Average Medicaid Case Management Services Payments in Somerset, KY: $300.90
Avg. Paid
$300.90
Range
$0.00 – $424.82
Total Claims
265,532
Providers
65
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 Somerset, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Terry Nelson
401 Bogle St |
$302.00 | 37,605 | 35,055 |
|
Shanae Lucinda Carpenter
401 Bogle St., Suite 102 |
$316.54 | 29,375 | 27,067 |
|
Lake Cumberland Reg Mhmr Board, Inc.
130 Southern School Rd |
$261.10 | 28,705 | 27,277 |
|
C.A.N. Help, Inc
2003 Merlin Ave |
$320.03 | 15,075 | 13,289 |
|
Nathan S Fisher
600 Clifty St Ste 2 |
$307.78 | 14,043 | 12,887 |
|
Kasey Renee Compton
600 Monticello St |
$284.69 | 13,701 | 11,874 |
|
Superior Indepedent Case Management
286 Bogle St |
$317.09 | 12,494 | 8,805 |
|
Jason A Hicks
349 Bogle St |
$306.13 | 11,786 | 11,225 |
|
Christina Noe
149 Enterprise Dr |
$311.63 | 7,907 | 7,564 |
|
Kristi Baugh
259 Parkers Mill Rd |
$315.14 | 7,679 | 6,962 |
|
Lake Cumberland Regional Mhmr Board Outpatient
130 Southern School Rd |
$311.66 | 6,799 | 6,616 |
|
Adult Day Health, Inc.
35 Turpen Ct |
$122.95 | 5,752 | 5,658 |
|
Kathrina Riley
130 Southern School Rd |
$336.13 | 5,508 | 4,995 |
|
Jada Gilmore Fisher
600 Clifty St Ste 2 |
$315.21 | 4,892 | 4,548 |
|
Jason Thayer
149 Enterprise Dr |
$333.95 | 4,558 | 4,448 |
|
Vaunette L. Baker
106 Southport Dr. |
$319.53 | 3,948 | 3,301 |
|
Kelly Mitchell
200 Belmont Ave |
$292.02 | 3,695 | 3,074 |
|
Somerset Mental Health, Psc
149 Enterprise Dr |
$339.17 | 3,368 | 3,171 |
|
Brian Tucker
149 Enterprise Dr |
$355.04 | 3,333 | 3,290 |
|
Casey Lynn Rose
401 Bogle St |
$337.67 | 3,319 | 3,231 |
|
Chasity Lee Prewitt
401 Bogle St |
$331.61 | 3,180 | 3,080 |
|
Theresa Lynn Rust
80 Highway 2227 |
$242.75 | 3,137 | 2,877 |
|
Gwen Cowan West
201 E Mount Vernon St |
$331.07 | 3,058 | 2,957 |
|
Carla Marie Suttles
30 Medpark Square Dr Ste 2 |
$293.84 | 2,807 | 2,563 |
|
Linda Russell
3540 S Highway 27 Ste 4 |
$277.48 | 2,308 | 2,008 |
|
Samantha L Wilson
671 W Hwy 80 |
$308.82 | 2,092 | 1,929 |
|
Angela L Feese
341 Bogle Street |
$318.79 | 2,029 | 1,738 |
|
Jennifer Hayes
602 1/2 Ogden St Ste 4 |
$282.40 | 2,012 | 1,754 |
|
Maria D Crabtree
513 Ogden St |
$298.55 | 1,821 | 1,738 |
|
Janice Clark
325 Clifty St |
$215.90 | 1,544 | 1,043 |
|
Custom Case Management Inc
237 Dakota Dr |
$364.63 | 1,533 | 1,514 |
|
Christina Lynn Wetjen-Briggs
480 E University Dr Ste 7A |
$340.87 | 1,406 | 1,370 |
|
Dana Carrera
259 Parkers Mill Rd |
$293.43 | 1,355 | 1,222 |
|
Leon Ellison
81 W Highway 80 Ste A |
$302.60 | 1,354 | 1,266 |
|
Tracy Colleen Mcquarter-Covert
671 W Highway 80 Ste 2 |
$336.92 | 1,257 | 1,152 |
|
Jenna Ward Callahan
259 Parkers Mill Rd |
$267.38 | 1,231 | 1,033 |
|
Justin L. Smith
100 E Somerset Church Rd |
$329.27 | 1,192 | 1,159 |
|
Shannon Tennille Smith
3540 S Highway 27 Ste 4 |
$362.30 | 967 | 961 |
|
Serenity Foundations, Llc
128 Brians Way |
$286.88 | 902 | 846 |
|
Corna Rutherford
402 Coomer St Ste 201 |
$322.21 | 793 | 782 |
|
Jennifer Dawn Wolfe
80 Highway 2227 |
$284.91 | 695 | 652 |
|
Tammy Flynn
110 Richie Ln Ste C |
$295.27 | 621 | 552 |
|
Cassandra Gayle Caudill
30 Medpark Square Dr Ste 2&3 |
$306.40 | 600 | 555 |
|
Brittney Nichole Saylor
401 Bogle St Ste 102 |
$316.01 | 553 | 519 |
|
Letitia Holland-Cundiff
200 Belmont Ave |
$327.44 | 479 | 451 |
|
Kendra M Patton
200 Belmont Ave |
$330.01 | 395 | 355 |
|
Elizabeth L Kozak
600 Bogle St Ste 2 |
$288.23 | 393 | 341 |
|
Connie Sue Cable
200 Belmont Ave |
$303.06 | 353 | 326 |
|
Lake Cumberland Reg Mhmr Board, Inc.
130 Southern School Rd |
$424.82 | 314 | 314 |
|
Tina M Hamm
201 E Mount Vernon St |
$333.98 | 303 | 299 |
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 Somerset, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Somerset, KY is $300.90 per claim, based on 265,532 claims from 65 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 Somerset, KY?
There are 65 Medicaid providers offering Case Management Services related services in Somerset, KY according to public payment data.
What is the price range for Case Management Services in Somerset, KY?
Medicaid reimbursement for Case Management Services in Somerset, KY ranges from $0.00 to $424.82 per claim, with an average of $300.90. 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 Somerset, KY
Office Visit
Avg $36.93
986,284 claims
Psychiatric Evaluation
Avg $59.24
948,676 claims
Blood Work & Lab Tests
Avg $9.54
630,941 claims
Physical Therapy
Avg $97.34
524,540 claims
Substance Abuse Treatment
Avg $133.37
507,692 claims
Home Health Visit
Avg $177.24
473,664 claims
Dental Cleaning & Exam
Avg $37.41
229,101 claims
Emergency Room Visit
Avg $132.80
221,462 claims