Average Medicaid Case Management Services Payments in Virginia Beach, VA: $250.83
Avg. Paid
$250.83
Range
$0.00 – $317.05
Total Claims
141,447
Providers
33
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 Virginia Beach, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mid-Atlantic Womens Care Plc
1080 First Colonial Rd Ste 300 |
$25.00 | 15 | 15 |
|
Melissa R King
101 N Lynnhaven Rd Ste 100 |
$228.71 | 17 | 16 |
|
Jennifer Brooke Fortune
1340 N Great Neck Rd |
$185.82 | 34 | 32 |
|
Virginia Ann Stanley
4560 South Blvd Ste 30 |
$206.30 | 48 | 48 |
|
Michael Edward Bohan
4509 Whitechapel Dr |
$238.58 | 55 | 54 |
|
Theresa Mucci
4453 Shore Dr |
$0.00 | 57 | 33 |
|
William W Tucker
101 N Lynnhaven Rd Ste 100 |
$243.00 | 68 | 66 |
|
Courtney Lasley
101 N Lynnhaven Rd Ste 100 |
$87.83 | 98 | 97 |
|
Sergey Zhitar
101 N Lynnhaven Rd |
$176.81 | 152 | 118 |
|
Embrace Foster Care, Llc
4099 Foxwood Drive |
$317.05 | 285 | 267 |
|
Danielle Gange
4509 Whitechapel Dr |
$234.03 | 308 | 293 |
|
Right Path Treatment Center Llc
101 N Lynnhaven Rd |
$261.65 | 342 | 339 |
|
Eric L Jones
6632 Indian River Rd |
$199.65 | 355 | 296 |
|
Heidi Amanda Kulberg
4509 Whitechapel Dr |
$236.05 | 376 | 365 |
|
Inspiration Health Addiction Treatment Center, Llc
1729 Wildwood Dr Ste 103 |
$233.92 | 428 | 419 |
|
Jordan A Kaoudis
101 N Lynnhaven Rd Ste 100 |
$215.60 | 726 | 707 |
|
Laura Barrera
101 N Lynnhaven Rd Ste 100 |
$209.85 | 731 | 699 |
|
Lawrence M Ross
4164 Virginia Beach Blvd Ste 202 |
$142.25 | 807 | 634 |
|
Norma Farmer
4560 South Blvd Ste 310 |
$136.91 | 951 | 911 |
|
Stephen G Cunningham
240 Business Park Dr Ste 100 |
$158.86 | 1,055 | 750 |
|
Jessica Jean Pucillo
101 N Lynnhaven Rd Ste 100 |
$254.60 | 1,202 | 1,197 |
|
Francisca A Rivas
101 N Lynnhaven Rd Ste 100 |
$241.56 | 1,231 | 1,222 |
|
Stephanie Hutchison
2528 Las Brisas Dr |
$201.54 | 1,576 | 1,461 |
|
Virginia Beach Department Of Public Health
4452 Corporation Ln |
$111.61 | 2,173 | 2,117 |
|
David Kc Langille
101 N Lynnhaven Rd |
$207.17 | 3,197 | 2,763 |
|
Rehabilitation Associates Inc
4560 South Blvd Ste 310 |
$126.69 | 3,535 | 3,207 |
|
Sellati & Co., Inc.
1728 Virginia Beach Blvd |
$206.25 | 3,627 | 3,477 |
|
Lee Anthony Underwood
900 Commonwealth Pl |
$157.15 | 3,773 | 552 |
|
Hermilo E Simon
101 N Lynnhaven Rd Ste 100 |
$228.93 | 4,617 | 4,431 |
|
Milestone, Llc
4520 Barkingdale Dr |
$38.13 | 4,655 | 968 |
|
Bhg Xlii, Llc
5715 Princess Anne Rd |
$239.44 | 14,013 | 13,567 |
|
City Of Virginia Beach Humans Services
297 Independence Blvd Ste 218 |
$297.54 | 36,892 | 36,466 |
|
City Of Virginia Beach
3143 Magic Hollow Blvd Ste 200 |
$277.12 | 54,048 | 52,275 |
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 Virginia Beach, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Virginia Beach, VA is $250.83 per claim, based on 141,447 claims from 33 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 Virginia Beach, VA?
There are 33 Medicaid providers offering Case Management Services related services in Virginia Beach, VA according to public payment data.
What is the price range for Case Management Services in Virginia Beach, VA?
Medicaid reimbursement for Case Management Services in Virginia Beach, VA ranges from $0.00 to $317.05 per claim, with an average of $250.83. 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 Virginia Beach, VA
Substance Abuse Treatment
Avg $33.68
1,632,068 claims
Home Health Visit
Avg $123.80
1,440,432 claims
Office Visit
Avg $58.40
1,108,476 claims
Non-Emergency Medical Transportation
Avg $24.11
1,083,925 claims
Physical Therapy
Avg $57.25
989,334 claims
Emergency Room Visit
Avg $112.32
613,621 claims
Blood Work & Lab Tests
Avg $15.10
602,483 claims
Speech Therapy
Avg $50.66
505,105 claims