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
Jill M Allenbaugh 3322 N Broad St	$150.33	12	12
Sam Stern 3401 N Broad St	$203.01	12	12
Nadine Nelson Spectrum Health Services	$258.06	14	14
Ameribest Home Care, Llc 990 Spring Garden St Ste 201	$45.00	14	12
Virginia Vitella 1200 Callowhill St	$138.61	14	13
Margaret Kathleen Ciavarelli 33 E Chestnut Hill Ave	$203.29	15	13
Elliot Goodenough 1427 Vine St	$0.00	15	14
Hannah Zimmerman 1316 W Ontario St Fl Hall1	$169.80	16	15
Gabriela Nikaurys Algarroba 3401 N Broad St	$7.94	17	14
Cara Brindley 1900 N 9Th St Ste 104	$0.00	17	17
Jennifer Sadler 3401 N Broad St	$8.92	22	22
Phuong C Voong 3229 Kensington Ave	$277.22	22	22
Brielle Duncan 3901 Market St	$41.84	24	15
Jessica Denisse Vazquez 1900 N 9Th St	$52.05	25	25
Shakeera Wynne 5501 Old York Rd	$40.83	27	12
Naa-Fofoi Dorsey Wharton 125 S 9Th St	$257.42	28	27
Briana Perry Patton 3400 Spruce St	$154.86	29	26
Deborah Robinson 2501 W Lehigh Ave	$0.00	30	29
Eliana Marcela Serna Martinez 5675 N Front St	$0.00	30	30
Morgan Lane 1216 Arch St	$32.41	31	12
Brandon Joseph Cattalo 1216 Arch St Fl 6	$18.33	33	12
Coty R Murphy 3600 Market St Ste 601	$32.73	33	14
Gail Margaret Herrine 2301 E Allegheny Ave	$14.37	37	36
Rosalyn G Toler 1216 Arch St Fl 6	$19.62	37	14
Elizabeth C Mathewson 1216 Arch St Fl 6	$18.77	40	16
Tiffany B Turner 1200 Callowhill St	$155.51	41	39
Bruce Carnivale 3401 N Broad St	$7.53	41	40
Gloria Janet Diaz 2301 E Allegheny Ave	$14.84	43	39
Amanda Lynn Niemcewicz 3401 N Broad St	$15.41	43	43
Mariana Arguelles-Alcazar 216 W. Somerset St	$21.06	47	13
Josefina Altagracia Felix 112 N Broad St	$248.93	49	47
Keairra Hayes 1216 Arch St Fl 6	$39.39	51	13
Arielle Sarah Bivas 230 W Washington Sq	$277.22	51	51
Rachel A Crosen 1216 Arch St Fl 6	$15.42	53	12
Sumanya Narra 5675 N Front St	$0.00	58	56
Katrina Rozier 1217 Spring Garden St	$22.37	59	12
Omanee King 1216 Arch St Fl 6	$33.69	60	31
Jose Deleon Deleon 1200 Callowhill St	$189.10	67	62
Kade M Elliot 255 S 16Th St	$34.22	68	12
Lavenia Fain 4700 Wissahickon Ave Ste 119	$273.26	70	70
Asia Kemp 1900 N 9Th St Ste 104	$0.00	70	70
Melvin Z Twersky 7515 Stenton Ave	$52.25	71	71
Shameka Nelson 1216 Arch St Fl 6	$59.67	72	39
Lauryn Welch 3600 Market St Fl 6	$35.49	73	28
Bernard John Stuetz 561 Fairthorne Ave	$0.00	75	62
Durrell Quamell Osborne 1216 Arch St Fl 6	$20.13	76	40
Erika C Shea 412 W Lehigh Ave	$0.00	83	68
Corecare Behavioral Health Management, Inc. 111 N 49Th St	$277.22	84	84
Lourdes Esther Gonzalez 1216 Arch St Fl 6	$33.40	84	24
Elisabeth Pascal 3901 Market St	$21.86	85	24

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

Case Management Services in Other Cities

Phoenix, AZ

Tucson, AZ

Nashville, TN

Miami, FL

New York, NY

Montgomery, AL

Oklahoma City, OK

Mesa, AZ

Other Procedures in Philadelphia, PA

Office Visit

Substance Abuse Treatment

Psychiatric Evaluation

Emergency Room Visit

X-Ray

Behavioral & Mental Health Therapy

Blood Work & Lab Tests

Dental Cleaning & Exam