Average Medicaid Case Management Services Payments in Tucson, AZ: $33.22
Avg. Paid
$33.22
Range
$0.00 – $1,173
Total Claims
5,915,648
Providers
255
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 Tucson, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rogelio Santamaria Samorano
2891 N Silkie Pl |
$0.00 | 12 | 12 |
|
Dorene Jones
5055 E Broadway Blvd Ste C207 |
$0.00 | 12 | 12 |
|
Sara Rae Pondeca
8050 E Lakeside Pkwy |
$29.89 | 13 | 13 |
|
Sein Gwon
2695 N Craycroft Rd |
$2.24 | 13 | 13 |
|
Thomas M Reichenbacher
6650 N Oracle Rd Ste 110 |
$23.93 | 13 | 13 |
|
David J Jendusa
8050 E Lakeside Pkwy |
$52.13 | 14 | 13 |
|
Katherine Marie Lopez Marwitz
3385 N Campbell Ave |
$0.00 | 15 | 12 |
|
Denova Collaborative Health, Llc
6565 E Carondelet Dr Ste 215 |
$29.64 | 15 | 13 |
|
Courtney F Tapia-Acosta
153 S Plumer Ave |
$30.02 | 15 | 12 |
|
Adrienne Sainz Trees
504 W 29Th St |
$46.47 | 15 | 14 |
|
Casa De Los Ninos, Inc.
1101 N 4Th Ave |
$20.21 | 15 | 13 |
|
Luis Pina Canez
7490 S Camino De Oeste |
$45.61 | 15 | 14 |
|
Shawna Mckee
1120 N 5Th Ave |
$15.52 | 16 | 13 |
|
Pinal Hispanic Council
1773 W Saint Marys Rd Ste 105 |
$115.52 | 17 | 16 |
|
Luz Edie
2502 N Dodge Blvd Ste 100 |
$20.70 | 17 | 15 |
|
George Hadeed
258 E River Rd Ste 110 |
$45.61 | 19 | 16 |
|
Courtney M Otto
504 W 29Th St |
$33.88 | 21 | 21 |
|
Jeannie Long
1161 N El Dorado Pl # 103 |
$39.51 | 21 | 16 |
|
Pascua Yaqui Tribe
1775 W Saint Marys Rd Ste 115 |
$40.33 | 21 | 12 |
|
Adriana Silvia Nicastro Twelker
434 E University Blvd Fl 2 |
$7.07 | 22 | 15 |
|
Arlene L Woolfolk Soto
2224 N Craycroft Rd Ste 100 |
$64.00 | 22 | 12 |
|
Devin L Wengert
5055 E Broadway Blvd Ste A200 |
$0.00 | 22 | 15 |
|
Melissa Ann Duster
5055 E Broadway Blvd Ste A200 |
$0.00 | 23 | 13 |
|
Tamar Reed
1120 N 5Th Ave |
$21.10 | 23 | 12 |
|
Linford W Whittle
6280 E Pima St |
$0.00 | 27 | 14 |
|
Hayley Fitzgerald Garigan
839 W Congress St |
$31.39 | 29 | 28 |
|
Camille R. Derricotte
6950 E Golf Links Rd |
$16.99 | 32 | 27 |
|
Daniel Krepps
1650 E Fort Lowell Rd |
$31.32 | 35 | 31 |
|
Escalera Health, Llc
2224 N Craycroft Rd Ste 100 |
$13.39 | 36 | 31 |
|
Candice Waller
5055 E Broadway Blvd Ste C104 |
$47.96 | 37 | 37 |
|
Cynthia V Tamashiro
839 W Congress St |
$17.23 | 39 | 30 |
|
Celia Elias
5902 E Pima St |
$0.35 | 41 | 33 |
|
Shannon Michele Dinning
3950 S Country Club Rd Ste 130 |
$18.57 | 46 | 45 |
|
Liana Joy Condello
3045 N 1St Ave Ste A |
$34.55 | 48 | 33 |
|
Cathleen M Phelan
3170 E Fort Lowell Rd |
$31.60 | 49 | 34 |
|
Sharon Anne Wasmund
8050 E Lakeside Pkwy |
$3.22 | 50 | 39 |
|
Denise Margaret Bush
1775 W Saint Marys Rd Ste 115 |
$36.29 | 51 | 43 |
|
Loretta Rose Kramer
3038 E Fort Lowell Rd |
$19.96 | 53 | 46 |
|
Casa De Los Ninos
1101 N 4Th Ave |
$6.15 | 53 | 42 |
|
Kaitlyn Meyerowitz
1120 N 5Th Ave |
$31.79 | 56 | 24 |
|
Lourdes Lopez-Escobar
1120 N 5Th Ave |
$27.27 | 56 | 40 |
|
Kristy Schutt
1735 E Fort Lowell Rd Ste 5 |
$54.86 | 57 | 40 |
|
Arise Treatment Center Llc
6203 E Beverly St |
$97.01 | 59 | 20 |
|
Tucson Hope Llc
5700 E Pima St Ste C |
$75.97 | 60 | 25 |
|
Richard Watchman
2502 N Dodge Blvd |
$34.92 | 61 | 39 |
|
Right Path Recovery Llc
3338 E Fort Lowell Rd |
$41.52 | 62 | 37 |
|
Sue Y Tham
5920 E Pima St |
$58.85 | 62 | 49 |
|
Michael Panico
1161/1181 N El Dorado Pl |
$32.81 | 63 | 60 |
|
Diana Verdugo
620 N Craycroft Rd |
$48.01 | 64 | 52 |
|
Kammy Willems
8050 E Lakeside Pkwy |
$5.83 | 65 | 59 |
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 Tucson, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Tucson, AZ is $33.22 per claim, based on 5,915,648 claims from 255 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 Tucson, AZ?
There are 255 Medicaid providers offering Case Management Services related services in Tucson, AZ according to public payment data.
What is the price range for Case Management Services in Tucson, AZ?
Medicaid reimbursement for Case Management Services in Tucson, AZ ranges from $0.00 to $1,173 per claim, with an average of $33.22. 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
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
Tempe, AZ
Avg $35.58
2,422,544 claims · 92 providers
Other Procedures in Tucson, AZ
Substance Abuse Treatment
Avg $40.42
5,677,967 claims
Office Visit
Avg $46.43
5,463,316 claims
Blood Work & Lab Tests
Avg $2.95
2,730,604 claims
Personal Care Services
Avg $181.32
2,175,875 claims
Emergency Room Visit
Avg $160.21
2,175,628 claims
Physical Therapy
Avg $34.35
1,681,838 claims
Dental Cleaning & Exam
Avg $16.59
1,430,398 claims
X-Ray
Avg $8.93
1,290,623 claims