Average Medicaid Case Management Services Payments in Boston, MA: $92.51
Avg. Paid
$92.51
Range
$0.00 – $1,728
Total Claims
826,723
Providers
20
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 Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Adams
32 Fruit St |
$26.99 | 15 | 15 |
|
Payel Jhoom Roy
72 E Concord St |
$199.66 | 25 | 24 |
|
Arthur Winston Wood
75 Francis St |
$257.14 | 35 | 15 |
|
Shirley Y. Huang
800 Washington St |
$241.88 | 75 | 75 |
|
John S Maypole
850 Harrison Ave |
$202.61 | 154 | 141 |
|
Community Workshops Inc.
174 Portland St |
$160.33 | 393 | 371 |
|
Commonwealth Of Massachusetts
85 E Newton St |
$1,069 | 807 | 807 |
|
Julia Elizabeth Mcsweeney
300 Longwood Ave |
$260.02 | 1,279 | 1,053 |
|
Boston Senior Home Care
110 Chauncy St |
$98.69 | 7,510 | 7,494 |
|
Christopher J. Hodge
Massachusetts General Hospital |
$246.40 | 7,855 | 7,427 |
|
Boston Emergency Services Team (Bupa) Boston
85 E Newton St |
$114.03 | 8,014 | 1,374 |
|
Boston Senior Home Care
89 South St |
$58.88 | 8,720 | 8,699 |
|
Commonwealth Of Massachusetts
25 Staniford St |
$1,139 | 9,135 | 9,135 |
|
Commonwealth Of Massachusetts
85 E Newton St |
$1,141 | 17,085 | 17,085 |
|
Ma Department Of Youth Services
27 Wormwood Street |
$1,728 | 20,478 | 20,478 |
|
Community Care Partners Llc
66 Canal St |
$0.00 | 24,978 | 17,537 |
|
Boston Medical Center Corporation
1 Boston Medical Ctr Pl |
$0.00 | 77,242 | 56,881 |
|
Boston Center For Independent Living, Inc.
60 Temple Pl |
$55.68 | 103,641 | 102,606 |
|
Boston Health Care For The Homeless Program, Inc.
780 Albany St |
$0.00 | 143,844 | 90,911 |
|
Community Care Partners Llc
66 Canal Street |
$0.00 | 395,438 | 253,246 |
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 Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Boston, MA is $92.51 per claim, based on 826,723 claims from 20 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 Boston, MA?
There are 20 Medicaid providers offering Case Management Services related services in Boston, MA according to public payment data.
What is the price range for Case Management Services in Boston, MA?
Medicaid reimbursement for Case Management Services in Boston, MA ranges from $0.00 to $1,728 per claim, with an average of $92.51. 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 Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims