Average Medicaid Case Management Services Payments in Melbourne, FL: $55.56
Avg. Paid
$55.56
Range
$21.42 – $305.63
Total Claims
36,768
Providers
16
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 Melbourne, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sara Janette Hewitt
2120 Sarno Rd |
$27.97 | 7,873 | 1,360 |
|
Lara Carpenter
3270 Suntree Blvd |
$45.80 | 7,445 | 1,093 |
|
Gaelu Janice Echeverria
4602 Crew Cir Apt 8 |
$24.89 | 3,619 | 1,794 |
|
Christal M Dickun
100 S Harbor City Blvd |
$244.54 | 3,449 | 3,213 |
|
Pamela A Holm
2565 Judge Fran Jamieson Way |
$23.74 | 3,197 | 1,617 |
|
Susan M Mccain
2202 Bryan St |
$21.42 | 2,368 | 1,567 |
|
Sharie Bell
2000 Commerce Dr |
$35.98 | 2,350 | 657 |
|
Darlyne Guldi-Mula
3660 Whisperwood Cir |
$41.80 | 2,003 | 514 |
|
Michael H Lake
4450 Eau Gallie Blvd |
$49.78 | 1,286 | 550 |
|
Juline Allen
152 N Harbor City Blvd Ste 100 |
$53.21 | 1,019 | 231 |
|
Arika Semper
1678 W Hibiscus Blvd |
$27.74 | 935 | 485 |
|
Kerrin Newberry
4080 Bayberry Dr |
$39.00 | 440 | 265 |
|
Patricia Diane Rush
2202 Bryan St |
$39.74 | 360 | 154 |
|
Dannyelle Driver
211 W Hibiscus Blvd |
$305.63 | 200 | 183 |
|
Christine Shephard
85 Bulldog Blvd |
$82.38 | 181 | 59 |
|
Ariel Suarez
1495 N Harbor City Blvd |
$37.63 | 43 | 33 |
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 Melbourne, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Melbourne, FL is $55.56 per claim, based on 36,768 claims from 16 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 Melbourne, FL?
There are 16 Medicaid providers offering Case Management Services related services in Melbourne, FL according to public payment data.
What is the price range for Case Management Services in Melbourne, FL?
Medicaid reimbursement for Case Management Services in Melbourne, FL ranges from $21.42 to $305.63 per claim, with an average of $55.56. 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 Melbourne, FL
Blood Work & Lab Tests
Avg $1.89
517,462 claims
Office Visit
Avg $46.75
492,716 claims
Emergency Room Visit
Avg $68.06
255,533 claims
Nursing Facility Care
Avg $6.25
188,982 claims
Physical Therapy
Avg $57.65
150,896 claims
Behavioral & Mental Health Therapy
Avg $64.36
141,609 claims
Vaccines & Immunizations
Avg $9.26
117,856 claims
X-Ray
Avg $3.06
97,174 claims