Average Medicaid Case Management Services Payments in Roanoke, VA: $255.81
Avg. Paid
$255.81
Range
$9.05 – $367.31
Total Claims
130,545
Providers
35
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 Roanoke, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gustaf Anders Sylvester-Johnson
2017 Jefferson St Sw |
$261.60 | 16 | 16 |
|
Carilion Medical Center
1906 Belleview Ave Se |
$243.00 | 19 | 19 |
|
Sara Boucher
2017 Jefferson St Sw |
$247.86 | 20 | 20 |
|
Penny Marie Morrison
6701 Peters Creek Rd Ste 110 |
$15.67 | 20 | 15 |
|
Commonwealth Of Virginia State Board Of Health
1502 Williamson Rd Ne |
$89.30 | 26 | 24 |
|
Jonathan Boring
1906 Belleview Ave Se |
$15.50 | 33 | 23 |
|
Justin B White
2017 Jefferson St Sw |
$243.28 | 44 | 40 |
|
Viola Jones
6701 Peters Creek Rd Ste 110 |
$9.05 | 109 | 92 |
|
Intercept Youth Services
5673 Airport Rd Nw |
$296.35 | 134 | 132 |
|
Patricia G Spangler
5060 Valley View Blvd Nw |
$211.99 | 163 | 163 |
|
Skyler Gutierrez
611 Mcdowell Ave Nw |
$187.84 | 215 | 211 |
|
Sharon Kay Toliver-Hardy
325 Mountain Avenue Sw |
$248.86 | 247 | 240 |
|
Markeia Chenise Young
1345 Plantation Rd Ne |
$172.32 | 306 | 279 |
|
Elizabeth Smith Mccuin
902 S Jefferson St |
$18.77 | 309 | 268 |
|
Depaul Community Resources
5650 Hollins Rd |
$367.31 | 332 | 332 |
|
David Gofman
3716 Melrose Ave Nw |
$198.60 | 382 | 363 |
|
Traketa La'Shawn Dillard
3005 Peters Creek Rd Nw |
$219.96 | 464 | 421 |
|
Chen Peter Chou
6701 Peters Creek Rd Ste 110 |
$245.18 | 491 | 489 |
|
Morgan Rebecca Whittaker
1345 Plantation Rd Ne |
$213.62 | 521 | 489 |
|
Travis Stephen Ford
1345 Plantation Rd Ne |
$158.76 | 546 | 461 |
|
Emilie Adele Bradley
1325 Jamison Ave Se |
$238.93 | 585 | 575 |
|
National Counseling Group, Inc
3922 Electric Rd Ste 200 |
$308.36 | 612 | 598 |
|
Gwendolyn L Martin
101 Elm Ave Se |
$146.87 | 631 | 351 |
|
Albert J Arias
2017 Jefferson St Sw |
$196.70 | 639 | 594 |
|
Embrace Foster Care, Llc
3912 Electric Road |
$329.34 | 920 | 822 |
|
Depaul Community Resources
5650 Hollins Rd |
$321.00 | 2,714 | 2,532 |
|
Commonwealth Of Virginia State Board Of Health
1502 Williamson Rd Ne |
$131.36 | 2,864 | 2,715 |
|
Jennifer Catherine Wells
2017 Jefferson St Sw |
$249.52 | 3,011 | 2,972 |
|
Anita Sherry Kablinger
2017 Jefferson St Sw |
$253.13 | 3,140 | 3,111 |
|
Braley & Thompson
2965 Colonnade Dr |
$251.32 | 5,202 | 3,871 |
|
David Hartman
213 Mcclanahan St Sw |
$249.15 | 5,266 | 5,183 |
|
Intercept Youth Services, Inc.
5673 Airport Rd |
$285.10 | 10,797 | 9,444 |
|
Child Health Investment Partnership
1201- 3Rd St., Sw |
$70.84 | 13,329 | 12,802 |
|
Virginia Treatment Center
3208 Hershberger Rd Nw |
$224.17 | 30,582 | 27,587 |
|
Blue Ridge Behavioral Healthcare
301 Elm Ave Sw |
$335.22 | 45,856 | 45,808 |
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 Roanoke, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Roanoke, VA is $255.81 per claim, based on 130,545 claims from 35 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 Roanoke, VA?
There are 35 Medicaid providers offering Case Management Services related services in Roanoke, VA according to public payment data.
What is the price range for Case Management Services in Roanoke, VA?
Medicaid reimbursement for Case Management Services in Roanoke, VA ranges from $9.05 to $367.31 per claim, with an average of $255.81. 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 Roanoke, VA
Office Visit
Avg $63.08
1,419,537 claims
Substance Abuse Treatment
Avg $44.31
1,236,004 claims
Blood Work & Lab Tests
Avg $5.46
1,046,555 claims
Behavioral & Mental Health Therapy
Avg $119.20
914,013 claims
Emergency Room Visit
Avg $113.17
568,599 claims
Psychiatric Evaluation
Avg $71.61
465,691 claims
X-Ray
Avg $9.06
397,089 claims
Home Health Visit
Avg $74.87
351,003 claims