Average Medicaid Case Management Services Payments in Traverse City, MI: $295.13
Avg. Paid
$295.13
Range
$0.00 – $465.12
Total Claims
173,679
Providers
14
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 Traverse City, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Crystal Lake Clinic, Pc
5191 Rosewood Dr |
$0.00 | 12 | 12 |
|
Munson Medical Center
1400 Medical Campus Dr |
$0.01 | 15 | 12 |
|
Chronic Care Management Llc
815 Business Park Dr Ste A |
$8.08 | 28 | 27 |
|
Crystal Lake Clinic P.C.
4025 Chums Village Dr |
$0.00 | 29 | 28 |
|
Munson Medical Group
1400 Medical Campus Dr |
$0.00 | 48 | 42 |
|
Kids Creek Childrens Clinic Pc
5024 N Royal Dr |
$0.12 | 348 | 330 |
|
Choices Inc
3180 Racquet Club Dr Ste D |
$207.13 | 403 | 258 |
|
Traverse Area Pediatric And Adolescent Clinic Plc
4020 W Royal Dr |
$0.00 | 445 | 383 |
|
Pine Rest Christian Mental Health Services
1050 Silver Dr |
$286.21 | 452 | 275 |
|
Grand Traverse Children'S Clinic
3537 W Front St Ste G |
$0.00 | 501 | 474 |
|
Autism Center Of Northern Michigan
990 Garfield Woods Dr Ste B |
$219.42 | 680 | 437 |
|
Northern Lakes Community Mental Health Authority
105 Hall Street |
$439.34 | 7,172 | 6,733 |
|
Northwest Senior Resources Incorporated
1609 Park Dr |
$465.12 | 29,990 | 29,987 |
|
Northern Lakes Community Mental Health Authority
105 Hall Street |
$253.05 | 133,556 | 92,230 |
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 Traverse City, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Traverse City, MI is $295.13 per claim, based on 173,679 claims from 14 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 Traverse City, MI?
There are 14 Medicaid providers offering Case Management Services related services in Traverse City, MI according to public payment data.
What is the price range for Case Management Services in Traverse City, MI?
Medicaid reimbursement for Case Management Services in Traverse City, MI ranges from $0.00 to $465.12 per claim, with an average of $295.13. 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 Traverse City, MI
Office Visit
Avg $64.72
506,245 claims
Blood Work & Lab Tests
Avg $3.56
477,538 claims
X-Ray
Avg $8.19
262,432 claims
Substance Abuse Treatment
Avg $14.18
245,317 claims
Emergency Room Visit
Avg $98.06
204,229 claims
Psychiatric Evaluation
Avg $121.83
180,284 claims
Vaccines & Immunizations
Avg $7.66
135,900 claims
Home Health Visit
Avg $138.64
114,366 claims