Average Medicaid Case Management Services Payments in Prescott Valley, AZ: $37.92
Avg. Paid
$37.92
Range
$0.00 – $53.33
Total Claims
519,482
Providers
18
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 Valley, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Child & Family Support Service, Inc
8652 E Eastridge Rd |
$41.52 | 171,218 | 42,289 |
|
Summit Behavioral Health Of Arizona
8183 E Florentine Rd |
$33.19 | 83,432 | 13,061 |
|
West Yavapai Guidance Clinic, Inc.
3347 N Windsong Dr |
$53.33 | 69,004 | 34,275 |
|
West Yavapai Guidance Clinic, Inc.
3345 N Windsong Dr |
$52.53 | 62,865 | 28,037 |
|
Southwest Behavioral Health Services
7600 E Florentine Rd |
$20.94 | 51,132 | 24,830 |
|
Family Involvement Center, Inc
8766 E State Route 69 Ste G |
$19.02 | 23,270 | 9,382 |
|
Summit Behavioral Health Of Arizona
8705 E Eastridge Rd |
$26.39 | 19,555 | 1,685 |
|
Southwest Behavioral Health Services, Inc.
7600 E Florentine Rd Ste 101 |
$16.84 | 15,216 | 7,132 |
|
Community Medical Services Arizona-Private, Llc
3155 N. Windsong Drive |
$18.56 | 8,714 | 2,844 |
|
West Yavapai Guidance Clinic Inc
8655 E Eastridge Rd Ste A |
$30.32 | 6,404 | 4,441 |
|
Pronghorn Psychiatry
5940 E. Copper Hill Dr |
$32.51 | 3,287 | 1,275 |
|
Southwest Behavioral Health Services, Inc.
7763 E Florentine Rd |
$8.22 | 2,922 | 1,470 |
|
Elizabeth S. Tilousi
3343 N. Windsong Dr. |
$49.65 | 1,255 | 733 |
|
West Yavapai Guidance Clinic, Inc.
3343 N Windsong Dr |
$0.00 | 1,031 | 362 |
|
Nazcare, Inc. - Eaton Center For Joyful Health
8128 E State Route 69 Ste 201 |
$0.00 | 133 | 26 |
|
Kent Mattern
3345 N Windsong Dr |
$37.74 | 17 | 17 |
|
Armando Varela
3151 N Windsong Dr |
$0.72 | 15 | 12 |
|
Sean P Derry
3345 N Windsong Dr |
$26.73 | 12 | 12 |
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 Valley, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Prescott Valley, AZ is $37.92 per claim, based on 519,482 claims from 18 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 Valley, AZ?
There are 18 Medicaid providers offering Case Management Services related services in Prescott Valley, AZ according to public payment data.
What is the price range for Case Management Services in Prescott Valley, AZ?
Medicaid reimbursement for Case Management Services in Prescott Valley, AZ ranges from $0.00 to $53.33 per claim, with an average of $37.92. 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 Valley, AZ
Substance Abuse Treatment
Avg $72.67
376,398 claims
Personal Care Services
Avg $119.06
308,739 claims
Behavioral & Mental Health Therapy
Avg $97.69
290,286 claims
Office Visit
Avg $57.23
188,286 claims
Non-Emergency Medical Transportation
Avg $13.74
144,839 claims
Physical Therapy
Avg $62.78
61,903 claims
Dental Cleaning & Exam
Avg $21.31
45,190 claims
Vaccines & Immunizations
Avg $15.35
27,746 claims