Average Medicaid Case Management Services Payments in Portland, OR: $190.99
Avg. Paid
$190.99
Range
$0.00 – $4,945
Total Claims
167,925
Providers
337
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 Portland, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Multnomah County
619 Nw 6Th Ave Ste 500 |
$401.06 | 23,548 | 17,933 |
|
Essential Quality Care Llc
5128 Ne 42Nd Ave |
$46.66 | 10,777 | 4,939 |
|
Cascadia Health
847 Ne 19Th |
$42.02 | 10,403 | 5,736 |
|
Cascade Aids Project
520 Nw Davis St Ste 215 |
$153.69 | 7,892 | 7,539 |
|
Oregon Health And Science University
5525 Se Milwaukie Ave |
$51.35 | 6,777 | 2,768 |
|
Multnomah County School District 40
1500 Se 130Th Ave |
$41.19 | 5,340 | 4,508 |
|
Brian David Leese
3181 Sw Sam Jackson Park Rd |
$475.67 | 3,947 | 3,684 |
|
Children'S Nursing Specialties, Inc.
9900 Sw Greenburg Rd |
$47.93 | 2,520 | 1,847 |
|
Tamika Tyrell Motton
10373 Ne Hancock St Ste 200 |
$61.70 | 2,373 | 798 |
|
Multnomah County
619 Nw 6Th Ave |
$355.44 | 2,204 | 731 |
|
Amy Busiek
4212 Se Division St Ste 100 |
$74.38 | 2,203 | 914 |
|
Tyrone Hunt
3034 Ne Mlk Blvd |
$110.60 | 2,104 | 893 |
|
Keith Heltsley
847 Ne 19Th Ave Ste 100 |
$133.76 | 1,999 | 1,221 |
|
Vera Matti
605 Se Cesar E Chavez Blvd |
$1.25 | 1,888 | 783 |
|
Rebecca Nicole Stock
33 Nw Broadway |
$106.33 | 1,874 | 1,025 |
|
Multnomah County School District #7
11611 Ne Ainsworth Cir |
$20.03 | 1,857 | 920 |
|
Central City Concern
232 Nw 6Th Ave |
$4,945 | 1,854 | 1,457 |
|
Brian J Mccarthy
1015 Nw 22Nd Ave |
$22.16 | 1,713 | 1,144 |
|
Y Cheree Carr
33 Nw Broadway |
$121.75 | 1,708 | 1,051 |
|
Dorothy Joanna Burton
3716 Ne Martin Luther King Blvd |
$89.27 | 1,691 | 862 |
|
Anthony Stoudamire
3716 Ne Martin Luther King Jr Blvd |
$116.62 | 1,518 | 871 |
|
Rebecca Hale Wood
33 Nw Broadway |
$116.27 | 1,497 | 738 |
|
Sharon Punivai
33 Nw Broadway |
$60.49 | 1,471 | 774 |
|
Dennis Yeung
3430 Se Powell Blvd |
$0.24 | 1,470 | 790 |
|
Lisa Schmuckley
13110 Ne Beech St |
$78.03 | 1,438 | 609 |
|
Kim C Truongpham
3181 Sw Sam Jackson Park Rd |
$0.02 | 1,344 | 1,114 |
|
Felicia J Ette
847 Ne 19Th Ave |
$110.32 | 1,329 | 643 |
|
Kelly Theresa Hall
3415 Se Powell Blvd |
$43.81 | 1,299 | 794 |
|
Kemal Vejo
3633 Se 35Th Pl |
$0.09 | 1,247 | 977 |
|
Thao An Pham Le
2214 Lloyd Center |
$0.06 | 1,224 | 947 |
|
Linda Pate
10564 Se Washington St |
$32.63 | 1,145 | 463 |
|
Madeline Suzanne Bushman Goold
3415 Se Powell Blvd |
$86.88 | 1,140 | 804 |
|
Multnomah County School District U2-20Jt
11611 Ne Ainsworth Cir |
$28.47 | 1,124 | 669 |
|
Elizabeth Culbertson
14600 Nw Cornell Rd |
$104.35 | 1,106 | 405 |
|
Pamela R Miner
5100 S Macadam Ave Ste 200 |
$572.86 | 1,077 | 1,074 |
|
Timothy Kelly
14600 Nw Cornell Rd |
$96.75 | 1,075 | 590 |
|
Cindy Jo Kavanagh
15610 Se Division St |
$22.17 | 1,071 | 606 |
|
Mary Annette Erhart
10564 Se Washington St |
$35.68 | 1,054 | 739 |
|
Ridvan Hunt Norton
847 Ne 19Th Ave Ste 100 |
$101.88 | 995 | 739 |
|
Centennial School District 28 302Jt
11611 Ne Ainsworth Cir |
$22.82 | 964 | 595 |
|
Edgar Andrada
11610 Nw Stone Mountain Ln Apt 208 |
$86.41 | 935 | 369 |
|
Natalie Whisenant
2330 Ne Siskiyou St |
$72.71 | 923 | 373 |
|
Airreca Storm Marie Matthews
4212 Se Division St Ste 100 |
$96.78 | 880 | 404 |
|
Michael Avram Harris
707 Sw Gaines St |
$1,051 | 875 | 851 |
|
Radiance Ann Schroeter
14600 Nw Cornell Rd |
$88.17 | 847 | 650 |
|
Timothy Carl Sheppard
11035 Ne Sandy Blvd |
$140.84 | 689 | 530 |
|
David Douglas School District
11611 Ne Ainsworth Cir |
$26.43 | 655 | 456 |
|
Veronica Leigh Gacayan
11 Sw 5Th Ave |
$66.77 | 654 | 260 |
|
Alicia Vasquez
1411 Sw Morrison St Ste 310 |
$91.76 | 652 | 298 |
|
Erika Tarjan
33 Nw Broadway |
$52.69 | 643 | 404 |
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 Portland, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Portland, OR is $190.99 per claim, based on 167,925 claims from 337 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 Portland, OR?
There are 337 Medicaid providers offering Case Management Services related services in Portland, OR according to public payment data.
What is the price range for Case Management Services in Portland, OR?
Medicaid reimbursement for Case Management Services in Portland, OR ranges from $0.00 to $4,945 per claim, with an average of $190.99. 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 Portland, OR
Non-Emergency Medical Transportation
Avg $8.52
8,218,690 claims
Substance Abuse Treatment
Avg $37.53
6,780,611 claims
Blood Work & Lab Tests
Avg $8.81
4,391,828 claims
Office Visit
Avg $73.00
3,294,065 claims
Emergency Room Visit
Avg $158.80
1,692,627 claims
Psychiatric Evaluation
Avg $127.77
1,060,187 claims
Dental Cleaning & Exam
Avg $24.43
966,509 claims
X-Ray
Avg $8.73
762,377 claims