porat
49 Kessel Ct |
$0.00 | 153 | 115 |
|
Kailin E Rickert-Kauffman
700 Regent St |
$0.00 | 167 | 146 |
|
Erin E Friedl
25 Kessel Ct Ste 105 |
$0.00 | 169 | 40 |
|
Christine Terese Haas
49 Kessel Ct |
$0.00 | 177 | 161 |
|
Rachel Overholt
49 Kessel Ct |
$0.00 | 179 | 143 |
|
Rachel Marie Deroos
49 Kessel Ct |
$0.00 | 185 | 167 |
|
Alyssa Kelly
49 Kessel Ct |
$0.00 | 188 | 128 |
|
Tami Soleim
49 Kessel Ct |
$0.00 | 272 | 259 |
|
Maria C Mcdonald
7633 Ganser Way Ste 204 |
$0.00 | 286 | 262 |
|
Robin L Lickel
25 Kessel Ct Ste 105 |
$0.00 | 287 | 249 |
|
Amanda M Henschel
49 Kessel Ct |
$0.00 | 293 | 251 |
|
Jason Meir
300 Femrite Drive |
$0.00 | 317 | 266 |
|
Emily Bosma
1925 Winnebago St |
$0.00 | 327 | 285 |
|
Brett Michael Masbruch
3113 E Washington Ave |
$0.00 | 384 | 331 |
|
Season Adrienne Schwarzbrott
49 Kessel Ct |
$0.00 | 414 | 312 |
|
Anne-Marie Kiera' Westenberg
49 Kessel Ct |
$0.00 | 426 | 390 |
|
Molly Margeaux Roberts
49 Kessel Ct |
$0.00 | 494 | 364 |
|
Bryan Frazier
49 Kessel Ct |
$0.00 | 497 | 396 |
|
Jessica Brown
303 S Paterson St Ste 1A |
$0.00 | 512 | 399 |
|
Lyda Thao
815 Forward Dr |
$0.00 | 551 | 442 |
|
Nichole C. Zenz
702 W Main St |
$0.00 | 594 | 509 |
|
Lisa Woods
49 Kessel Ct |
$0.00 | 736 | 523 |
|
Marsha E Ritter Jones
600 Highland Ave |
$249.16 | 1,982 | 1,865 |
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.
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 Madison, WI
Substance Abuse Treatment
Avg $12.67
1,509,772 claims
Behavioral & Mental Health Therapy
Avg $110.40
1,504,873 claims
Office Visit
Avg $49.22
1,187,844 claims
Blood Work & Lab Tests
Avg $11.76
1,154,690 claims
Emergency Room Visit
Avg $59.96
734,593 claims
X-Ray
Avg $5.48
502,669 claims
Physical Therapy
Avg $19.46
343,028 claims
EKG / ECG (Electrocardiogram)
Avg $5.11
290,457 claims