Average Medicaid Case Management Services Payments in Pikeville, KY: $282.42
Avg. Paid
$282.42
Range
$0.00 – $328.52
Total Claims
36,666
Providers
22
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 Pikeville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lovonne Fleming-Richardson
111 Caroline Ave |
$284.64 | 12,516 | 11,291 |
|
William T Fannin
9 Flora Street |
$305.52 | 7,667 | 7,154 |
|
Misty Renee' Comer
119 Weddington Branch Rd |
$272.29 | 5,694 | 5,265 |
|
James R. Hager
255 Church St Ste 101 |
$296.56 | 2,160 | 1,895 |
|
Alena Blackburn
384 N Mayo Trl |
$273.96 | 2,055 | 1,803 |
|
Martha E. Copley Coleman
118 River Dr |
$290.52 | 1,647 | 1,491 |
|
Jessica Renee Miller
111 Caroline Ave |
$311.51 | 979 | 918 |
|
John E. Pappas
255 Church St Ste 101 |
$176.14 | 687 | 377 |
|
Renita Joyce Tackett
146 Church Of Christ Way |
$297.34 | 677 | 624 |
|
Ashley Slone
9613 Millard Hwy |
$328.52 | 554 | 532 |
|
Stephanie Stiltner
122 Pine St |
$317.65 | 531 | 496 |
|
Suzanne D Ford
50 Weddington Branch Rd Ste B |
$189.27 | 315 | 290 |
|
Jack Byron Crider
387 Town Mountain Rd |
$0.00 | 302 | 246 |
|
Whitney Allen
3911 N Mayo Trl |
$306.74 | 206 | 200 |
|
Stan Michael Johnson
238 Cassidy Blvd |
$0.00 | 151 | 110 |
|
Crystal L Branham
174 W Cedar Dr |
$100.19 | 135 | 94 |
|
Brittany Elaine Hunsaker
149 Mount Chase Dr Apt C |
$294.17 | 129 | 100 |
|
Mollie Music
126 Kati St |
$273.60 | 112 | 107 |
|
Crystal Isaac
368 S Mayo Trl |
$323.33 | 46 | 46 |
|
Angela Bush
484 Tollage Crk |
$204.97 | 46 | 36 |
|
David Farler
255 Church St Ste 101 |
$74.87 | 30 | 30 |
|
Bhg Xxv, Llc
255 Church Street |
$309.26 | 27 | 25 |
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 Pikeville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Pikeville, KY is $282.42 per claim, based on 36,666 claims from 22 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 Pikeville, KY?
There are 22 Medicaid providers offering Case Management Services related services in Pikeville, KY according to public payment data.
What is the price range for Case Management Services in Pikeville, KY?
Medicaid reimbursement for Case Management Services in Pikeville, KY ranges from $0.00 to $328.52 per claim, with an average of $282.42. 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
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Tucson, AZ
Avg $33.22
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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
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Other Procedures in Pikeville, KY
Office Visit
Avg $34.50
1,279,513 claims
Blood Work & Lab Tests
Avg $13.27
1,226,959 claims
Emergency Room Visit
Avg $104.28
349,778 claims
Psychiatric Evaluation
Avg $55.70
290,250 claims
X-Ray
Avg $36.48
249,058 claims
Substance Abuse Treatment
Avg $43.54
225,767 claims
Urinalysis & Urine Tests
Avg $4.44
169,795 claims
Physical Therapy
Avg $23.66
158,566 claims