Average Medicaid Case Management Services Payments in Martinsburg, WV: $114.52
Avg. Paid
$114.52
Range
$0.00 – $238.13
Total Claims
60,839
Providers
25
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 Martinsburg, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Berkeley Superintendent Of Schools
401 South Queen Street |
$11.75 | 24,812 | 15,579 |
|
Eastern Panhandle Mental Health Center (Waiver)
235 S Water St |
$193.80 | 9,819 | 9,523 |
|
American Family Matters Llc
231 Jefferson St |
$201.22 | 8,093 | 7,961 |
|
Abc Case Management,Llc
709 W Burke St |
$201.31 | 5,145 | 4,958 |
|
Center For Service Coordination, Llc
630 Winchester Ave Ste E |
$205.55 | 3,027 | 2,996 |
|
Berkeley County Committee On Aging, Inc.
217 N High St |
$133.76 | 2,599 | 2,577 |
|
Stepping Stones Cottages, Llc
124 N Maple Ave |
$211.50 | 2,283 | 2,262 |
|
David Robert Hardy
709 W Burke St |
$205.49 | 974 | 951 |
|
Board Of Child Care Of The United Methodist Church
715 Brown Rd |
$49.35 | 936 | 345 |
|
Jessica Jenkins
709 W Burke St |
$196.40 | 570 | 555 |
|
Callahan Counseling Services
415 Wilson St |
$27.11 | 438 | 216 |
|
Kimberly Fair-Hadley
709 W Burke St |
$196.54 | 390 | 385 |
|
Jill Marie Spade
709 W Burke St |
$238.13 | 316 | 313 |
|
Berkeley County Council
520 S Raleigh St |
$18.45 | 303 | 217 |
|
Lillian Cecile Gebert
400 Foxcroft Ave Ste 104 |
$211.63 | 214 | 204 |
|
Marie Elizabeth Hurt
709 W Burke St |
$200.94 | 213 | 210 |
|
Eastern Panhandle Mental Health (Rehab)
235 S Water St |
$28.92 | 182 | 164 |
|
Board Of Child Care, Wv
715 Brown Rd |
$0.00 | 161 | 71 |
|
Kaelie Davey
709 W Burke St |
$200.00 | 140 | 140 |
|
Balm Center
1004 Sushruta Dr Ste C |
$40.60 | 121 | 36 |
|
Harris Community Care, Inc
709 W Burke St |
$71.10 | 25 | 25 |
|
Christopher Robertson Belden
400 W Martin St |
$0.48 | 24 | 19 |
|
Scott Thomas Baughman
630 Winchester Ave Ste E |
$0.00 | 21 | 21 |
|
Jonathan M Hartiens
94 Old Mill Rd |
$16.88 | 17 | 13 |
|
Ruza Papeskov
630 Winchester Ave Ste E |
$0.00 | 16 | 16 |
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 Martinsburg, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Martinsburg, WV is $114.52 per claim, based on 60,839 claims from 25 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 Martinsburg, WV?
There are 25 Medicaid providers offering Case Management Services related services in Martinsburg, WV according to public payment data.
What is the price range for Case Management Services in Martinsburg, WV?
Medicaid reimbursement for Case Management Services in Martinsburg, WV ranges from $0.00 to $238.13 per claim, with an average of $114.52. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $37.73
14,607,817 claims · 601 providers
Tucson, AZ
Avg $33.22
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Nashville, TN
Avg $197.77
5,117,343 claims · 28 providers
Miami, FL
Avg $82.94
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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 Martinsburg, WV
Office Visit
Avg $40.48
523,147 claims
Personal Care Services
Avg $208.80
318,358 claims
Blood Work & Lab Tests
Avg $16.27
300,533 claims
Substance Abuse Treatment
Avg $79.49
226,446 claims
Vaccines & Immunizations
Avg $11.95
135,738 claims
Emergency Room Visit
Avg $125.16
119,616 claims
Psychiatric Evaluation
Avg $44.11
113,145 claims
Urinalysis & Urine Tests
Avg $10.33
83,831 claims