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Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in Amherst, NY: $199.94

Avg. Paid

$199.94

Range

$100.00 – $215.15

Total Claims

937

Providers

9

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 Amherst, NY

Provider Avg. Paid Claims Patients
Samantha Anne Olewnik

2350 Maple Rd Ste 100

 $200.04 225 224
Joseph Krajewski

3925 Sheridan Dr

 $200.93 167 167
Bradley Allan

3925 Sheridan Dr

 $210.23 149 148
Phillip M Glamuzina

3925 Sheridan Dr

 $215.15 131 131
Khadijo Abdulle

3921 Harlem Rd

 $209.60 112 112
Jenna Marie Toy

3925 Sheridan Dr

 $184.09 89 89
Matthew Krempholtz

3925 Sheridan Dr

 $171.04 26 26
Eileen Capote

2114 Eggert Rd

 $100.00 25 25
Andrew Wichtowski

4949 Harlem Rd

 $189.23 13 13

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 Amherst, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Amherst, NY is $199.94 per claim, based on 937 claims from 9 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 Amherst, NY?

There are 9 Medicaid providers offering Case Management Services related services in Amherst, NY according to public payment data.

What is the price range for Case Management Services in Amherst, NY?

Medicaid reimbursement for Case Management Services in Amherst, NY ranges from $100.00 to $215.15 per claim, with an average of $199.94. 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 Amherst, NY

Home Health Visit

Avg $110.37

619,390 claims

Office Visit

Avg $70.26

432,666 claims

Substance Abuse Treatment

Avg $34.10

316,484 claims

Ambulance Transport

Avg $100.09

127,155 claims

Physical Therapy

Avg $46.45

79,084 claims

Dental Cleaning & Exam

Avg $37.90

78,431 claims

Pathology & Lab Services

Avg $36.92

71,985 claims

Speech Therapy

Avg $56.38

48,953 claims