Average Medicaid Case Management Services Payments in Sierra Vista, AZ: $42.68
Avg. Paid
$42.68
Range
$0.00 – $55.27
Total Claims
319,595
Providers
16
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 Sierra Vista, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Partners Integrated Healthcare, Inc.
2039 E Wilcox Dr |
$53.17 | 118,883 | 59,082 |
|
Easter Seals Blake Foundation
55 S 5Th St |
$38.89 | 98,011 | 29,655 |
|
Southeastern Arizona Behavioral Health Services Inc
4755 Campus Drive |
$49.11 | 50,371 | 32,425 |
|
Community Medical Services Arizona-Private, Llc
302 El Camino Real |
$24.62 | 27,179 | 8,262 |
|
Telecare Mental Health Services Of Arizona, Inc
75 N Garden Ave |
$0.45 | 11,157 | 2,656 |
|
Helping Ourselves Pursue Enrichment, Inc.
1201 E Fry Blvd |
$10.11 | 3,557 | 1,488 |
|
Caring Connections For Special Needs, Llc
4511 N Commerce Dr |
$19.54 | 2,952 | 1,814 |
|
Community Partners Integrated Healthcare, Inc.
2273 E Wilcox Dr |
$50.90 | 2,804 | 2,022 |
|
Chiricahua Community Health Centers, Inc
77 Calle Portal Ste C240 |
$19.97 | 1,266 | 684 |
|
Patricia Diana Hoffman
75 N Garden Ave |
$31.89 | 1,145 | 811 |
|
Chiricahua Community Health Centers, Inc
155 Calle Portal |
$19.46 | 765 | 554 |
|
Vivian Ryu
2300 E Fry Blvd, #3822 |
$43.87 | 676 | 377 |
|
Tricia Foster
75 N Garden Ave |
$0.00 | 523 | 338 |
|
Nicole Teresa Spahl
1939 Frontage Rd Ste A |
$55.27 | 262 | 226 |
|
Chiricahua Community Health Centers, Inc
77 Calle Portal Ste A140 |
$16.95 | 23 | 19 |
|
Marcell Roberson
2039 E Wilcox Dr |
$0.00 | 21 | 18 |
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 Sierra Vista, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Sierra Vista, AZ is $42.68 per claim, based on 319,595 claims from 16 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 Sierra Vista, AZ?
There are 16 Medicaid providers offering Case Management Services related services in Sierra Vista, AZ according to public payment data.
What is the price range for Case Management Services in Sierra Vista, AZ?
Medicaid reimbursement for Case Management Services in Sierra Vista, AZ ranges from $0.00 to $55.27 per claim, with an average of $42.68. 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 Sierra Vista, AZ
Office Visit
Avg $33.42
260,845 claims
Blood Work & Lab Tests
Avg $3.04
230,080 claims
Substance Abuse Treatment
Avg $81.75
195,716 claims
Physical Therapy
Avg $47.47
105,577 claims
Emergency Room Visit
Avg $211.06
86,499 claims
Dental Cleaning & Exam
Avg $11.43
55,854 claims
Durable Medical Equipment (DME)
Avg $45.55
53,232 claims
Behavioral & Mental Health Therapy
Avg $89.59
51,941 claims