Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in Philadelphia, PA: $98.17

Avg. Paid

$98.17

Range

$0.00 – $404.95

Total Claims

1,251,914

Providers

215

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 Philadelphia, PA

Provider	Avg. Paid	Claims	Patients
Philadelphia Health Management Corp 260 S Broad St	$76.87	282,443	117,778
Quality Progressions 125 S 9Th St	$83.77	78,906	32,784
Citizen'S Acting Together Can Help, Inc. 1400 Reed St	$107.79	76,799	19,816
Children'S Crisis Treatment Center 1080 N Delaware Ave	$51.29	76,359	13,569
Resources For Human Development, Inc. 5201 Old York Rd	$102.35	69,512	15,038
Philadelphia Health Management Corporation 260 S Broad St	$111.77	61,990	22,343
Path (People Acting To Help), Inc 8220 Castor Ave	$71.73	58,329	16,013
Sydandi Llc 2824 Cottman Ave	$114.16	53,283	10,884
West Philadelphia Community Mh Consortium, Inc. 5828 Market St # B	$86.97	35,008	11,726
Mental Health Partnerships 4950 Parkside Avenue	$100.81	30,837	6,078
Merakey Childrens Services 27 E Mount Airy Ave	$128.73	28,946	10,585
Intercommunity Action, Inc. 6122 Ridge Ave	$131.83	27,699	8,354
Comhar Inc. 2022 E Allegheny Ave	$75.84	26,191	9,303
Centralized Comprehensive Human Services, Inc. 112 N Broad St	$66.76	22,683	6,363
Pathways To Housing Pa, Inc. 5201 Old York Rd	$128.59	21,627	8,168
Merakey Philadelphia 27 East Mt. Airy Ave	$90.37	19,875	7,146
Northeast Community Center For Mental Health & Mental Retardation 4641 Roosevelt Blvd	$48.22	18,599	6,147
Trisha L Acri 7198 Castor Ave	$262.48	18,491	18,125
Intercultural Family Services, Inc. 4254-56 Chestnut Street	$159.54	16,048	2,112
West Philadelphia Community Mh Consortium, Inc. 137 S 58Th St	$140.53	14,908	4,391
Northeast Treatment Centers, Inc. 499 N 5Th St	$104.09	14,178	5,241
Community Council 4900 Wyalusing Ave	$82.57	13,301	3,315
Jon Andrew Shapiro 1740 South St	$263.41	13,235	13,169
West Philadelphia Community Mh Consortium, Inc. 137 S 58Th St	$76.56	11,563	3,115
Louise G Murray 1635 Chestnut Street	$243.97	9,910	9,763
John Smyth Michel 7515 Stenton Ave	$235.77	7,402	6,804
Kathleen Jean Kirk 3461 Civic Center Blvd	$270.57	6,858	6,794
Bebashi Transition To Hope 1235 Spring Garden St	$37.41	5,862	1,247
Sara Bachani 4641 Roosevelt Blvd, Friends Hospital	$28.65	5,561	3,036
Wanda Steininger 1216 Arch St	$27.42	5,391	693
Child Guidance Resource Centers 2901 Island Ave	$89.57	5,330	1,823
Actionaids, Inc. 1216 Arch St Fl 6	$21.61	5,179	1,425
Mary Ann Haggerty 3900 Woodland Ave	$269.26	5,162	5,132
Hall-Mercer Cmh-Mrc Of Pennsylvania Hosp 245 S 8Th St	$83.83	4,721	931
Maldalena Patrice Chavis 161 Cecil B Moore Ave Apt 204	$200.77	3,859	3,774
Bruce Donald Hopper 5843 Rising Sun Ave	$261.84	3,826	3,789
Creative Independent Alliance 1 International Plz	$78.71	3,678	1,393
Evelyn Stefanopoulus 216 W. Somerset St	$29.36	3,406	786
Patricia Wright 1216 Arch St	$23.73	3,032	775
Daryl Denise Clayton-Sargent 2641 N 6Th St	$32.45	2,763	792
Dr Warren E Smith Community Mental Health Mental Retardation & Substan 1315 Windrim Avenue	$210.94	2,527	1,204
Jordania Dejesus 216 W. Somerset St	$36.88	2,465	711
Medgina Ramses Mabou 216 W. Somerset St	$35.97	2,141	607
Monika Vansant 2601 Holme Ave	$257.34	2,029	2,027
Paul L Henderson 1216 Arch St Fl 6	$44.64	1,918	526
Felicia Anne Shapiro 3600 Market St Fl 6	$22.52	1,788	397
Roberta F. Lee-Powell 1200 Callowhill St	$230.26	1,529	1,489
Thomas Jefferson University 1233 Locust St	$277.22	1,517	1,517
Special People In Northeast, Inc. 10521 Drummond Rd	$113.78	1,480	709
Anisa J Ortiz 2625 W Girard Ave	$275.65	1,457	1,451

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 Philadelphia, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Philadelphia, PA is $98.17 per claim, based on 1,251,914 claims from 215 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 Philadelphia, PA?

There are 215 Medicaid providers offering Case Management Services related services in Philadelphia, PA according to public payment data.

What is the price range for Case Management Services in Philadelphia, PA?

Medicaid reimbursement for Case Management Services in Philadelphia, PA ranges from $0.00 to $404.95 per claim, with an average of $98.17. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Case Management Services Payments in Philadelphia, PA: $98.17

Providers Offering Case Management Services in Philadelphia, PA

What to Expect: Case Management Services

Cost Components

Frequently Asked Questions

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