Average Medicaid Case Management Services Payments in Bangor, ME: $71.67
Avg. Paid
$71.67
Range
$35.42 – $367.34
Total Claims
367,165
Providers
21
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 Bangor, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ohi
203 Maine Ave |
$51.46 | 55,945 | 15,864 |
|
United Cerebral Palsy Of Northeastern Maine
700 Mt Hope Ave |
$56.98 | 53,480 | 12,761 |
|
Amicus
96 13Th St |
$69.58 | 49,841 | 10,909 |
|
Kidspeace National Centers Of New England Inc
444 Stillwater Ave Ste 204 |
$94.03 | 46,774 | 12,927 |
|
Independent Service Coordination For Me, Llc
1010 Stillwater Ave |
$68.09 | 41,815 | 10,519 |
|
Mas Medical Staffing Corporation
30 Summer St |
$90.71 | 35,429 | 7,293 |
|
Wings For Children And Families Inc.
900 Hammond St |
$72.08 | 27,904 | 9,199 |
|
Health Equity Alliance
304 Hancock St |
$58.65 | 21,728 | 7,005 |
|
Community Health And Counseling Services
42 Cedar St |
$76.00 | 9,129 | 2,744 |
|
Pathways Of Maine, Inc.
80 Main Street |
$89.59 | 7,831 | 1,859 |
|
Community Care
40 Summer St |
$73.13 | 6,959 | 1,331 |
|
Ccm-4U, Llc
611 Hammond St |
$75.01 | 4,881 | 988 |
|
Penquis Cap, Inc.
262 Harlow St |
$99.75 | 1,406 | 478 |
|
Shaw House
1048 Union St Ste 5 |
$75.08 | 1,366 | 310 |
|
Discovery House Br, Inc.
689 Odlin Rd. |
$367.34 | 1,242 | 1,127 |
|
United Cerebral Palsy Of Northeastern Maine
700 Mount Hope Ave Ste 320 |
$91.97 | 611 | 213 |
|
Acadia Healthcare, Inc
268 Stillwater Avenue |
$361.97 | 351 | 350 |
|
Ohi
203 Maine Ave |
$35.42 | 304 | 147 |
|
Kelly Harmon
40 Summer St |
$66.02 | 122 | 45 |
|
Julie Rosania
1066 Kenduskeag Ave |
$46.03 | 34 | 13 |
|
Bangor Area Homeless Shelter
263 Main Street |
$124.15 | 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 Bangor, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Bangor, ME is $71.67 per claim, based on 367,165 claims from 21 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 Bangor, ME?
There are 21 Medicaid providers offering Case Management Services related services in Bangor, ME according to public payment data.
What is the price range for Case Management Services in Bangor, ME?
Medicaid reimbursement for Case Management Services in Bangor, ME ranges from $35.42 to $367.34 per claim, with an average of $71.67. 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 Bangor, ME
Blood Work & Lab Tests
Avg $3.09
1,168,393 claims
Office Visit
Avg $27.57
683,589 claims
Substance Abuse Treatment
Avg $105.08
515,120 claims
Psychiatric Evaluation
Avg $25.99
358,754 claims
Home Health Visit
Avg $176.93
259,524 claims
Emergency Room Visit
Avg $160.57
245,511 claims
X-Ray
Avg $10.16
231,959 claims
Physical Therapy
Avg $20.92
188,870 claims