Average Medicaid Case Management Services Payments in Prescott, AZ: $45.16
Avg. Paid
$45.16
Range
$0.00 – $103.66
Total Claims
231,154
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 Prescott, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
West Yavapai Guidance Clinic, Inc.
726 Gail Gardner Way |
$33.19 | 83,644 | 39,883 |
|
Spectrum Healthcare Group, Inc
990 Willow Creek Rd |
$53.26 | 64,611 | 29,592 |
|
West Yavapai Guidance Clinic Cortez
505 S Cortez St |
$41.53 | 34,147 | 16,051 |
|
Spectrum Healthcare Group, Inc
3633 Crossings Drive |
$59.17 | 17,927 | 10,842 |
|
Compass Recovery Center Llc
711 S. Granite St |
$51.22 | 8,027 | 1,301 |
|
Paramount Recovery Center Llc
637 W Hillside Ave |
$76.75 | 6,878 | 679 |
|
West Yavapai Guidance Clinic, Inc.
726 Gail Gardner Way |
$34.31 | 3,538 | 2,400 |
|
Adam Francis Rogers
141 S Mccormick St |
$74.38 | 2,849 | 189 |
|
Shamrock Recovery Services Llc.
1000 Ainsworth Dr Ste B215 |
$103.66 | 2,621 | 455 |
|
Anita M Gilbert
2286 Crosswind Dr Ste C |
$0.00 | 2,014 | 1,685 |
|
Pinnacle Treatment Center Llc
445 Miller Valley Rd |
$38.82 | 1,507 | 302 |
|
Holdfast Recovery
1579 W Gurley St |
$81.63 | 1,330 | 249 |
|
Kara Schumann
914 E Gurley St Ste 200 |
$15.28 | 781 | 524 |
|
Kathleen W Cormier
625 W Hillside Ave |
$5.71 | 355 | 336 |
|
Amanda Joan Eliseo
914 E Gurley St Ste 200 |
$3.91 | 301 | 165 |
|
Katharina Sophia Petersen
642 Dameron Dr |
$32.58 | 242 | 199 |
|
Jack Pullins
111 S Cortez St |
$0.00 | 156 | 73 |
|
Catholic Charities Community Services, Inc
434 W Gurley Street |
$46.18 | 95 | 77 |
|
Nicole Martin
1090 Commerce Dr |
$20.05 | 66 | 58 |
|
Susan B Armstrong
3112 Clearwater Dr |
$62.08 | 31 | 30 |
|
Blueprints Therapeutic Services Llc
1113 E Gurley St |
$42.66 | 19 | 12 |
|
Mauricio Mairena
1680 W Iron Springs Rd Ste 101A |
$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 Prescott, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Prescott, AZ is $45.16 per claim, based on 231,154 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 Prescott, AZ?
There are 22 Medicaid providers offering Case Management Services related services in Prescott, AZ according to public payment data.
What is the price range for Case Management Services in Prescott, AZ?
Medicaid reimbursement for Case Management Services in Prescott, AZ ranges from $0.00 to $103.66 per claim, with an average of $45.16. 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 Prescott, AZ
Blood Work & Lab Tests
Avg $2.56
435,774 claims
Office Visit
Avg $57.61
401,335 claims
Emergency Room Visit
Avg $180.08
266,458 claims
Substance Abuse Treatment
Avg $115.00
199,089 claims
X-Ray
Avg $11.94
134,408 claims
Urinalysis & Urine Tests
Avg $0.69
116,184 claims
Physical Therapy
Avg $45.63
109,837 claims
Behavioral & Mental Health Therapy
Avg $90.61
93,745 claims