Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in Albuquerque, NM: $193.66

Avg. Paid

$193.66

Range

$0.00 – $516.71

Total Claims

1,035,658

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 Albuquerque, NM

Provider	Avg. Paid	Claims	Patients
Unm Hospital 2211 Lomas Blvd., N.E.	$138.90	226,176	166,310
Ambercare Home Health Care Corporation 2129 Osuna Rd Ne	$185.31	146,222	135,694
New Mexico Consumer Direct Personal Care, Llc 8220 San Pedro Dr Ne Ste 400	$196.29	89,320	81,603
All Faiths 1709 Moon St Ne	$40.27	45,570	3,794
Independent Living Resource Center 1720 Louisiana Blvd., Ne	$153.80	42,366	34,282
Unidas Case Management, Inc. 2403 San Mateo Blvd Ne	$322.64	36,630	36,144
Heritage Home Healthcare Services, Inc. 6700 Jefferson St Ne Bldg D2	$159.46	36,014	33,290
Inspirations Early Intervention, Inc. 7010 Phoenix Ave Ne	$198.32	35,606	33,036
Peak Developmental Services, Inc 3150 Carlisle Blvd Ne Ste 204	$344.22	28,425	26,770
Inteli-Care, Llc 2116 Vista Oeste Nw Ste 102	$213.16	25,810	25,150
1St Care Of New Mexico Llc 2832 Carlisle Ne	$219.82	23,144	23,094
El Mirador Incorporated 10801 Lomas Blvd Ne Ste 115	$215.39	20,210	20,201
We Care Agency, Inc. 6200 Seagull St Ne Ste C	$206.34	20,091	19,744
Native American Professional Parent Resources (Nappr), Inc. 6916 4Th St Nw	$185.98	19,807	18,539
Abarim Home Health Care Inc. 1100 Rhode Island St Ne	$205.48	19,698	19,220
Unm Medically Fragile Case Management Program 2300 Menaul Blvd Ne	$516.71	19,039	18,134
St. Anthony'S Home Healthcare Service, Llc 8500 Menaul Blvd Ne	$214.43	18,186	18,006
Behavioral Healthcare Services, Inc. 707 Broadway Blvd Ne Ste 500	$199.08	17,496	13,368
Alta Mira Specialized Family Services 1605 Carlisle Blvd Ne	$187.11	12,824	11,842
Amigo Case Management, Inc. 2610 San Mateo Blvd Ne Ste B	$229.31	11,964	9,277
Carino Case Management, Inc. 2701 San Pedro Dr Ne	$313.19	11,882	11,407
Unm Focus Program 2300 Menaul Blvd Ne	$183.28	11,346	10,686
Pb & J Family Services, Inc. 1101 Lopez Rd Sw	$185.40	10,984	9,984
Visions Case Management 4700 Lincoln Rd Ne Ste 107	$330.97	10,717	10,358
New Mexico Quality Case Management 8205 Spain Rd. Ne	$321.34	10,550	9,987
Enchanted Care Solutions, Llc 202 Central Ave Se	$206.41	10,206	9,925
Atencion Family Services, Inc 6300 Montano Rd Nw	$209.04	7,955	7,876
Abanza Personal Care Services Llc 1717 Louisana Blvd Ne	$215.80	7,926	7,919
Aid Home Health Care Services Llc. 2315 San Pedro Dr Ne Ste F5	$215.45	7,354	7,353
Liferoots, Inc 1111 Menaul Blvd Ne	$176.59	6,672	6,514
Blingual Multicultural Services Inc 5200 Copper Ave Ne	$193.73	6,226	6,019
New Choices Home Care Llc 1905 Lomas Blvd Nw	$202.08	5,202	5,193
Professional Case Coordination Services Llc 9798 Coors Blvd Bldg D	$360.61	5,033	4,880
All About You , Homehealthcare Llc 3620 Wyoming Blvd Ne Ste L5	$204.04	3,567	3,514
1St Premier Home Care, Inc. 4411 Mcleod Rd Ne	$216.73	2,779	2,776
New Mexico Community Care 7901 Mountain Rd Ne	$195.81	2,683	2,675
H And W Associates, Llc 3150 Carlisle Blvd Ne	$277.81	2,592	2,519
Dungarvin New Mexico Llc 2309 Renard Pl Se Ste 205	$181.26	2,535	2,471
Atc Homecare, Inc. 7309 San Benito St Nw	$214.52	2,222	2,201
Angel Touch Personal Care, Inc. 9798 Coors Blvd Nw Bldg D	$218.39	1,604	1,566
Ds Personal Care Inc 109 California St Ne	$213.43	1,550	1,550
Apc Inc. 6101 Marble Ave Ne	$204.98	1,459	1,458
Davis Personal Care Services Llc 1020 San Pedro Dr Ne	$128.90	1,385	858
Unm Developmental Care Program Msc10 5590	$172.35	1,358	1,313
Kacey Gonzales 2600 Marble Ave Ne Bldg A	$109.56	558	313
Cynthia Gerardo 9301 Indian School Rd Ne Ste 208A	$0.00	405	28
Heriberto Figueroa Lopez 500 Marquette Ave Nw Ste 1200	$10.24	387	374
Medical Services Services, Llc. 500 Marquette Ave Nw	$173.62	383	215
Monte Vista Personal Care Llc 6303 Indian School Rd Ne Ste 104	$228.21	356	356
Gwendolyn Facciano 4304 Carlisle Blvd Ne	$99.99	354	182

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 Albuquerque, NM?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Albuquerque, NM is $193.66 per claim, based on 1,035,658 claims from 72 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 Albuquerque, NM?

There are 72 Medicaid providers offering Case Management Services related services in Albuquerque, NM according to public payment data.

What is the price range for Case Management Services in Albuquerque, NM?

Medicaid reimbursement for Case Management Services in Albuquerque, NM ranges from $0.00 to $516.71 per claim, with an average of $193.66. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Case Management Services Payments in Albuquerque, NM: $193.66

Providers Offering Case Management Services in Albuquerque, NM

What to Expect: Case Management Services

Cost Components

Frequently Asked Questions

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Other Procedures in Albuquerque, NM

Home Health Visit

Blood Work & Lab Tests

Substance Abuse Treatment

Office Visit

Psychiatric Evaluation

Emergency Room Visit

Dental Cleaning & Exam

Physical Therapy