Average Medicaid Case Management Services Payments in Worthington, OH: $85.92
Avg. Paid
$85.92
Range
$0.00 – $166.75
Total Claims
34,693
Providers
22
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 Worthington, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tina Kiley
445 E Dublin Granville Rd |
$106.48 | 20,891 | 8,651 |
|
Allena Criswell
445 E Dublin Granville Rd |
$107.55 | 2,519 | 1,210 |
|
Paul Rouse
445 E Dublin Granville Rd |
$123.68 | 1,968 | 1,241 |
|
Shelly Sims
445 E Dublin Granville Rd |
$8.87 | 1,511 | 418 |
|
Megan Blubaugh
445 E Dublin Granville Rd |
$8.29 | 1,502 | 340 |
|
Frederic B (Kevin) Davis
445 E Dublin Granville Rd |
$7.04 | 1,362 | 357 |
|
Amanda Coles
445 E Dublin Granville Rd |
$102.57 | 1,066 | 429 |
|
Lacey Rice
445 E Dublin Granville Rd |
$0.00 | 592 | 155 |
|
Mahogany Dawson
445 E Dublin Granville Rd |
$0.00 | 568 | 135 |
|
Jill Jacqueline Sloan
445 E Dublin Granville Rd |
$26.24 | 511 | 162 |
|
Tabitha Mae Caplinger
445 E Dublin Granville Rd |
$0.00 | 503 | 148 |
|
Jayson Woody
445 E Dublin Granville Rd |
$54.97 | 481 | 158 |
|
Kayla K Will
445 E Dublin Granville Rd |
$0.00 | 316 | 75 |
|
Bethany Evers
445 E Dublin Granville Rd |
$166.75 | 273 | 207 |
|
Matthew Swigert
445 E Dublin Granville Rd |
$0.00 | 211 | 57 |
|
Benjamin William Davis
445 E Dublin Granville Rd |
$0.00 | 89 | 27 |
|
Miranda Elizabeth Krysty
445 E Dublin Granville Rd |
$0.00 | 84 | 15 |
|
Felicia Hollingsworth
445 E Dublin Granville Rd |
$104.46 | 70 | 38 |
|
Victoria Aleshire
445 E Dublin Granville Rd |
$0.00 | 59 | 12 |
|
Jennifer Rogers
445 E Dublin Granville Rd |
$77.90 | 56 | 29 |
|
I Am Boundless, Inc
445 E Dublin Granville Rd |
$0.00 | 46 | 13 |
|
Rheyana Johnson
445 E Dublin Granville Rd |
$0.00 | 15 | 15 |
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 Worthington, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Worthington, OH is $85.92 per claim, based on 34,693 claims from 22 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 Worthington, OH?
There are 22 Medicaid providers offering Case Management Services related services in Worthington, OH according to public payment data.
What is the price range for Case Management Services in Worthington, OH?
Medicaid reimbursement for Case Management Services in Worthington, OH ranges from $0.00 to $166.75 per claim, with an average of $85.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Miami, FL
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Oklahoma City, OK
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Other Procedures in Worthington, OH
Home Health Visit
Avg $52.92
251,799 claims
Behavioral & Mental Health Therapy
Avg $86.83
152,048 claims
Office Visit
Avg $55.81
90,878 claims
Psychiatric Evaluation
Avg $72.90
49,935 claims
Speech Therapy
Avg $31.18
29,809 claims
Physical Therapy
Avg $17.16
27,896 claims
Vaccines & Immunizations
Avg $14.41
22,154 claims
Substance Abuse Treatment
Avg $78.56
10,525 claims