Average Medicaid Case Management Services Payments in Mckinney, TX: $87.68
Avg. Paid
$87.68
Range
$0.00 – $130.29
Total Claims
1,601
Providers
7
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 Mckinney, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Collin County Mental Health Mental Retardation Center
1515 Heritage Dr |
$130.29 | 1,051 | 285 |
|
Laarni Catudan Mendoza
4717 Medical Center Dr |
$3.30 | 183 | 176 |
|
David Lee Willis
275 Holder Trl |
$1.22 | 173 | 171 |
|
Oluyomi Olukemi Olojede
3701 Stover Creek Dr |
$0.00 | 84 | 72 |
|
Collin County Mental Health Mental Retardation Center
1515 Heritage Dr |
$30.35 | 75 | 72 |
|
Christie Smith Goheen
1416 N Church St |
$17.43 | 20 | 14 |
|
Shephali Sharma
1400 N Coit Rd Ste 302 |
$0.00 | 15 | 15 |
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 Mckinney, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Mckinney, TX is $87.68 per claim, based on 1,601 claims from 7 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 Mckinney, TX?
There are 7 Medicaid providers offering Case Management Services related services in Mckinney, TX according to public payment data.
What is the price range for Case Management Services in Mckinney, TX?
Medicaid reimbursement for Case Management Services in Mckinney, TX ranges from $0.00 to $130.29 per claim, with an average of $87.68. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Mckinney, TX
Office Visit
Avg $42.71
260,522 claims
Vaccines & Immunizations
Avg $5.26
172,677 claims
Dental Cleaning & Exam
Avg $37.35
122,461 claims
Blood Work & Lab Tests
Avg $4.20
92,466 claims
Emergency Room Visit
Avg $138.06
64,983 claims
Psychiatric Evaluation
Avg $47.01
45,603 claims
Physical Therapy
Avg $20.33
44,040 claims
Speech Therapy
Avg $85.55
37,942 claims