Average Medicaid Case Management Services Payments in Winchester, VA: $135.14
Avg. Paid
$135.14
Range
$5.45 – $298.58
Total Claims
84,317
Providers
19
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 Winchester, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Intergrated Medical Services, Llc
1001 Berryville Ave |
$20.25 | 12 | 12 |
|
Sandra Casey
1840 Amherst St |
$5.45 | 25 | 23 |
|
Holly Morash
500 Pegasus Ct # 500 |
$7.15 | 68 | 37 |
|
Vamed Health Group Llc
2281 Valley Ave |
$233.77 | 79 | 78 |
|
Su Fairchild
2251 Valley Ave |
$235.33 | 95 | 91 |
|
Children'S Services Of Virginia
311 Airport Rd |
$298.58 | 209 | 200 |
|
Amanda C Higgs
500 Pegasus Ct |
$186.64 | 228 | 213 |
|
Grafton School Inc
120 Bellview Ave |
$28.56 | 286 | 282 |
|
Andrew Roger Walls
200 Faraday Plz |
$192.22 | 469 | 431 |
|
Adrianne Beach
21 W Cecil St |
$219.51 | 486 | 451 |
|
Sara A Van Heukelum
158 Front Royal Pike Ste 205 |
$239.45 | 529 | 524 |
|
Meenakshi Gopal
812 Amherst St |
$173.28 | 532 | 479 |
|
Galax Treatment Center, Llc
290 Front Royal Pike |
$213.07 | 1,762 | 1,582 |
|
Ars Of Virginia Llc
210 Front Royal Pike |
$240.21 | 4,547 | 4,322 |
|
Akua Essiam
1840 Amherst St |
$241.52 | 4,664 | 4,583 |
|
Maria Elena Zirkle
20B Ricketts Dr |
$51.28 | 9,025 | 1,696 |
|
Grafton School
120 Bellview Ave |
$123.06 | 15,685 | 13,977 |
|
Crossroads Treatment Center Of Winchester, Pc
500 Pegasus Court Business Center |
$229.23 | 17,928 | 17,021 |
|
Winchester Community Mental Health Center, Inc.
36 Ricketts Dr |
$62.38 | 27,688 | 4,055 |
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 Winchester, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Winchester, VA is $135.14 per claim, based on 84,317 claims from 19 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 Winchester, VA?
There are 19 Medicaid providers offering Case Management Services related services in Winchester, VA according to public payment data.
What is the price range for Case Management Services in Winchester, VA?
Medicaid reimbursement for Case Management Services in Winchester, VA ranges from $5.45 to $298.58 per claim, with an average of $135.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Other Procedures in Winchester, VA
Blood Work & Lab Tests
Avg $7.04
747,108 claims
Substance Abuse Treatment
Avg $15.29
704,284 claims
Office Visit
Avg $50.11
648,385 claims
Home Health Visit
Avg $95.73
307,004 claims
X-Ray
Avg $8.04
266,540 claims
Emergency Room Visit
Avg $131.99
231,446 claims
Physical Therapy
Avg $76.55
220,531 claims
Non-Emergency Medical Transportation
Avg $68.54
193,619 claims