Average Medicaid Case Management Services Payments in Pocatello, ID: $47.31
Avg. Paid
$47.31
Range
$0.00 – $246.99
Total Claims
102,779
Providers
30
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 Pocatello, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Life Design Llc
3420 Alturas Ct |
$39.10 | 27,432 | 5,562 |
|
Network For Independence 2, Llc
503 W Pine St |
$47.08 | 12,908 | 5,508 |
|
Community Mental Health Services
720 E Lander St |
$39.43 | 11,643 | 2,116 |
|
A Compass In Life
2446 Coleman St |
$37.54 | 9,909 | 5,084 |
|
Jennifer Marie Miles
1368 El Rancho Blvd |
$28.95 | 8,487 | 1,941 |
|
Michael L Stevens
109 N Arthur Ave Ste 203 |
$57.88 | 6,336 | 1,856 |
|
Frances H Reynolds Lands
303 N 12Th Ave |
$51.77 | 4,409 | 1,104 |
|
John P Condron
1023 Yellowstone Ave Ste J |
$47.71 | 4,132 | 1,532 |
|
Tensel Llc-Tcm
1077 Dolostone Dr |
$59.72 | 3,779 | 846 |
|
Terri Jones
13420 W. Meadowlark Lane |
$147.15 | 3,017 | 2,897 |
|
Kilynn Lois Hainline
850 East Young St |
$62.84 | 1,952 | 221 |
|
Matthew R Christensen
5230 W Moonlight Mine Rd. |
$51.00 | 1,756 | 429 |
|
Bryson Kay Vaughan
110 S. 19Th Ave. |
$53.02 | 1,451 | 470 |
|
Robert Andrew De Wall
444 Hospital Way Ste 477 |
$46.56 | 1,380 | 682 |
|
Cathy Brydon
4460 Central Way |
$46.99 | 1,180 | 274 |
|
Katie L Mulalley
353 N 4Th Ave |
$46.04 | 566 | 210 |
|
Matt Hardin
224 S Arthur Ave |
$63.12 | 503 | 208 |
|
Luis Fernandez
2850 Olympus Dr. |
$246.99 | 480 | 271 |
|
Barry R. Redford
707 North 7Th |
$46.48 | 353 | 149 |
|
Dustin Reno
1155 Yellowstone Ave |
$43.35 | 313 | 109 |
|
Hope Tree Inc
109 N Arthur Ave |
$48.72 | 178 | 83 |
|
Bella-Nacole Mental Health Services Llc
808 N 8Th Ave |
$49.24 | 102 | 28 |
|
Consumer Care Llc
645 W Clark St |
$19.15 | 99 | 19 |
|
Nancy M. Wheeler
335 N Main St |
$42.14 | 98 | 36 |
|
Heidi Rasmussen
645 W Clark St |
$0.32 | 85 | 17 |
|
Pocatello Chubbuck School District #25
3115 Pole Line Rd |
$39.17 | 77 | 77 |
|
Richard Boyce
2055 Garrett Way |
$40.72 | 76 | 44 |
|
Tyrone Richard Shuman
732 Washington Ave |
$49.70 | 36 | 13 |
|
Steven Richard Miner
1025 W Eldredge Rd |
$42.99 | 27 | 12 |
|
John Abraham Fenstermaker
1951 Bench Rd |
$0.00 | 15 | 13 |
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 Pocatello, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Pocatello, ID is $47.31 per claim, based on 102,779 claims from 30 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 Pocatello, ID?
There are 30 Medicaid providers offering Case Management Services related services in Pocatello, ID according to public payment data.
What is the price range for Case Management Services in Pocatello, ID?
Medicaid reimbursement for Case Management Services in Pocatello, ID ranges from $0.00 to $246.99 per claim, with an average of $47.31. 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
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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
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Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in Pocatello, ID
Office Visit
Avg $53.27
354,345 claims
Physical Therapy
Avg $36.23
328,178 claims
Speech Therapy
Avg $50.68
203,208 claims
Home Health Visit
Avg $46.23
186,686 claims
Blood Work & Lab Tests
Avg $7.93
183,771 claims
Dental Cleaning & Exam
Avg $32.53
150,483 claims
Substance Abuse Treatment
Avg $91.17
141,837 claims
Vaccines & Immunizations
Avg $20.15
120,889 claims