Average Medicaid Case Management Services Payments in Richmond, VA: $240.19
Avg. Paid
$240.19
Range
$0.00 – $333.21
Total Claims
180,817
Providers
30
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 Richmond, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richmond Behavioral Health Authority
107 S 5Th St |
$278.64 | 85,511 | 80,154 |
|
Chesterfield Community Services Board-Infant Program
101 Buford Road |
$132.32 | 20,235 | 19,270 |
|
Pinnacle Treatment Centers Va-I, Llc
4906 Radford Ave |
$224.28 | 17,328 | 15,838 |
|
Metro Treatment Of Virginia Lp
3021 Mechanicsville Tpke |
$229.79 | 14,524 | 13,648 |
|
United Methodist Family Services Of Va,Inc.
3900 W Broad St |
$320.27 | 8,438 | 7,658 |
|
Capital Center Of Virginia
1704 W Laburnum Ave |
$163.42 | 6,962 | 6,665 |
|
Peter B Breslin
5540 Falmouth St Ste 103 |
$201.87 | 5,354 | 4,979 |
|
Sellati & Co., Inc.
4926 W Broad St |
$196.55 | 3,401 | 2,950 |
|
Commonwealth Catholic Charities
1512 Willow Lawn Drive |
$333.21 | 3,242 | 2,998 |
|
James Matthew Gardner
1510 N 28Th St Ste 101 |
$256.40 | 2,372 | 2,303 |
|
The Bair Foundation Of Virginia
8002 Discovery Dr |
$323.25 | 2,302 | 2,009 |
|
Laura Joyce Gray
6800 Paragon Pl Ste 200 |
$39.10 | 2,214 | 394 |
|
River City Comprehensive Counseling Services, Llc
2604 N Parham Rd |
$223.52 | 1,774 | 1,600 |
|
Khalilah Salaam Stafford
1613 Bramwell Rd |
$44.39 | 1,431 | 341 |
|
Soar 365
3600 Saunders Ave |
$143.56 | 1,397 | 1,354 |
|
Caitlin Eileen Martin
401 N 11Th St |
$236.10 | 1,349 | 1,299 |
|
Stephen John Popovich
1510 N 28Th St |
$168.24 | 786 | 742 |
|
Nicholas A Stansfield
3908 Nine Mile Rd |
$158.39 | 359 | 357 |
|
Cheryl Ann Boggs
1201 Broad Rock Blvd |
$230.94 | 358 | 354 |
|
Mcv Associated Physicians
1250 E Marshall St |
$231.65 | 317 | 281 |
|
Lutheran Family Services Of Va
4901 Dickens Rd Ste 115 |
$318.44 | 243 | 239 |
|
Cynthia T Sherman
2025 E Main St Ste 104 |
$225.81 | 228 | 214 |
|
Human Resources Inc
15 W Cary St |
$211.02 | 190 | 157 |
|
Loren Walden Lee
107 S 5Th St |
$233.87 | 108 | 106 |
|
Craig W Swainey
1250 E Marshall St |
$212.69 | 101 | 97 |
|
Samantha Hasenzahl
2301 N Parham Rd Ste 5 |
$233.33 | 95 | 91 |
|
Robin Renee Russell
1900 Byrd Ave |
$185.82 | 68 | 68 |
|
Shannon Leigh Thompson
1250 E Marshall St |
$228.12 | 49 | 49 |
|
Intercept Youth Services, Inc.
5511 Staples Mill Rd |
$0.00 | 44 | 40 |
|
Katherine Suzanne Tyson
5875 Bremo Rd |
$208.13 | 37 | 36 |
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 Richmond, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Richmond, VA is $240.19 per claim, based on 180,817 claims from 30 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 Richmond, VA?
There are 30 Medicaid providers offering Case Management Services related services in Richmond, VA according to public payment data.
What is the price range for Case Management Services in Richmond, VA?
Medicaid reimbursement for Case Management Services in Richmond, VA ranges from $0.00 to $333.21 per claim, with an average of $240.19. 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 Richmond, VA
Blood Work & Lab Tests
Avg $4.30
4,017,522 claims
Non-Emergency Medical Transportation
Avg $26.22
2,907,745 claims
Office Visit
Avg $68.82
2,636,996 claims
Substance Abuse Treatment
Avg $53.32
2,490,009 claims
Behavioral & Mental Health Therapy
Avg $179.96
2,168,703 claims
Emergency Room Visit
Avg $137.78
2,065,177 claims
X-Ray
Avg $7.41
1,597,204 claims
Physical Therapy
Avg $84.50
1,259,338 claims