Case Management: industry payments
Drug and device makers reported $9,754 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 72
- Received a payment
- 72 (100.0%)
- Total reported
- $10K
- Average, those paid
- $135
The average is computed only over providers who received something, because including the 0 who received nothing would produce a number that describes neither group. Totals are dominated by a small number of large royalty and consulting arrangements; the typical payment in this specialty is far smaller than the average implies.
What Medicare pays case management clinicians
Across 3 case management clinicians who billed Original Medicare Part B in 2024, Medicare allowed $67,544 in total — an average of $22,515 each, of which $22,472 was for services and the rest for drugs administered in the office.
This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.
By state
| State | Providers | Total reported | Per provider |
|---|---|---|---|
| California | 27 | $2,161 | $80 |
| Texas | 4 | $1,618 | $405 |
| Massachusetts | 2 | $1,147 | $573 |
| South Carolina | 2 | $787 | $394 |
| New York | 3 | $768 | $256 |
| Florida | 6 | $679 | $113 |
| Colorado | 4 | $454 | $113 |
| Michigan | 5 | $408 | $82 |
| New Mexico | 1 | $362 | $362 |
| Rhode Island | 2 | $241 | $120 |
| Missouri | 2 | $223 | $111 |
| Illinois | 1 | $191 | $191 |
| Indiana | 1 | $122 | $122 |
| Nebraska | 1 | $103 | $103 |
| Oregon | 1 | $92 | $92 |
| Pennsylvania | 1 | $90 | $90 |
| Oklahoma | 1 | $86 | $86 |
| Virginia | 1 | $79 | $79 |
| Washington | 2 | $72 | $36 |
| Arizona | 2 | $36 | $18 |
| Tennessee | 1 | $18 | $18 |
| Georgia | 1 | $14 | $14 |
| Kansas | 1 | $4 | $4 |