Average Medicaid Case Management Services Payments in Madisonville, KY: $295.88
Avg. Paid
$295.88
Range
$256.00 – $319.18
Total Claims
5,207
Providers
8
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 Madisonville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shellie Gary-Cheirs
108 South Main Street |
$290.59 | 1,301 | 1,146 |
|
Rita Harpool
429 N Franklin St |
$301.44 | 1,221 | 1,083 |
|
Caitlin Beth Crockett Tapp
1079 Thornberry Dr Ste 203 |
$319.18 | 854 | 788 |
|
Doris G Murray
9 E Arch St |
$256.00 | 535 | 441 |
|
Jared Leet
200 Clinic Dr |
$297.95 | 500 | 465 |
|
Stephanie Faith Brewster
1079 Thornberry Dr |
$294.60 | 482 | 425 |
|
Stephanie Brinkerhoff
9 E Arch St |
$295.22 | 236 | 222 |
|
Cara Holley
818 Clearview Dr |
$312.54 | 78 | 74 |
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 Madisonville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Madisonville, KY is $295.88 per claim, based on 5,207 claims from 8 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 Madisonville, KY?
There are 8 Medicaid providers offering Case Management Services related services in Madisonville, KY according to public payment data.
What is the price range for Case Management Services in Madisonville, KY?
Medicaid reimbursement for Case Management Services in Madisonville, KY ranges from $256.00 to $319.18 per claim, with an average of $295.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Other Procedures in Madisonville, KY
Office Visit
Avg $36.41
590,572 claims
Blood Work & Lab Tests
Avg $9.63
576,248 claims
Emergency Room Visit
Avg $147.72
166,082 claims
Physical Therapy
Avg $63.56
120,829 claims
Psychiatric Evaluation
Avg $50.66
108,347 claims
Urinalysis & Urine Tests
Avg $4.02
81,040 claims
Vaccines & Immunizations
Avg $17.25
72,928 claims
Dental Cleaning & Exam
Avg $33.22
64,974 claims