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 |
|---|---|---|---|
|
Shannon Irene Meinel
1000 Eddy St |
$59.16 | 13 | 12 |
|
Saga Pappas
1000 Eddy St |
$22.94 | 16 | 12 |
|
Alicia Moran
153 Summer St |
$29.57 | 18 | 13 |
|
Jennifer Ann Plants
1000 Eddy Street |
$34.96 | 18 | 12 |
|
Kristina Marie Duarte
1 Randall Sq |
$17.52 | 19 | 16 |
|
Cara Graney
1000 Eddy St |
$40.20 | 20 | 12 |
|
Jillian Borzain
1000 Eddy St |
$51.90 | 21 | 12 |
|
Brianna Marie Caldeira
1000 Eddy St |
$48.28 | 21 | 13 |
|
Daria Lombardi
1000 Eddy St |
$21.64 | 21 | 14 |
|
Karen Marsella
1000 Eddy St |
$35.79 | 21 | 13 |
|
Michaela Sheehan
1000 Eddy St |
$61.97 | 22 | 12 |
|
Breanne Lyn Murphy
1000 Eddy St |
$48.80 | 24 | 13 |
|
Christina Marie Heon
1000 Eddy Street |
$34.96 | 24 | 17 |
|
Atrik Marlene Pineda
110 Progress Ave Fl 2 |
$41.95 | 25 | 14 |
|
Kristen Laurie Bourque
153 Summer St |
$55.57 | 26 | 13 |
|
Meals On Wheels Of Ri, Inc.
70 Bath St |
$0.00 | 27 | 14 |
|
Ashley Balon
1000 Eddy St |
$67.59 | 30 | 25 |
|
Macey Malo
1000 Eddy St |
$38.46 | 35 | 27 |
|
Lauren A Diggle
1000 Eddy Street |
$43.02 | 36 | 25 |
|
Cassondra Richards
1000 Eddy St |
$31.08 | 36 | 28 |
|
Kristen Chapman
1000 Eddy St |
$30.82 | 38 | 27 |
|
Rachel Elyse Bloom
1000 Eddy St |
$60.26 | 38 | 32 |
|
Courtney Whorf
1000 Eddy St |
$45.54 | 38 | 13 |
|
Lauren Caroline Connell
1000 Eddy St |
$26.43 | 41 | 39 |
|
Lisa Marie Bilodeau
1000 Eddy St |
$46.47 | 42 | 24 |
|
Emily P Buor
530 N Main St |
$0.00 | 42 | 12 |
|
Christin Lynn Barden
845 N Main St Ste L1B |
$530.24 | 43 | 43 |
|
Erin F Bedell
1000 Eddy St |
$45.53 | 43 | 25 |
|
Brianne Smith
530 N Main St |
$0.00 | 52 | 13 |
|
Debra J. Clancy
1000 Eddy St |
$55.97 | 53 | 42 |
|
Pamela Thayer
1000 Eddy Street |
$34.30 | 53 | 37 |
|
Abbigale Elizabeth Scott
1000 Eddy St |
$67.72 | 66 | 41 |
|
Gianna Elaina Robenhymer
153 Summer St |
$42.75 | 67 | 42 |
|
Wendy Oliveira
1000 Eddy St |
$48.20 | 73 | 52 |
|
Alina Kapustin
1000 Eddy St |
$39.68 | 74 | 29 |
|
Jenna Farrelly
1000 Eddy St |
$33.02 | 81 | 66 |
|
Erica Velarde
1000 Eddy St |
$109.50 | 85 | 24 |
|
Jennifer L Mccormack
1000 Eddy St |
$72.80 | 86 | 50 |
|
Armani Smalls
1000 Eddy St |
$74.20 | 86 | 64 |
|
Crista Sanantonio
1000 Eddy St |
$57.94 | 91 | 64 |
|
The Rhode Island Coalition For The Homeless, Inc.
225 Dyer St Fl 2 |
$0.00 | 92 | 41 |
|
Jessica Anne Stanelun
1000 Eddy Street |
$44.95 | 98 | 60 |
|
Ellen Sauco
1000 Eddy St |
$48.20 | 98 | 60 |
|
Renaissance Adhc, Llc
1090 Eddy St |
$3.42 | 98 | 82 |
|
Stephanie Campbell
1000 Eddy St |
$24.41 | 106 | 69 |
|
Mirelis Betances
1000 Eddy St |
$38.86 | 112 | 93 |
|
Sara B Knight
1000 Eddy St |
$49.66 | 113 | 64 |
|
Renee Teresa Hanley
610 Manton Ave |
$17.57 | 118 | 25 |
|
Arianna Denise Miche
1 Randall Sq Ste 302 |
$42.61 | 128 | 91 |
|
Angela Vars
1000 Eddy St |
$43.64 | 141 | 90 |
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