Average Medicaid Case Management Services Payments in Providence, RI: $18.33
Avg. Paid
$18.33
Range
$0.00 – $530.24
Total Claims
599,589
Providers
131
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Providence Center Inc
530 N Main St |
$0.01 | 321,306 | 91,472 |
|
The Providence Center
90 Plain St |
$0.00 | 63,562 | 16,472 |
|
Family Service Of Rhode Island Inc.
55 Hope St |
$46.64 | 31,546 | 12,114 |
|
Meeting Street Center
1000 Eddy Street |
$47.15 | 29,615 | 13,065 |
|
Children'S Friend And Service
153 Summer St |
$41.08 | 23,854 | 8,655 |
|
Groden Center, Inc.
610 Manton Ave |
$47.86 | 14,284 | 5,955 |
|
Re-Focus Inc.
45 Greeley St |
$153.07 | 12,017 | 11,425 |
|
Jessica Lynne Waugh
610 Manton Ave |
$22.32 | 9,693 | 1,664 |
|
Family Service Of Rhode Island Inc.
55 Hope St |
$64.69 | 9,590 | 2,000 |
|
Groden Center, Inc.
610 Manton Ave |
$47.40 | 6,741 | 1,391 |
|
Aids Care Ocean State, Inc.
557 Broad St |
$40.07 | 6,587 | 2,256 |
|
The Cove Center, Inc.
610 Manton Ave |
$150.78 | 6,269 | 5,545 |
|
Like Home Adult Daycare Health Center, Llc
845 N Main St |
$4.81 | 5,896 | 179 |
|
Linda Dewey
530 N Main St |
$0.41 | 5,443 | 1,871 |
|
Kazi Salahuddin
520 Hope St |
$0.00 | 4,217 | 2,063 |
|
Amos House
460 Pine St |
$42.64 | 3,708 | 1,502 |
|
Easter Seals Rhode Island
662 Hartford Ave |
$179.95 | 2,864 | 2,738 |
|
Latin Adult Day Health Care Center
663 Charles St |
$9.45 | 2,706 | 160 |
|
Department Of Human Services
40 Fountain St |
$47.82 | 2,697 | 1,551 |
|
Groden Center, Inc.
610 Manton Ave |
$29.99 | 1,877 | 433 |
|
Meeting Street Center
1000 Eddy Street |
$47.10 | 1,697 | 841 |
|
Brian Ackerman
154 Waterman St |
$0.00 | 1,683 | 361 |
|
Luis Ferreira
530 N Main St |
$0.00 | 1,639 | 658 |
|
Elmwood Adult Day Health Care Center
209 Elmwood Ave |
$9.47 | 1,602 | 645 |
|
Claire Elizabeth Laties-Davis
1000 Eddy Street |
$36.31 | 1,235 | 842 |
|
Marisol Garcia
1000 Eddy St |
$22.00 | 1,112 | 533 |
|
Aydalina Cordova
153 Summer St |
$38.53 | 1,052 | 378 |
|
Sara Shaheen
1000 Eddy St |
$58.47 | 1,010 | 597 |
|
Refocus Inc Fiscal Agent
45 Greeley St |
$196.19 | 942 | 942 |
|
Lidia Pena
1000 Eddy St |
$49.34 | 895 | 671 |
|
Urmiry Saldana
530 N Main St |
$0.00 | 828 | 385 |
|
Joy A. Williams
55 Hope St |
$64.69 | 810 | 182 |
|
Lynn A Bowlby
245 Chapman St Ste 300 |
$10.17 | 781 | 108 |
|
Anabel Castillo
1000 Eddy St |
$49.36 | 740 | 561 |
|
Ja'Net Hall- Jones
1000 Eddy Street |
$62.23 | 727 | 471 |
|
Julie Ann Morales Riley
1000 Eddy St |
$63.61 | 640 | 441 |
|
Jennifer Sanchez
1000 Eddy St |
$57.01 | 616 | 451 |
|
Brittany Victoria Dalpe Bouley
610 Manton Ave |
$23.38 | 612 | 113 |
|
Jillian S Stolgitis
1000 Eddy St |
$40.64 | 554 | 285 |
|
James Edward Greer
520 Hope St |
$0.00 | 548 | 198 |
|
Julie Anne Bousquet-Eulie
530 N Main St |
$0.00 | 542 | 169 |
|
Rachael Fucci
1000 Eddy St |
$49.07 | 540 | 306 |
|
Natasha Perez
1000 Eddy St |
$47.70 | 520 | 327 |
|
Emily C. Tripp
55 Hope St |
$11.86 | 496 | 80 |
|
Sandra Victorino
530 N Main St |
$0.00 | 493 | 216 |
|
Julia Clare Caristi
1000 Eddy St |
$69.57 | 478 | 249 |
|
David Robert Gendreau
530 N Main St |
$0.00 | 451 | 118 |
|
Kenia Richards
530 North Main Street |
$0.00 | 404 | 130 |
|
Meredith Burkett
1000 Eddy St |
$38.25 | 383 | 242 |
|
Jalyn Alves
1000 Eddy Street |
$50.84 | 382 | 290 |
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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Providence, RI is $18.33 per claim, based on 599,589 claims from 131 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 Providence, RI?
There are 131 Medicaid providers offering Case Management Services related services in Providence, RI according to public payment data.
What is the price range for Case Management Services in Providence, RI?
Medicaid reimbursement for Case Management Services in Providence, RI ranges from $0.00 to $530.24 per claim, with an average of $18.33. 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 Providence, RI
Personal Care Services
Avg $125.03
2,057,051 claims
Office Visit
Avg $73.05
1,843,254 claims
Emergency Room Visit
Avg $92.98
754,000 claims
Behavioral & Mental Health Therapy
Avg $129.47
740,415 claims
Dental Cleaning & Exam
Avg $30.60
677,431 claims
Psychiatric Evaluation
Avg $71.24
531,502 claims
Substance Abuse Treatment
Avg $47.48
496,940 claims
Physical Therapy
Avg $27.41
391,517 claims