Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in Washington, DC: $94.41

Avg. Paid

$94.41

Range

$0.00 – $1,456

Total Claims

189,479

Providers

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 Washington, DC

Provider	Avg. Paid	Claims	Patients
Some, Inc 60 O Street Nw	$0.04	67,561	2,714
Unity Health Care, Inc 765 Kenilworth Ter Ne	$155.11	50,877	47,494
Providence Health Services Inc 1160 Varnum St Ne	$133.75	14,506	11,752
Community Of Hope, Inc. 4 Atlantic Street Sw	$153.79	10,820	9,136
Children'S Hospital 111 Michigan Ave Nw	$191.10	5,444	5,215
Whitman-Walker Clinic, Inc 1525 14Th St Nw	$91.43	5,071	3,348
Mary'S Center For Maternal & Child Care 3912 Georgia Ave. Nw	$124.05	3,610	3,244
La Clinica Del Pueblo, Inc. 2831 15Th Street Nw	$67.36	2,989	2,090
Vera Alemfua Nyiawung 2124 Martin Luther King Jr Ave Se	$86.17	2,503	1,433
Mcclendon Center 1338 N Capitol St Nw	$1,021	2,121	2,082
Bread For The City,Inc. 1525 7Th St Nw	$142.31	1,991	1,752
Fanny Esperanza Espitia 4017 Minnesota Ave Ne	$101.83	1,885	1,213
Medical Home Development Group 2112 F St Nw Ste 504	$142.36	1,853	1,492
Marie Bernadette Waiters 2918 Minnesota Ave Se	$132.72	1,684	624
April Jewel Hebron 915 Rhode Island Ave Nw	$16.12	1,437	330
Federal City Recovery Services Inc 920 Bellevue St Se	$61.90	1,329	842
The Foundation For Contemporary Mental Health 2112 F St Nw	$29.49	1,211	898
Hillcrest Children'S Center 915 Rhode Island Ave Nw	$5.26	953	74
Imelda Ofili 1500 Galen St Se	$65.63	934	566
Good Hope Institute 1320 Good Hope Road, Se	$26.32	780	738
Samaritan Inns, Inc. 2523 14Th St Nw	$69.16	648	398
Joyce Lushino Mshana Collins 2811 Pennsylvania Ave Se	$39.61	647	611
Kizzie Mckay 915 Rhode Island Ave Nw	$51.53	581	325
Baymark Health Services Of West Virginia, Inc. 2112 F St Nw Ste 102	$20.07	548	386
Bukola Oluwaseun Adenigbagbe 4017 Minnesota Ave Ne	$126.06	520	450
Clean And Sober Streets 425 2Nd St Nw	$39.58	454	188
Katie N Grodin 1509 16Th St Nw	$53.95	451	232
Medical Faculty Associates, Inc 2150 Pennsylvania Ave Nw	$22.05	344	284
Megan Rebecca Moore 4 Atlantic St Sw	$0.00	317	306
Community Of Hope, Inc 2155 Champlain St Nw	$0.00	305	154
T And N Services And Solutions 1818 New York Ave Ne	$107.45	246	77
Ursula Efelefack Akem 1731 Bunker Hill Rd Ne	$49.17	240	117
Irvin Roy Barnes 1221 Taylor St Nw	$67.03	229	145
Ashley Moore 1525 7Th St Nw	$0.00	225	219
Katumu Mariama Sei 2918 Minnesota Ave Se	$146.24	220	172
Community Connections Inc 801 Pennsylvania Ave Se Ste 201	$24.06	199	105
Flaviene Ndifon 820 Upshur St Nw	$65.01	186	52
Beverly Franks 4019 Clay Pl Ne	$0.00	169	157
Awoh Ojong 7603 Georgia Ave Nw	$68.93	156	120
Richard R Bebout 850 Delaware Ave Sw	$0.00	149	24
Hilary Knuckles 2811 Pensylvannia Ave Se Ll	$42.40	143	127
Whitney Leora Bellinger Coleman 62 55Th St Se	$9.71	142	67
Paul S. Rhodes 1902 R St Nw	$0.00	132	112
Rose B Peyer 2041 Martin Luther King Jr Ave Se	$0.00	123	47
Cynthia Lukong 2124 Martin Luther King Jr Ave Se	$122.35	120	59
Ebonie Stills-Ford 1818 New York Ave Ne Ste 201	$148.59	118	89
Famebridge Stephanie Gray 801 Pennsylvania Ave Se	$1,456	112	111
Ikenna Ubanii 1818 New York Av	$67.67	112	42
United Planning Organization 301 Rhode Island Ave Nw	$34.41	111	91
Beatrice Mbetiji Ngati 2811 Pennsylvania Ave Se	$111.07	108	35

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 Washington, DC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Washington, DC is $94.41 per claim, based on 189,479 claims from 92 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 Washington, DC?

There are 92 Medicaid providers offering Case Management Services related services in Washington, DC according to public payment data.

What is the price range for Case Management Services in Washington, DC?

Medicaid reimbursement for Case Management Services in Washington, DC ranges from $0.00 to $1,456 per claim, with an average of $94.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Case Management Services Payments in Washington, DC: $94.41

Providers Offering Case Management Services in Washington, DC

What to Expect: Case Management Services

Cost Components

Frequently Asked Questions

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Other Procedures in Washington, DC

Home Health Visit

Behavioral & Mental Health Therapy

Office Visit

Substance Abuse Treatment

Emergency Room Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

Physical Therapy