Average Medicaid Case Management Services Payments in Ontario, OR: $112.23
Avg. Paid
$112.23
Range
$0.00 – $420.67
Total Claims
7,336
Providers
13
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 Ontario, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shelly Ann Mcgehee
702 Sunset Dr |
$0.00 | 15 | 15 |
|
Shawn Carvalho
702 Sunset Dr |
$4.63 | 19 | 12 |
|
Pearl Apodaca
686 Nw 9Th St |
$29.33 | 19 | 19 |
|
Ana Gabriela Kissell
702 Sunset Dr |
$0.00 | 21 | 12 |
|
Sabrina Catherine Bourasa
702 Sunset Dr |
$0.00 | 23 | 12 |
|
Sharon Kaye Wiese
702 Sunset Dr |
$2.54 | 37 | 13 |
|
Cindy Kay Tayloe
702 Sunset Dr |
$1.19 | 38 | 24 |
|
Samuel Galan
702 Sunset Dr |
$0.00 | 40 | 36 |
|
Reyna Nungaray
702 Sunset Dr |
$0.00 | 47 | 44 |
|
Linda Smallwood
702 Sunset Dr |
$2.77 | 133 | 71 |
|
Malheur County
1108 S.W. 4Th St |
$420.67 | 1,333 | 1,040 |
|
Hayley Knowlton
702 Sunset Dr |
$57.03 | 1,465 | 277 |
|
Doreen Oberg
702 Sunset Dr |
$42.90 | 4,146 | 2,942 |
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 Ontario, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Ontario, OR is $112.23 per claim, based on 7,336 claims from 13 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 Ontario, OR?
There are 13 Medicaid providers offering Case Management Services related services in Ontario, OR according to public payment data.
What is the price range for Case Management Services in Ontario, OR?
Medicaid reimbursement for Case Management Services in Ontario, OR ranges from $0.00 to $420.67 per claim, with an average of $112.23. 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 Ontario, OR
Office Visit
Avg $26.23
72,862 claims
Dental Cleaning & Exam
Avg $21.88
42,502 claims
Physical Therapy
Avg $26.19
34,279 claims
Eye Exam
Avg $52.31
33,340 claims
Psychiatric Evaluation
Avg $51.94
29,057 claims
Substance Abuse Treatment
Avg $15.89
28,612 claims
Durable Medical Equipment (DME)
Avg $37.94
20,833 claims
Emergency Room Visit
Avg $75.36
20,790 claims