Average Medicaid Case Management Services Payments in Atlanta, GA: $181.02
Avg. Paid
$181.02
Range
$0.00 – $234.11
Total Claims
93,282
Providers
15
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 Atlanta, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ace Care Management Llc
236 Auburn Ave Ne |
$188.87 | 87,458 | 82,055 |
|
Dekalb Community Service Board
23 Warren St Se |
$66.54 | 2,952 | 1,658 |
|
Patrick Antoine
1046 Ridge Ave Sw |
$0.06 | 665 | 438 |
|
Cassandra Martinez
Po Box 746878 |
$21.62 | 622 | 411 |
|
Darlene Marie Stokes
440 Ralph Mcgill Blvd Ne |
$175.77 | 421 | 308 |
|
Charlotte Pongonis Hall
901 Rice St Nw |
$234.11 | 332 | 322 |
|
Joseph Thomas Hannan
3715 Northside Parkway Nw |
$0.00 | 329 | 206 |
|
Tyrone Maurice Cave
250 Georgia Ave Se Ste 206 |
$15.37 | 128 | 123 |
|
Crystal Cassimere
12 Executive Park Dr Ne |
$15.04 | 105 | 94 |
|
Regina Mensah Fredua-Agyeman
80 Jesse Hill Jr Dr Se |
$2.14 | 100 | 92 |
|
Ava Family Services, Llc
3455 Peachtree Rd Ne Ste 500 |
$16.41 | 56 | 25 |
|
Mariana Sirbu
3715 Northside Pkwy Nw |
$0.00 | 56 | 38 |
|
Access Mental Health Agency, Llc
1903 Phoenix Blvd Ste 200 |
$61.98 | 22 | 12 |
|
Eric Benning
1747 Buckhead Valley Ln Ne |
$0.00 | 22 | 15 |
|
Christine Jean Page
1800 Water Pl Se |
$25.00 | 14 | 14 |
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 Atlanta, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Atlanta, GA is $181.02 per claim, based on 93,282 claims from 15 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 Atlanta, GA?
There are 15 Medicaid providers offering Case Management Services related services in Atlanta, GA according to public payment data.
What is the price range for Case Management Services in Atlanta, GA?
Medicaid reimbursement for Case Management Services in Atlanta, GA ranges from $0.00 to $234.11 per claim, with an average of $181.02. 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 Atlanta, GA
Non-Emergency Medical Transportation
Avg $10.41
3,368,719 claims
Emergency Room Visit
Avg $261.11
1,736,171 claims
Office Visit
Avg $65.00
1,497,277 claims
Blood Work & Lab Tests
Avg $9.49
1,059,338 claims
X-Ray
Avg $19.60
1,038,179 claims
Ultrasound
Avg $89.22
645,444 claims
Physical Therapy
Avg $100.84
350,460 claims
EKG / ECG (Electrocardiogram)
Avg $11.82
326,821 claims