Based on public Medicaid payment data.

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

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
Dennis H English 200 Lothrop St	$99.86	13	12
Squirrel Hill Health Center 4516 Browns Hill Rd	$259.45	13	13
Anita Leon-Jhong 200 Lothrop St	$257.42	14	14
Stephen J Ritz 3937 Butler St	$170.00	14	14
Jessica Ann Henry 4800 Friendship Ave Fl 3	$170.00	14	14
Eileen Maloney O'Toole 320 E North Ave	$170.00	16	16
Alexandra Cardy 1307 Federal St Ste 301	$277.22	18	18
Alfred Shoukry 200 Lothrop St Ste 9S	$255.90	26	25
Samantha Elizabeth Stewart 300 Halket St	$143.50	34	31
Brittney Elizabeth Latimer 995 Greentree Rd	$277.22	35	35
Jessica Lynn Cook 1307 Federal St	$0.00	42	42
Kimberly Lynn Cuiffi 1010 Delafield Rd	$277.22	43	43
Robert Gedekoh 300 Halket St	$128.70	43	39
Katelyn Stumpf 1307 Federal St Ste B201	$273.00	46	46
Michael England 200 Lothrop St	$161.51	54	41
Patricia Mcguire 3937 Butler St	$75.00	59	59
Pressley Ridge 530 Marshall Ave	$359.48	73	73
Kelly Dimattio 300 Halket St Ste 4750	$223.03	75	73
Stuart Neil Fisk 1307 Federal St	$74.60	86	78
Jessica Dunn 4815 Liberty Ave Ste Gr50	$277.22	90	90
Cara Mcananey 3601 5Th Ave Ste 700	$240.29	96	93
Jodie Bryk 200 Lothrop St	$34.70	97	97
Brent Thiel 2397 Mountain View Dr	$260.29	131	130
Alexandria Palm 330 S 9Th St	$236.41	157	157
Jean Fitzgibbons 1307 Federal St Ste B201	$275.64	175	175
Jacques Chelly 5230 Centre Ave	$238.70	177	177
Andrea Carter 200 Lothrop St	$269.03	203	194
Kevin Kraemer 3459 5Th Ave	$273.12	203	199
Catherine Chappell 300 Halket St	$160.93	208	178
Judy Chang 300 Halket St	$147.28	226	193
Rebecca Charlotte Dunbar 7180 Highland Dr	$240.04	248	248
Thomas Robertson 1307 Federal St Ste B300	$243.28	254	243
Mercy Life Center Corporation 1200 Reedsdale St	$38.14	272	101
Harsimran Bedi 9401 Mcknight Rd Ste 106	$205.97	303	302
Katie Lynn Lamendola 4401 Penn Avenue	$268.87	320	319
Caitlin Delee Couper 1307 Federal St Ste 301	$229.99	361	347
Mark G Fuller 1307 Federal St Ste 301	$228.19	376	348
Heidi Greene 1307 Federal St Ste 301	$256.70	390	389
Mary Sligh 1307 Federal St Ste 301	$163.27	443	424
Victor Cornelius Noble 1307 Federal St	$272.24	481	480
Upmc Presbyterian Shadyside 200 Lothrop St	$26.49	523	208
Joanne Petrarca 900 Parish St Ste 315	$254.95	527	527
Stephanie Marie Patalsky 611 Duncan Ave	$292.60	603	603
Amber Valimont 200 Lothrop St	$274.47	615	615
Jennifer Curtis 300 Halket St # 1731	$264.99	693	682
Divya Venkat 1307 Federal St Ste B300	$251.19	698	677
Vincent Samuel Ceretto 320 E North Ave	$222.05	749	744
Carole Hoy 200 Lothrop St	$294.27	830	830
Shelley Ann Savoroski 1140 Perry Hwy	$268.50	910	908
Ilana W Hull 1515 Locust Street	$182.16	955	822

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.

Average Medicaid Case Management Services Payments in Pittsburgh, PA: $133.79

Providers Offering Case Management Services in Pittsburgh, PA

What to Expect: Case Management Services

Cost Components

Frequently Asked Questions

Case Management Services in Other Cities

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Other Procedures in Pittsburgh, PA

Blood Work & Lab Tests

Office Visit

Emergency Room Visit

Urinalysis & Urine Tests

X-Ray

Culture & Microbiology Tests

Physical Therapy

EKG / ECG (Electrocardiogram)