Average Medicaid Case Management Services Payments in Muskegon, MI: $301.27
Avg. Paid
$301.27
Range
$7.72 – $519.67
Total Claims
220,637
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 Muskegon, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Muskegon
376 E Apple Avenue |
$234.84 | 132,105 | 80,801 |
|
Senior Resources Of West Michigan
560 Seminole Rd |
$519.67 | 60,539 | 60,539 |
|
Moka Corporation
3391 Merriam St |
$208.71 | 6,742 | 6,275 |
|
Almira K Bezinque
376 E Apple Ave |
$303.42 | 6,484 | 6,267 |
|
Mgh Family Health Center
2201 S Getty St |
$8.90 | 6,034 | 4,464 |
|
Mercy Physician Network
2006 Holton Rd |
$12.19 | 4,115 | 3,448 |
|
Hackley Community Care Center Inc
2700 Baker St |
$11.11 | 979 | 828 |
|
Shoreline Pediatrics Plc
684 Harvey St |
$7.72 | 953 | 744 |
|
Hackley Community Care Center Inc
1675 Leahy St Ste 103 |
$11.57 | 912 | 749 |
|
Pioneer Resources, Inc.
1145 Wesley Ave |
$237.47 | 599 | 408 |
|
Aval Inc
1145 Wesley Ave |
$304.55 | 464 | 319 |
|
Hga Nonprofit Homes, Incorporated
500 W Western Ave |
$273.01 | 269 | 171 |
|
Amanda Family Inc
4021 Amanda St |
$262.75 | 221 | 153 |
|
County Of Muskegon
376 E Apple Ave |
$365.46 | 86 | 84 |
|
Mercy Health Partners Sub-Specialty Services
1560 E Sherman Blvd Ste 250 |
$19.64 | 70 | 63 |
|
Senior Resources Of West Michigan
560 Seminole Rd |
$519.00 | 65 | 65 |
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 Muskegon, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Muskegon, MI is $301.27 per claim, based on 220,637 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 Muskegon, MI?
There are 16 Medicaid providers offering Case Management Services related services in Muskegon, MI according to public payment data.
What is the price range for Case Management Services in Muskegon, MI?
Medicaid reimbursement for Case Management Services in Muskegon, MI ranges from $7.72 to $519.67 per claim, with an average of $301.27. 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 Muskegon, MI
Office Visit
Avg $36.29
923,796 claims
Blood Work & Lab Tests
Avg $3.16
716,187 claims
Emergency Room Visit
Avg $105.47
535,424 claims
Substance Abuse Treatment
Avg $27.59
413,832 claims
Home Health Visit
Avg $151.87
363,136 claims
X-Ray
Avg $13.74
334,565 claims
Psychiatric Evaluation
Avg $60.09
253,085 claims
Vaccines & Immunizations
Avg $5.56
249,932 claims