Average Medicaid Case Management Services Payments in Pittsburgh, PA: $133.79
Avg. Paid
$133.79
Range
$0.00 – $359.48
Total Claims
331,503
Providers
85
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 Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Alliance For Infants & Toddlers, Inc.
2801 Custer Ave |
$76.18 | 139,477 | 77,782 |
|
Familylinks, Inc
2644 Banksville Rd |
$79.65 | 76,627 | 29,360 |
|
Rachel Denise Alexander
200 Penn Ave |
$269.21 | 8,069 | 7,934 |
|
Center For Community Resources, Inc.
1945 5Th Ave |
$114.53 | 7,599 | 2,808 |
|
Dana Nicole Smith
180 Fort Couch Rd |
$264.53 | 6,018 | 5,913 |
|
Sharon A Martin
2581 Washington Rd Ste 211 |
$280.81 | 6,000 | 5,971 |
|
Service Coordination Unlimited, Inc.
1400 S Braddock Ave Fl 2 |
$108.21 | 5,279 | 2,122 |
|
Matthew Thomas Barnes
9400 Mcknight Rd |
$254.17 | 5,113 | 5,039 |
|
Amanda Spaeder
9400 Mcknight Rd |
$273.38 | 4,565 | 4,555 |
|
Rajani Chuensumran
9100 Babcock Blvd |
$260.34 | 3,907 | 3,864 |
|
Russell Libiore Adams
1000 Cliffmine Rd Suite 110 |
$253.40 | 3,836 | 3,709 |
|
Kristen Cinker
200 Cedar Ridge Dr Ste 212 |
$289.80 | 3,684 | 3,656 |
|
Eric Lowell Davidson
3550 Terrace Street |
$251.41 | 3,670 | 3,624 |
|
Daniel Jonathan Cohen
3501 Forbes Ave Ste 907 |
$276.18 | 3,635 | 3,611 |
|
Patricia Ann Wilkosz
665 Rodi Rd |
$260.17 | 3,440 | 3,420 |
|
Mallory Elise Willett
611 Duncan Ave |
$274.46 | 3,232 | 3,217 |
|
Bethanne Meyer-Mccabe
Mercy Hospital, Professional Building |
$265.79 | 3,103 | 3,026 |
|
Randall Richard Draper
9104 Babcock Blvd |
$263.15 | 2,647 | 2,587 |
|
Carolyn Coffer
815 Freeport Rd |
$277.40 | 2,500 | 2,492 |
|
Eric Joseph Cheponis
9104 Babcock Blvd |
$269.30 | 2,379 | 2,375 |
|
Heather Lynn Richards
1307 Federal St |
$233.79 | 2,288 | 2,173 |
|
Robin Marie Meyer
5115 Centre Ave |
$267.73 | 2,204 | 2,198 |
|
Judith Esman
9104 Babcock Blvd |
$258.10 | 2,200 | 2,121 |
|
Michelle Renee Bowers
8135 Perry Hwy |
$262.08 | 2,047 | 2,036 |
|
Carolyn Elizabeth Hemphill
9104 Babcock Blvd |
$277.73 | 1,636 | 1,635 |
|
Tracy A Hagan
400 Holiday Dr |
$272.66 | 1,627 | 1,620 |
|
Elizabeth Krans
300 Halket St |
$135.13 | 1,569 | 1,151 |
|
Elizabeth Cuevas
1307 Federal St |
$236.42 | 1,552 | 1,472 |
|
Michael Lynch
9100 Babcock Blvd |
$34.30 | 1,407 | 1,383 |
|
Mark Ward Guy
1307 Federal St Ste 301 |
$255.05 | 1,326 | 1,285 |
|
Kathleen Popinski
320 E North Ave |
$255.71 | 1,290 | 1,269 |
|
David Steven Glover
1400 Locust St |
$236.47 | 1,289 | 1,179 |
|
Hoa Kevin Luong
1400 Locust Street |
$268.34 | 1,148 | 1,146 |
|
Sarah Marie Kielek
950 2Nd Ave |
$272.02 | 1,087 | 1,082 |
|
Lisa K Hilliard
1500 Fifth Avenue |
$271.41 | 1,021 | 1,021 |
|
Ilana W Hull
1515 Locust Street |
$182.16 | 955 | 822 |
|
Shelley Ann Savoroski
1140 Perry Hwy |
$268.50 | 910 | 908 |
|
Carole Hoy
200 Lothrop St |
$294.27 | 830 | 830 |
|
Vincent Samuel Ceretto
320 E North Ave |
$222.05 | 749 | 744 |
|
Divya Venkat
1307 Federal St Ste B300 |
$251.19 | 698 | 677 |
|
Jennifer Curtis
300 Halket St # 1731 |
$264.99 | 693 | 682 |
|
Amber Valimont
200 Lothrop St |
$274.47 | 615 | 615 |
|
Stephanie Marie Patalsky
611 Duncan Ave |
$292.60 | 603 | 603 |
|
Joanne Petrarca
900 Parish St Ste 315 |
$254.95 | 527 | 527 |
|
Upmc Presbyterian Shadyside
200 Lothrop St |
$26.49 | 523 | 208 |
|
Victor Cornelius Noble
1307 Federal St |
$272.24 | 481 | 480 |
|
Mary Sligh
1307 Federal St Ste 301 |
$163.27 | 443 | 424 |
|
Heidi Greene
1307 Federal St Ste 301 |
$256.70 | 390 | 389 |
|
Mark G Fuller
1307 Federal St Ste 301 |
$228.19 | 376 | 348 |
|
Caitlin Delee Couper
1307 Federal St Ste 301 |
$229.99 | 361 | 347 |
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 Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Pittsburgh, PA is $133.79 per claim, based on 331,503 claims from 85 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 Pittsburgh, PA?
There are 85 Medicaid providers offering Case Management Services related services in Pittsburgh, PA according to public payment data.
What is the price range for Case Management Services in Pittsburgh, PA?
Medicaid reimbursement for Case Management Services in Pittsburgh, PA ranges from $0.00 to $359.48 per claim, with an average of $133.79. 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 Pittsburgh, PA
Blood Work & Lab Tests
Avg $12.74
5,898,610 claims
Office Visit
Avg $58.11
1,594,344 claims
Emergency Room Visit
Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
Culture & Microbiology Tests
Avg $5.35
530,883 claims
Physical Therapy
Avg $57.35
415,480 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
404,951 claims