Skip to content
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

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

Other Procedures in Madison, WI