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 |
|---|---|---|---|
|
Sarah Jarvis
600 Monticello St Ste 2 |
$0.00 | 14 | 14 |
|
Charles Nathan Saucedo
259 Parkers Mill Rd |
$218.33 | 19 | 19 |
|
Barbara L Johnson
341 Bogle St Ste A |
$300.60 | 27 | 26 |
|
Aaron T Meriwether
421 Ogden St Ste 4 |
$334.00 | 37 | 37 |
|
Cynthia Colyer
149 Enterprise Dr |
$353.10 | 38 | 38 |
|
Emily Achia Siler
350 Langdon St |
$326.14 | 51 | 51 |
|
Ben Perry
149 Enterprise Dr |
$315.09 | 53 | 52 |
|
Latisha R Daniel
341 Bogle Street Ste A |
$290.39 | 72 | 48 |
|
Jaime Lyn Helton
400 E Mount Vernon St Ste F |
$11.93 | 84 | 78 |
|
Stephanie Doss
149 Enterprise Dr |
$347.04 | 93 | 93 |
|
Ronda Weddle
1005 W Columbia St |
$302.02 | 98 | 98 |
|
Danielle Neal
401 Bogle St |
$326.69 | 137 | 135 |
|
Ashley Hampton Ping
400 E Mount Vernon St Ste F |
$315.68 | 139 | 130 |
|
Debra Michelle Redden
259 Parkers Mill Rd |
$195.84 | 183 | 132 |
|
Lori Ann Price
181 Fern Dr |
$266.08 | 261 | 202 |
|
Tina M Hamm
201 E Mount Vernon St |
$333.98 | 303 | 299 |
|
Lake Cumberland Reg Mhmr Board, Inc.
130 Southern School Rd |
$424.82 | 314 | 314 |
|
Connie Sue Cable
200 Belmont Ave |
$303.06 | 353 | 326 |
|
Elizabeth L Kozak
600 Bogle St Ste 2 |
$288.23 | 393 | 341 |
|
Kendra M Patton
200 Belmont Ave |
$330.01 | 395 | 355 |
|
Letitia Holland-Cundiff
200 Belmont Ave |
$327.44 | 479 | 451 |
|
Brittney Nichole Saylor
401 Bogle St Ste 102 |
$316.01 | 553 | 519 |
|
Cassandra Gayle Caudill
30 Medpark Square Dr Ste 2&3 |
$306.40 | 600 | 555 |
|
Tammy Flynn
110 Richie Ln Ste C |
$295.27 | 621 | 552 |
|
Jennifer Dawn Wolfe
80 Highway 2227 |
$284.91 | 695 | 652 |
|
Corna Rutherford
402 Coomer St Ste 201 |
$322.21 | 793 | 782 |
|
Serenity Foundations, Llc
128 Brians Way |
$286.88 | 902 | 846 |
|
Shannon Tennille Smith
3540 S Highway 27 Ste 4 |
$362.30 | 967 | 961 |
|
Justin L. Smith
100 E Somerset Church Rd |
$329.27 | 1,192 | 1,159 |
|
Jenna Ward Callahan
259 Parkers Mill Rd |
$267.38 | 1,231 | 1,033 |
|
Tracy Colleen Mcquarter-Covert
671 W Highway 80 Ste 2 |
$336.92 | 1,257 | 1,152 |
|
Leon Ellison
81 W Highway 80 Ste A |
$302.60 | 1,354 | 1,266 |
|
Dana Carrera
259 Parkers Mill Rd |
$293.43 | 1,355 | 1,222 |
|
Christina Lynn Wetjen-Briggs
480 E University Dr Ste 7A |
$340.87 | 1,406 | 1,370 |
|
Custom Case Management Inc
237 Dakota Dr |
$364.63 | 1,533 | 1,514 |
|
Janice Clark
325 Clifty St |
$215.90 | 1,544 | 1,043 |
|
Maria D Crabtree
513 Ogden St |
$298.55 | 1,821 | 1,738 |
|
Jennifer Hayes
602 1/2 Ogden St Ste 4 |
$282.40 | 2,012 | 1,754 |
|
Angela L Feese
341 Bogle Street |
$318.79 | 2,029 | 1,738 |
|
Samantha L Wilson
671 W Hwy 80 |
$308.82 | 2,092 | 1,929 |
|
Linda Russell
3540 S Highway 27 Ste 4 |
$277.48 | 2,308 | 2,008 |
|
Carla Marie Suttles
30 Medpark Square Dr Ste 2 |
$293.84 | 2,807 | 2,563 |
|
Gwen Cowan West
201 E Mount Vernon St |
$331.07 | 3,058 | 2,957 |
|
Theresa Lynn Rust
80 Highway 2227 |
$242.75 | 3,137 | 2,877 |
|
Chasity Lee Prewitt
401 Bogle St |
$331.61 | 3,180 | 3,080 |
|
Casey Lynn Rose
401 Bogle St |
$337.67 | 3,319 | 3,231 |
|
Brian Tucker
149 Enterprise Dr |
$355.04 | 3,333 | 3,290 |
|
Somerset Mental Health, Psc
149 Enterprise Dr |
$339.17 | 3,368 | 3,171 |
|
Kelly Mitchell
200 Belmont Ave |
$292.02 | 3,695 | 3,074 |
|
Vaunette L. Baker
106 Southport Dr. |
$319.53 | 3,948 | 3,301 |
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