Average Medicaid Case Management Services Payments in Baltimore, MD: $127.92
Avg. Paid
$127.92
Range
$0.00 – $238.31
Total Claims
636,153
Providers
28
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 Baltimore, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baltimore City Schools
200 E North Ave |
$116.48 | 446,018 | 333,794 |
|
Hope Health Systems, Inc
6707 Whitestone Rd |
$202.76 | 56,690 | 12,824 |
|
Wraparound Maryland, Inc.
1501 S Edgewood St Ste C |
$110.50 | 29,709 | 7,447 |
|
Mayor And City Council Of Baltimore
3002 Druid Park Dr |
$140.17 | 20,705 | 19,358 |
|
People Encouraging People, Inc.
4201 Primrose Ave |
$134.06 | 17,780 | 7,707 |
|
Johns Hopkins Bayview Med Ctr Inc
4940 Eastern Ave |
$136.09 | 16,644 | 5,615 |
|
Empowering Mind Resource Center
1800 N Charles St Ste 804 |
$193.55 | 11,310 | 2,232 |
|
University Of Maryland Medical Center, Llc
701 W Pratt St Fl 5 |
$131.25 | 7,962 | 3,557 |
|
The Children'S Guild, Inc
6802 Mcclean Blvd |
$126.64 | 4,502 | 4,383 |
|
The Maryland School For The Blind
3501 Taylor Ave |
$139.74 | 4,344 | 4,122 |
|
Baltimore Crisis Response,Inc
5124 Greenwich Ave |
$118.23 | 4,131 | 1,899 |
|
Kennedy Krieger Education And Community Services, Inc.
3825 Greenspring Ave. |
$130.98 | 3,597 | 3,363 |
|
Unlimited Bounds Human Services Llc
4200 Pennington Ave |
$136.93 | 3,142 | 802 |
|
Optimum Health Systems, Inc
2300 Garrison Blvd Ste 104 |
$159.01 | 2,638 | 766 |
|
Kennedy Krieger Education And Community Services, Inc.
1750 E Fairmont Ave. |
$133.80 | 2,166 | 2,069 |
|
Arrow Child & Family Ministries Of Maryland
1605 Cromwell Bridge Rd |
$129.03 | 1,903 | 1,786 |
|
The Seed School Of Maryland, Inc.
200 Font Hill Ave |
$112.42 | 982 | 953 |
|
Family Advocacy Services, Llc
7131 Rutherford Rd |
$147.48 | 477 | 461 |
|
Gateway Maryland, Inc
5900 Metro Dr |
$123.17 | 378 | 375 |
|
Kennedy Krieger Education And Community Services, Inc.
1600 Arlington Ave. |
$148.86 | 263 | 229 |
|
Empowering Minds Resource Center
1800 N Charles St Ste 600 |
$0.00 | 263 | 86 |
|
Btst Services
1900 N Howard St Ste 300 |
$154.36 | 184 | 55 |
|
United Cerebral Palsy Of Cm, Inc.
1700 Reisterstown Rd |
$150.00 | 184 | 181 |
|
Abibatu Bakarr Bangai
1 N Charles St |
$97.46 | 82 | 43 |
|
Amanda Garratt
104 Church Ln Ste 101 |
$0.00 | 37 | 12 |
|
James Harold Miller
421 Fallsway |
$238.31 | 31 | 28 |
|
Joellen Michelle Hurley
2704 Proctor Ln |
$0.00 | 18 | 18 |
|
Katie Bowen
6501 N Charles St |
$126.92 | 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 Baltimore, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Baltimore, MD is $127.92 per claim, based on 636,153 claims from 28 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 Baltimore, MD?
There are 28 Medicaid providers offering Case Management Services related services in Baltimore, MD according to public payment data.
What is the price range for Case Management Services in Baltimore, MD?
Medicaid reimbursement for Case Management Services in Baltimore, MD ranges from $0.00 to $238.31 per claim, with an average of $127.92. 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 Baltimore, MD
Substance Abuse Treatment
Avg $107.97
7,464,932 claims
Office Visit
Avg $85.10
6,638,810 claims
Psychiatric Evaluation
Avg $100.67
6,065,385 claims
Blood Work & Lab Tests
Avg $9.87
4,046,251 claims
Emergency Room Visit
Avg $96.82
1,908,492 claims
Dental Cleaning & Exam
Avg $39.08
1,772,038 claims
X-Ray
Avg $6.77
1,399,097 claims
EKG / ECG (Electrocardiogram)
Avg $6.98
1,098,202 claims