Average Medicaid Case Management Services Payments in Wheeling, WV: $100.74
Avg. Paid
$100.74
Range
$0.00 – $221.60
Total Claims
59,739
Providers
9
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 Wheeling, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Florence Crittenton Programs, Inc.
2606 National Rd |
$52.17 | 15,466 | 5,634 |
|
Northwood Health Systems Inc
111 19Th St |
$221.60 | 15,293 | 14,966 |
|
Ohio County Board Of Education
2203 National Rd |
$11.63 | 12,308 | 2,898 |
|
Russell Nesbitt Services Inc
431 Fulton St |
$110.20 | 9,343 | 4,729 |
|
Just Right Case Management, Inc.
2197 National Rd |
$143.52 | 4,208 | 4,187 |
|
Northwood Health Systems Inc
1819 Wood St |
$23.98 | 1,805 | 1,219 |
|
Florence Crittenton Services Inc.
2606 National Rd |
$0.00 | 1,116 | 460 |
|
Youth Services System Inc
1000 Chapline St |
$0.00 | 162 | 52 |
|
Just Right Case Management
2197 National Rd |
$67.31 | 38 | 38 |
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 Wheeling, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Wheeling, WV is $100.74 per claim, based on 59,739 claims from 9 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 Wheeling, WV?
There are 9 Medicaid providers offering Case Management Services related services in Wheeling, WV according to public payment data.
What is the price range for Case Management Services in Wheeling, WV?
Medicaid reimbursement for Case Management Services in Wheeling, WV ranges from $0.00 to $221.60 per claim, with an average of $100.74. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
Phoenix, AZ
Avg $37.73
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Tucson, AZ
Avg $33.22
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Nashville, TN
Avg $197.77
5,117,343 claims · 28 providers
Miami, FL
Avg $82.94
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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
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Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in Wheeling, WV
Office Visit
Avg $51.57
471,387 claims
Blood Work & Lab Tests
Avg $21.61
404,602 claims
Personal Care Services
Avg $190.69
361,754 claims
Emergency Room Visit
Avg $121.67
300,977 claims
X-Ray
Avg $10.54
285,734 claims
Substance Abuse Treatment
Avg $104.80
253,274 claims
CT Scan (Computed Tomography)
Avg $67.30
113,973 claims
Durable Medical Equipment (DME)
Avg $40.01
113,360 claims