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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

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

Other Procedures in Albuquerque, NM