Average Medicaid Case Management Services Payments in Richland, WA: $8.76
Avg. Paid
$8.76
Range
$0.00 – $32.11
Total Claims
9,519
Providers
13
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 Richland, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kenneth E Breeden
965 Goethals Dr |
$11.93 | 3,909 | 1,809 |
|
Gary Somdahl
1305 Mansfield St |
$0.00 | 1,984 | 833 |
|
Jennifer J Sissel
1305 Mansfield St Ste 6 |
$12.81 | 1,152 | 427 |
|
Brandie Rachelle Palmer
1305 Mansfield St Ste 6 |
$9.36 | 835 | 484 |
|
Mackenzie Wayne Scott-Sack
1305 Mansfield St Ste 6 |
$11.83 | 535 | 287 |
|
Somerset Counseling Center
1305 Mansfield St |
$0.75 | 488 | 206 |
|
Donald Scott
1305 Mansfield St Ste 6 |
$13.34 | 375 | 166 |
|
Christina Rose Laws
719 Jadwin Ave # 15 |
$14.89 | 86 | 53 |
|
Kari Lyn Louk
1305 Mansfield St Ste 6 |
$4.70 | 50 | 42 |
|
Terry Kay Miller
1305 Mansfield St Ste 6 |
$10.16 | 42 | 27 |
|
Our Lady Of Lourdes Health Center
1175 Carondelet Dr |
$0.00 | 28 | 12 |
|
Veronica Cisneros
2139 Van Giesen St |
$32.11 | 18 | 13 |
|
Susan Ward
503 Knight St Ste B |
$0.00 | 17 | 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 Richland, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Richland, WA is $8.76 per claim, based on 9,519 claims from 13 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 Richland, WA?
There are 13 Medicaid providers offering Case Management Services related services in Richland, WA according to public payment data.
What is the price range for Case Management Services in Richland, WA?
Medicaid reimbursement for Case Management Services in Richland, WA ranges from $0.00 to $32.11 per claim, with an average of $8.76. 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
14,607,817 claims · 601 providers
Tucson, AZ
Avg $33.22
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Nashville, TN
Avg $197.77
5,117,343 claims · 28 providers
Miami, FL
Avg $82.94
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New York, NY
Avg $322.62
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Montgomery, AL
Avg $50.35
3,554,330 claims · 24 providers
Oklahoma City, OK
Avg $178.61
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Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in Richland, WA
Office Visit
Avg $50.92
505,762 claims
Blood Work & Lab Tests
Avg $9.96
403,975 claims
Emergency Room Visit
Avg $90.75
401,634 claims
Physical Therapy
Avg $35.05
205,431 claims
Substance Abuse Treatment
Avg $54.13
199,199 claims
X-Ray
Avg $5.41
154,305 claims
Urinalysis & Urine Tests
Avg $1.62
139,342 claims
Speech Therapy
Avg $35.86
130,890 claims