Average Medicaid Case Management Services Payments in Nashville, TN: $197.77
Avg. Paid
$197.77
Range
$0.00 – $857.43
Total Claims
5,117,343
Providers
28
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 Nashville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mental Health Cooperative, Inc
275 Cumberland Bnd |
$22.55 | 2,852,398 | 2,171,008 |
|
Tennessee Department Of Children'S Services
436 6Th Ave N |
$857.43 | 910,831 | 877,965 |
|
Centerstone Of Tennessee, Inc.
1921 Ransom Pl |
$11.85 | 740,621 | 542,809 |
|
Department Of Disability And Aging, Tennessee Early Intervention Syste
315 Deaderick St Fl 8 |
$585.84 | 201,190 | 201,150 |
|
Camelot Care Centers, Llc
446 James Robertson Pkwy Ste 201 |
$10.47 | 185,454 | 122,087 |
|
Omni Community Health
145 Thompson Lane |
$0.41 | 79,176 | 56,499 |
|
Cheryl Mcgary Cobb
1500 21St Ave S Ste 2200 |
$281.18 | 64,642 | 55,290 |
|
Compass Coordination, Inc.
500 Interstate Blvd S |
$235.40 | 42,709 | 42,421 |
|
The Arc Of Davidson County
111 N Wilson Blvd |
$235.67 | 22,889 | 22,803 |
|
Stephan H. Heckers
3601 The Vanderbilt Clinic |
$303.50 | 3,907 | 2,960 |
|
Vanderbilt University Medical Center
1601 23Rd Ave S |
$262.19 | 3,658 | 3,406 |
|
180 Health Partners , Inc
555 Marriott Dr Ste 315 |
$434.16 | 3,355 | 2,665 |
|
Scarab Behavioral Health Services, Llc
3203 Brick Church Pike |
$53.36 | 1,793 | 139 |
|
Louis Reginald Lerebours
1001 Capital Funds Ct |
$335.91 | 1,579 | 1,574 |
|
Gregory Lee Gannon
1921 Ransom Pl |
$0.00 | 934 | 647 |
|
Anthony A Day
510 Recovery Rd Ste 201 |
$0.00 | 548 | 477 |
|
Anna Denino
555 Marriott Dr Ste 315 |
$413.98 | 471 | 471 |
|
Amy E Ward
926 Main St |
$207.29 | 425 | 334 |
|
Cortney Latoya O'Neal
1501 Woodland Pointe Dr |
$0.00 | 393 | 326 |
|
Susan Langenus
2400 White Ave |
$0.00 | 97 | 55 |
|
Juanita Eileen Gamache
6022 Robertson Ave |
$0.00 | 58 | 21 |
|
Ruchika Sonia Yusufji
300 Great Circle Rd |
$0.00 | 41 | 35 |
|
Courtney Pace Weiler
1921 Ransom Pl |
$0.00 | 39 | 24 |
|
Piper Leigh Hammond
926 Main St |
$0.00 | 31 | 30 |
|
Angela Maxwell-Horn
3601 The Vanderbilt Clinic |
$24.90 | 29 | 15 |
|
Melinda Shaw Henderson
926 Main St |
$0.00 | 26 | 18 |
|
Paul Bernard Dressler
3601 The Vanderbilt Clinic |
$40.43 | 25 | 16 |
|
Jean Raines Lessly
1836 Cromwell Drive |
$3.50 | 24 | 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 Nashville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Nashville, TN is $197.77 per claim, based on 5,117,343 claims from 28 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 Nashville, TN?
There are 28 Medicaid providers offering Case Management Services related services in Nashville, TN according to public payment data.
What is the price range for Case Management Services in Nashville, TN?
Medicaid reimbursement for Case Management Services in Nashville, TN ranges from $0.00 to $857.43 per claim, with an average of $197.77. 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
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
Tempe, AZ
Avg $35.58
2,422,544 claims · 92 providers
Other Procedures in Nashville, TN
Blood Work & Lab Tests
Avg $8.25
7,785,390 claims
Office Visit
Avg $46.51
4,188,840 claims
Emergency Room Visit
Avg $115.01
1,887,270 claims
X-Ray
Avg $6.44
1,428,718 claims
Vaccines & Immunizations
Avg $12.95
1,374,325 claims
Urinalysis & Urine Tests
Avg $2.86
953,202 claims
Psychiatric Evaluation
Avg $58.51
924,083 claims
Non-Emergency Medical Transportation
Avg $4.97
909,897 claims