Average Medicaid Case Management Services Payments in Niles, OH: $80.20
Avg. Paid
$80.20
Range
$0.00 – $919.45
Total Claims
42,661
Providers
71
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 Niles, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kendall Ritch
165 E Park Ave |
$129.42 | 4,331 | 1,806 |
|
Emily Beth Dvorovy
165 E Park Ave |
$100.17 | 2,083 | 1,128 |
|
April Rose Platt
165 E Park Ave |
$129.90 | 1,906 | 988 |
|
Lindsey Bacha
165 E Park Ave |
$94.35 | 1,906 | 840 |
|
Emily Edwards
165 E Park Ave |
$0.00 | 1,549 | 431 |
|
Megan Ramsey
165 E Park Ave |
$16.32 | 1,512 | 548 |
|
Amanda Sweeney
165 E Park Ave |
$0.00 | 1,448 | 504 |
|
Kaylani Fulton
165 E Park Ave |
$37.04 | 1,273 | 432 |
|
Jillian Priscilla
165 E Park Ave |
$116.72 | 1,196 | 715 |
|
Lori Ann Shelby
165 E Park Ave |
$192.19 | 1,068 | 990 |
|
Melissa Whiddon
165 E Park Ave |
$179.63 | 1,025 | 741 |
|
Michele L Reynolds
165 E Park Ave |
$164.49 | 1,014 | 717 |
|
Alyssa Zeara Tanferno
165 E Park Ave |
$186.41 | 951 | 309 |
|
Josh Comm
165 E Park Ave |
$0.00 | 948 | 266 |
|
Nicole Churilla
165 E Park Ave |
$191.06 | 907 | 574 |
|
Ashley Tenney
165 E Park Ave |
$0.00 | 900 | 254 |
|
Brooke Kosko
165 E Park Ave |
$0.00 | 853 | 280 |
|
Kayla Oneill
165 E Park Ave |
$142.37 | 822 | 360 |
|
Shahzad Siddique
165 E Park Ave |
$23.85 | 810 | 261 |
|
Emily Wolfgang
165 E Park Ave |
$31.07 | 769 | 351 |
|
Amanda Mcclimans
165 E Park Ave |
$8.06 | 702 | 205 |
|
Roxanne Al Sharif
165 E Park Ave |
$33.55 | 673 | 170 |
|
Kimberly Terlesky
165 E Park Ave |
$49.65 | 646 | 217 |
|
Duroub Yacoub
165 E Park Ave |
$23.04 | 629 | 267 |
|
Deana Culver
165 E Park Ave |
$0.00 | 624 | 283 |
|
Destiny Whitby
165 E Park Ave |
$74.68 | 612 | 200 |
|
Rose Ferry
165 E Park Ave |
$9.72 | 601 | 270 |
|
Curtis Coulter
165 E Park Ave |
$56.09 | 558 | 162 |
|
Ashlee Johnson
165 E Park Ave |
$0.00 | 538 | 104 |
|
Michelle Laclair
165 E Park Ave |
$43.66 | 529 | 219 |
|
Nikunj N Patel
165 E Park Ave |
$206.73 | 518 | 454 |
|
Diandra Balog
165 E Park Ave |
$0.00 | 510 | 208 |
|
Julia Kozel
165 E Park Ave |
$201.59 | 499 | 303 |
|
April Moccia
165 E Park Ave |
$0.00 | 489 | 170 |
|
Tori Rishel
165 E Park Ave |
$0.00 | 484 | 131 |
|
Kaylie Evan
165 E Park Ave |
$0.00 | 482 | 220 |
|
Steven Salvatore Sferra
165 E Park Ave |
$0.00 | 475 | 103 |
|
Asia-Lee Ryan
165 E Park Ave |
$81.21 | 409 | 197 |
|
Deborah Horner
165 E Park Ave |
$157.46 | 406 | 206 |
|
Cheri Busko
165 E Park Ave |
$0.00 | 399 | 296 |
|
Nadia Pipala
165 E Park Ave |
$0.00 | 344 | 80 |
|
Michelle M Codner
165 E Park Ave |
$22.76 | 342 | 129 |
|
Kristen Macaluso
165 E Park Ave |
$230.52 | 337 | 244 |
|
Nina Beight
165 E Park Ave |
$67.32 | 310 | 93 |
|
Sherdena Dixon-Wilson
165 E Park Ave |
$121.51 | 264 | 122 |
|
Alliyah White
165 E Park Ave |
$0.00 | 231 | 85 |
|
Samira Smolko
165 E Park Ave |
$0.00 | 230 | 58 |
|
Quinn Moore
165 E Park Ave |
$216.48 | 220 | 145 |
|
Chaneka Alexander-Newsome
165 E Park Ave |
$0.00 | 219 | 54 |
|
Rebekah Pitzer
165 E Park Ave |
$174.38 | 206 | 171 |
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 Niles, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Niles, OH is $80.20 per claim, based on 42,661 claims from 71 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 Niles, OH?
There are 71 Medicaid providers offering Case Management Services related services in Niles, OH according to public payment data.
What is the price range for Case Management Services in Niles, OH?
Medicaid reimbursement for Case Management Services in Niles, OH ranges from $0.00 to $919.45 per claim, with an average of $80.20. 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
5,915,648 claims · 255 providers
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
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Montgomery, AL
Avg $50.35
3,554,330 claims · 24 providers
Oklahoma City, OK
Avg $178.61
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Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in Niles, OH
Behavioral & Mental Health Therapy
Avg $78.93
170,663 claims
Office Visit
Avg $39.65
110,014 claims
Psychiatric Evaluation
Avg $77.53
81,564 claims
Dental Cleaning & Exam
Avg $25.63
77,434 claims
Dental Filling
Avg $57.70
31,676 claims
Eye Exam
Avg $32.33
28,693 claims
Speech Therapy
Avg $26.27
24,156 claims
Vaccines & Immunizations
Avg $14.77
20,878 claims