Average Medicaid Case Management Services Payments in Prestonsburg, KY: $310.04
Avg. Paid
$310.04
Range
$94.71 – $540.75
Total Claims
123,130
Providers
60
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 Prestonsburg, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mountain Comprehensive Care Center, Inc.
104 S Front Ave |
$328.14 | 71,349 | 69,305 |
|
Mountain Comprehensive Care Center
104 S Front Ave |
$279.25 | 17,846 | 17,702 |
|
Laura A. Pearson
104 S Front Ave |
$288.53 | 3,949 | 3,530 |
|
Ashley Butler
104 S Front Ave |
$388.27 | 3,021 | 2,799 |
|
Brandt Briggs
104 S Front Ave |
$282.03 | 2,242 | 2,008 |
|
James Adam Butler
104 S Front Ave |
$312.22 | 2,059 | 1,863 |
|
Big Sandy Area Agency On Aging
110 Resource Ct |
$97.02 | 1,906 | 1,881 |
|
Georgia Ellis
104 S Front Ave |
$301.51 | 1,637 | 1,511 |
|
Amye Casebolt
104 S Front Ave |
$272.98 | 1,482 | 1,332 |
|
Maranda May
104 S Front Ave |
$291.26 | 1,308 | 1,201 |
|
Janet Allen
104 S Front Ave |
$275.75 | 1,212 | 1,058 |
|
Barbara D. Burgy
104 S Front Ave |
$282.99 | 1,207 | 1,046 |
|
Jessica Briggs
104 S Front Ave |
$279.27 | 1,087 | 972 |
|
Katrina Williams
104 S Front Ave |
$283.73 | 1,062 | 918 |
|
Cynthia Crase-Hicks
1184 S Lake Dr Ste 2 |
$289.61 | 886 | 800 |
|
Laryn Shephard
104 S Front Ave |
$302.64 | 716 | 686 |
|
Emily Kyner
104 S Front Ave |
$314.73 | 633 | 610 |
|
Robert Darrell Castle
104 S Front Ave |
$274.59 | 621 | 567 |
|
Maudella Grace Jones
154 N Lake Dr |
$540.75 | 616 | 602 |
|
Richard A Word
104 S Front Ave |
$269.26 | 518 | 474 |
|
Adam Dickson
104 S Front Ave |
$324.62 | 509 | 459 |
|
Charlene M. Benton
104 S Front Ave |
$302.53 | 467 | 432 |
|
Arh Tug Valley Health Services, Inc.
93 Dewey St |
$94.71 | 416 | 391 |
|
Richard Phillip Gantt
104 S Front Ave |
$268.10 | 387 | 342 |
|
Charla White
104 S Front Ave |
$255.12 | 378 | 326 |
|
Angela Hall
104 S Front Ave |
$274.93 | 363 | 334 |
|
Jacqueline Hailey Cardin
104 S Front Ave |
$321.88 | 357 | 345 |
|
Kelly Kelley
104 S Front Ave |
$281.79 | 330 | 315 |
|
Monica Sewell
104 S Front Ave |
$324.00 | 329 | 314 |
|
Donna Epperson
104 S Front Ave |
$307.43 | 329 | 323 |
|
Kathy J Vallee
104 S Front Ave |
$255.04 | 307 | 269 |
|
Elizabeth Martin
104 S Front Ave |
$190.59 | 284 | 255 |
|
Patricia Faye Stewart - Hopkins
104 S Front Ave |
$289.27 | 275 | 256 |
|
Aaron Hackworth
104 S Front Ave |
$338.43 | 247 | 233 |
|
Micca Nichole Ratliff
113 Oak Ridge Ct |
$283.25 | 216 | 195 |
|
Rebecca Morse
104 S Front Ave |
$286.76 | 205 | 194 |
|
Jessica R Cox
104 S Front Ave |
$302.43 | 201 | 186 |
|
Sabrina Grubbs
104 S Front Ave |
$230.66 | 181 | 153 |
|
Jack Kendrick
1709 Ky Route 321 Ste 3 |
$159.85 | 172 | 134 |
|
Marcella C Ramsey
104 S Front Ave |
$312.36 | 153 | 143 |
|
Jason Ray Jones
104 S Front Ave |
$307.16 | 146 | 140 |
|
Rachel Morton
104 S Front Ave |
$318.54 | 144 | 143 |
|
John Anderson
104 S Front Ave |
$282.12 | 143 | 141 |
|
Miriam Marshall
104 S Front Ave |
$287.30 | 133 | 122 |
|
Amelia Moore
104 S Front Ave |
$249.26 | 128 | 104 |
|
Darlene Allen
104 S Front Ave |
$318.71 | 127 | 120 |
|
Bradlee Burtner
104 S Front Ave |
$267.61 | 126 | 115 |
|
Jennifer Oneal Cavins
104 S Front Ave |
$307.86 | 115 | 109 |
|
Rosanna Mccoy
105 Trimble Chapel Square |
$312.27 | 113 | 106 |
|
Laurnea Vanderpool
104 S Front Ave |
$129.39 | 93 | 56 |
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 Prestonsburg, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Prestonsburg, KY is $310.04 per claim, based on 123,130 claims from 60 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 Prestonsburg, KY?
There are 60 Medicaid providers offering Case Management Services related services in Prestonsburg, KY according to public payment data.
What is the price range for Case Management Services in Prestonsburg, KY?
Medicaid reimbursement for Case Management Services in Prestonsburg, KY ranges from $94.71 to $540.75 per claim, with an average of $310.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $37.73
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Tucson, AZ
Avg $33.22
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Nashville, TN
Avg $197.77
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Miami, FL
Avg $82.94
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New York, NY
Avg $322.62
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Montgomery, AL
Avg $50.35
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Oklahoma City, OK
Avg $178.61
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Avg $32.09
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Other Procedures in Prestonsburg, KY
Psychiatric Evaluation
Avg $57.42
1,166,008 claims
Office Visit
Avg $36.84
889,997 claims
Blood Work & Lab Tests
Avg $10.88
539,849 claims
Substance Abuse Treatment
Avg $64.31
347,061 claims
Home Health Visit
Avg $102.83
345,431 claims
Behavioral & Mental Health Therapy
Avg $150.21
341,524 claims
Physical Therapy
Avg $63.45
255,460 claims
Dental Cleaning & Exam
Avg $37.71
105,678 claims