Average Medicaid Case Management Services Payments in Spokane, WA: $62.68
Avg. Paid
$62.68
Range
$0.00 – $1,261
Total Claims
29,044
Providers
63
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 Spokane, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Spokane Regional Health District
1101 W College Ave |
$143.63 | 11,113 | 10,717 |
|
Spokane Treatment And Recovery Services
4324 N Jefferson St |
$0.75 | 4,521 | 654 |
|
Yfa Connections
22 S Thor Street |
$0.22 | 2,348 | 1,269 |
|
Jessica Ann Randock
22 S Thor St |
$0.00 | 986 | 485 |
|
Community Health Association Of Spokane
3919 N Maple St |
$21.19 | 921 | 864 |
|
Deneese Marie Wolford
910 W Boone Ave |
$15.15 | 844 | 374 |
|
Pioneer Human Services
910 W Boone Ave Ste 201 |
$4.45 | 748 | 468 |
|
Kelly Lynn Duke
701 E 3Rd Ave |
$7.44 | 618 | 378 |
|
Summer R Simmons
59 E Queen Ave |
$19.67 | 605 | 447 |
|
Robert Mitchell
107 S Division St |
$1.21 | 585 | 143 |
|
Tommy Lamar Wilson
701 E 3Rd Ave |
$2.28 | 510 | 294 |
|
Sue Marie Hernandez
701 E 3Rd Ave |
$9.12 | 460 | 296 |
|
Patricia Noel Shropshire
157 S Howard St Ste 303 |
$14.86 | 405 | 293 |
|
Sharyl Lynn Brown
4324 N Jefferson St |
$0.00 | 371 | 76 |
|
Simonne Marie Crooks
22 S Thor St |
$0.06 | 351 | 247 |
|
Darcie Crandall
2308 W 3Rd Ave |
$36.04 | 319 | 216 |
|
Dwight Austin Sergio De Leon
1302 W Gardner Ave |
$3.02 | 257 | 71 |
|
Jason H Chung
910 W Boone Ave |
$15.20 | 231 | 144 |
|
Rhonda Michelle Delcarlo
701 E 3Rd Ave |
$10.37 | 216 | 159 |
|
Partners With Families And Children
1321 W Broadway Ave |
$0.00 | 200 | 123 |
|
Mindy Grant
4001 N Cook St |
$20.00 | 164 | 127 |
|
Adept Assessment Center Inc
1321 N Ash St |
$4.58 | 145 | 124 |
|
The N.A.T.I.V.E. Project
1803 W Maxwell Ave |
$1.46 | 126 | 66 |
|
Jeremiah P Freer
701 E 3Rd Ave |
$10.83 | 124 | 78 |
|
Lisa Renee Giddings
901 N Monroe St Ste 322 |
$6.26 | 121 | 117 |
|
Ebony Starr Warren
100 N Howard St Ste W |
$113.09 | 120 | 64 |
|
Kristie Lynn Johnson
22 S Thor St |
$5.01 | 103 | 43 |
|
Diana Marie Foley
1403 S Grand Blvd Ste 101S |
$1.57 | 99 | 54 |
|
Angela Marie Mello
104 S Freya St Ste 210 |
$25.44 | 94 | 70 |
|
Bethany E-S Hughes
120 W Mission Ave |
$20.00 | 90 | 81 |
|
Samantha Heather Nesmith
3754 W Indian Trail Rd |
$0.00 | 84 | 27 |
|
Frontier Behavioral Health
107 S Division St |
$1,261 | 82 | 80 |
|
Cristine Alexa Vallone
910 W Boone Ave |
$12.53 | 74 | 43 |
|
New Horizon Care Center, Inc.
2317 W 3Rd Ave |
$44.20 | 74 | 53 |
|
Abigail Grace Horn
100 N Howard St Ste R |
$1.19 | 68 | 43 |
|
Amelia Weaks
910 W Boone Ave |
$11.59 | 62 | 62 |
|
Kara Frederick
4324 N Jefferson St |
$0.00 | 60 | 12 |
|
Carol A Grabowski
3710 N Monroe St |
$0.00 | 51 | 38 |
|
Danya Hethail
4714 N Lincoln St |
$0.00 | 51 | 12 |
|
Shaunece Latea Serrano Jones
4324 N Jefferson St |
$0.00 | 48 | 12 |
|
Jeffery Duane Clark
202 E Spokane Falls Blvd Ste 302 |
$0.00 | 47 | 27 |
|
Walter Malcom Gray
100 N Howard St Ste R |
$6.37 | 45 | 28 |
|
Merrill Anne Oakley
705 W 7Th Ave Ste H2 |
$2.92 | 44 | 18 |
|
Terren Rex Beeman
518 S Browne St |
$11.11 | 42 | 27 |
|
Chante Ramirez
701 E 3Rd Ave |
$3.64 | 41 | 25 |
|
Kaylee Zornes
4324 N Jefferson St |
$6.25 | 37 | 12 |
|
Jennifer Ann Hawkins
4509 N Whitehouse St |
$10.90 | 33 | 33 |
|
H. Erika Anderson
518 S Browne St |
$3.88 | 33 | 13 |
|
Patanisha Andrews
22 S Thor St |
$0.00 | 32 | 24 |
|
Beth Floyd
910 W Boone Ave |
$13.33 | 26 | 13 |
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 Spokane, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Spokane, WA is $62.68 per claim, based on 29,044 claims from 63 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 Spokane, WA?
There are 63 Medicaid providers offering Case Management Services related services in Spokane, WA according to public payment data.
What is the price range for Case Management Services in Spokane, WA?
Medicaid reimbursement for Case Management Services in Spokane, WA ranges from $0.00 to $1,261 per claim, with an average of $62.68. 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 Spokane, WA
Office Visit
Avg $54.17
2,408,136 claims
Blood Work & Lab Tests
Avg $7.66
1,799,747 claims
Substance Abuse Treatment
Avg $48.18
1,200,554 claims
Psychiatric Evaluation
Avg $36.11
1,126,669 claims
Physical Therapy
Avg $39.41
986,231 claims
Emergency Room Visit
Avg $83.78
932,048 claims
Dental Cleaning & Exam
Avg $27.80
850,093 claims
X-Ray
Avg $4.64
532,173 claims