Average Medicaid Case Management Services Payments in Augusta, ME: $63.93
Avg. Paid
$63.93
Range
$40.47 – $372.12
Total Claims
382,731
Providers
14
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 Augusta, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Family Violence Project Shelter
83 Western Ave |
$143.32 | 17 | 12 |
|
Bread Of Life Ministries
155 Hospital Street |
$193.71 | 145 | 100 |
|
Vickie Jacobs Fisher
49 Oak St |
$77.92 | 181 | 128 |
|
Be Well My Friend Llc
12 Shuman Ave Ste 6 |
$372.12 | 836 | 754 |
|
Mainegeneral Medical Center
35 Medical Center Pkwy |
$40.47 | 2,044 | 873 |
|
Enso Recovery Llc
90 Western Ave |
$64.78 | 2,441 | 721 |
|
Megan Evans
150 Dresden Ave |
$47.18 | 4,546 | 1,547 |
|
State Of Maine
32 Blossom Ln |
$67.37 | 15,003 | 5,042 |
|
Anglez Behavioral Health Services Pa
841 Riverside Dr |
$87.32 | 16,635 | 4,675 |
|
Crisis And Counseling Centers, Inc.
10 Caldwell Rd |
$64.22 | 39,479 | 7,771 |
|
Graham Behavioral Services Inc
76 Eastern Ave |
$92.13 | 47,367 | 10,555 |
|
Children'S Center: Early Intervention And Family Support, Inc.
1 Alden Ave |
$56.01 | 49,122 | 8,903 |
|
Central Maine Area Agency On Aging
1 Weston Ct |
$54.26 | 93,981 | 20,718 |
|
Employment Specialists Of Maine, Inc.
776 Riverside Dr |
$58.10 | 110,934 | 17,516 |
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 Augusta, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Augusta, ME is $63.93 per claim, based on 382,731 claims from 14 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 Augusta, ME?
There are 14 Medicaid providers offering Case Management Services related services in Augusta, ME according to public payment data.
What is the price range for Case Management Services in Augusta, ME?
Medicaid reimbursement for Case Management Services in Augusta, ME ranges from $40.47 to $372.12 per claim, with an average of $63.93. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $37.73
14,607,817 claims · 601 providers
Tucson, AZ
Avg $33.22
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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
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Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in Augusta, ME
Blood Work & Lab Tests
Avg $3.01
870,668 claims
Office Visit
Avg $39.94
321,589 claims
Home Health Visit
Avg $355.87
297,937 claims
Physical Therapy
Avg $33.98
191,641 claims
Emergency Room Visit
Avg $128.80
168,482 claims
Behavioral & Mental Health Therapy
Avg $170.20
157,636 claims
Vaccines & Immunizations
Avg $6.84
156,135 claims
X-Ray
Avg $17.63
130,801 claims