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
72
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 |
|---|---|---|---|
|
Cura Healthcare
8226 Menaul Blvd Ne # 610 |
$23.68 | 12 | 12 |
|
Presbyterian Healthcare Services
1100 Central Se |
$218.00 | 12 | 12 |
|
Edo Kodjo Avochinou
1 University Of New Mexico |
$11.07 | 16 | 16 |
|
Radu Butuc
601 Dr Martin Luther King Jr Ave Ne |
$24.58 | 26 | 26 |
|
Kenneth A Bell
2901 Transport St Se |
$16.21 | 27 | 27 |
|
Samir Kassicieh
1010 Bridge Blvd Sw Ste A |
$26.12 | 31 | 31 |
|
Joel D Gelinas
6801 Jefferson St Ne |
$25.42 | 40 | 40 |
|
Erica Lerma
717 Encino Pl Ne Ste 4 |
$23.40 | 43 | 42 |
|
Felisha Maestas
2551 Coors Blvd Nw |
$365.29 | 43 | 41 |
|
Mohammad Asim Malik
1100 Central Ave Se |
$19.29 | 84 | 84 |
|
Behavioral Healthcare Services, Inc.
707 Broadway Blvd Ne Ste 500 |
$255.52 | 94 | 91 |
|
Camelia Al-Hammadi
801 Encino Pl Ne |
$100.75 | 101 | 52 |
|
Presbyterian Medical Services
5501 Wilshire Ave Ne Ste C |
$0.00 | 105 | 105 |
|
Raylene Kelly Riley
801 Encino Pl Ne Ste E1 |
$196.49 | 150 | 132 |
|
Dianna L Blom
801 Encino Pl Ne Ste E1 |
$163.96 | 152 | 123 |
|
Roxi Moore
1209 Mountain Road Pl Ne # 6950 |
$19.53 | 227 | 172 |
|
Advocates Of New Mexico, Llc
230 Adams St Se Ste C |
$213.65 | 232 | 186 |
|
A Step Above Case Management
120 Madeira Dr Ne |
$225.23 | 237 | 203 |
|
Cornerstone Case Management Llc
115 Cornell Drive Se #4614 |
$283.19 | 273 | 218 |
|
Lisa Marie Stolarczyk
8208 Louisiana Blvd Ne Ste C |
$19.17 | 283 | 282 |
|
William Horton Reinicke
1709 Moon St Ne |
$0.00 | 320 | 38 |
|
Valeene Lynch
801 Encino Pl Ne Ste E1 |
$115.16 | 322 | 190 |
|
Gwendolyn Facciano
4304 Carlisle Blvd Ne |
$99.99 | 354 | 182 |
|
Monte Vista Personal Care Llc
6303 Indian School Rd Ne Ste 104 |
$228.21 | 356 | 356 |
|
Medical Services Services, Llc.
500 Marquette Ave Nw |
$173.62 | 383 | 215 |
|
Heriberto Figueroa Lopez
500 Marquette Ave Nw Ste 1200 |
$10.24 | 387 | 374 |
|
Cynthia Gerardo
9301 Indian School Rd Ne Ste 208A |
$0.00 | 405 | 28 |
|
Kacey Gonzales
2600 Marble Ave Ne Bldg A |
$109.56 | 558 | 313 |
|
Unm Developmental Care Program
Msc10 5590 |
$172.35 | 1,358 | 1,313 |
|
Davis Personal Care Services Llc
1020 San Pedro Dr Ne |
$128.90 | 1,385 | 858 |
|
Apc Inc.
6101 Marble Ave Ne |
$204.98 | 1,459 | 1,458 |
|
Ds Personal Care Inc
109 California St Ne |
$213.43 | 1,550 | 1,550 |
|
Angel Touch Personal Care, Inc.
9798 Coors Blvd Nw Bldg D |
$218.39 | 1,604 | 1,566 |
|
Atc Homecare, Inc.
7309 San Benito St Nw |
$214.52 | 2,222 | 2,201 |
|
Dungarvin New Mexico Llc
2309 Renard Pl Se Ste 205 |
$181.26 | 2,535 | 2,471 |
|
H And W Associates, Llc
3150 Carlisle Blvd Ne |
$277.81 | 2,592 | 2,519 |
|
New Mexico Community Care
7901 Mountain Rd Ne |
$195.81 | 2,683 | 2,675 |
|
1St Premier Home Care, Inc.
4411 Mcleod Rd Ne |
$216.73 | 2,779 | 2,776 |
|
All About You , Homehealthcare Llc
3620 Wyoming Blvd Ne Ste L5 |
$204.04 | 3,567 | 3,514 |
|
Professional Case Coordination Services Llc
9798 Coors Blvd Bldg D |
$360.61 | 5,033 | 4,880 |
|
New Choices Home Care Llc
1905 Lomas Blvd Nw |
$202.08 | 5,202 | 5,193 |
|
Blingual Multicultural Services Inc
5200 Copper Ave Ne |
$193.73 | 6,226 | 6,019 |
|
Liferoots, Inc
1111 Menaul Blvd Ne |
$176.59 | 6,672 | 6,514 |
|
Aid Home Health Care Services Llc.
2315 San Pedro Dr Ne Ste F5 |
$215.45 | 7,354 | 7,353 |
|
Abanza Personal Care Services Llc
1717 Louisana Blvd Ne |
$215.80 | 7,926 | 7,919 |
|
Atencion Family Services, Inc
6300 Montano Rd Nw |
$209.04 | 7,955 | 7,876 |
|
Enchanted Care Solutions, Llc
202 Central Ave Se |
$206.41 | 10,206 | 9,925 |
|
New Mexico Quality Case Management
8205 Spain Rd. Ne |
$321.34 | 10,550 | 9,987 |
|
Visions Case Management
4700 Lincoln Rd Ne Ste 107 |
$330.97 | 10,717 | 10,358 |
|
Pb & J Family Services, Inc.
1101 Lopez Rd Sw |
$185.40 | 10,984 | 9,984 |
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.
Case Management Services in Other Cities
Phoenix, AZ
Avg $37.73
14,607,817 claims · 601 providers
Tucson, AZ
Avg $33.22
5,915,648 claims · 255 providers
Nashville, TN
Avg $197.77
5,117,343 claims · 28 providers
Miami, FL
Avg $82.94
3,929,993 claims · 325 providers
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
2,960,059 claims · 360 providers
Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in Albuquerque, NM
Home Health Visit
Avg $77.97
7,316,567 claims
Blood Work & Lab Tests
Avg $15.20
6,028,360 claims
Substance Abuse Treatment
Avg $34.24
5,929,577 claims
Office Visit
Avg $72.81
3,965,435 claims
Psychiatric Evaluation
Avg $90.10
2,021,597 claims
Emergency Room Visit
Avg $154.16
1,757,889 claims
Dental Cleaning & Exam
Avg $30.77
1,525,323 claims
Physical Therapy
Avg $47.20
1,452,324 claims