Average Medicaid Case Management Services Payments in Bronx, NY: $82.97
Avg. Paid
$82.97
Range
$0.00 – $264.94
Total Claims
413,512
Providers
50
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 Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
New York City Health And Hospitals Corporation
1400 Pelham Pkwy S |
$264.94 | 85,904 | 85,844 |
|
Beantown Early Intervention Services Of Ny
608 Van Nest Ave |
$27.39 | 69,941 | 9,707 |
|
Ability Builders For Children, Llc
3175 E Tremont Ave |
$31.36 | 62,944 | 8,304 |
|
Important Steps, Inc.
2447 Eastchester Rd |
$40.64 | 44,443 | 7,046 |
|
New York Child Resource Center, Inc.
348 E 146Th St |
$33.19 | 42,935 | 7,797 |
|
Nyc Early Learning Company Inc
1778 Southern Blvd |
$38.25 | 42,359 | 6,295 |
|
Our Children First, Inc
1755A Jarvis Ave |
$33.59 | 30,612 | 6,101 |
|
Kingscross Children Therapy And Autism Services
3251 3Rd Avenue 3Rd Floor |
$33.65 | 10,114 | 1,617 |
|
The Therapy Sp-Ot, Llc
520 Ellsworth Ave |
$32.16 | 7,017 | 884 |
|
Alla Adi Shabtai
1042 Southern Blvd |
$1.88 | 4,003 | 2,901 |
|
Luis A. Gonzales
781 East 142Nd Street |
$121.47 | 3,894 | 1,906 |
|
Maritza Casillas
305 E 161St St |
$78.80 | 902 | 573 |
|
Lower West Side Household Services Corp
460 Willis Ave Fl 2 |
$26.00 | 810 | 293 |
|
Merari Vasquez
915 Westchester Ave |
$147.10 | 777 | 385 |
|
Kira Batist
305 E 161St St |
$77.56 | 673 | 405 |
|
Frederick Brandenberger
360 E 193Rd St |
$96.40 | 657 | 457 |
|
Sindhu Gupta
1624 Crosby Ave |
$36.10 | 651 | 648 |
|
Dawn Ellen Mahlau
1621 Eastchester Rd |
$72.77 | 587 | 307 |
|
Alison Maling
25 E 183Rd St |
$135.20 | 538 | 201 |
|
Eric Woods
111 E 210Th St |
$119.03 | 519 | 519 |
|
Joyce Wong
360 East 193 Rd Street |
$101.50 | 461 | 357 |
|
First-Care Of New York Inc.
2488 Grand Concourse |
$0.00 | 398 | 82 |
|
Jennifer Pimentel
340 E 146Th St |
$69.93 | 351 | 228 |
|
Janira C. Vega
1 Fordham Plz Fl 5 |
$96.95 | 247 | 178 |
|
New York City Health And Hospitals Corporation
234 E 149Th St |
$10.71 | 238 | 230 |
|
Alicia Cartenuto
1065 Southern Blvd |
$82.71 | 207 | 134 |
|
Michael Dante Difrancesco
305 E 161St St |
$72.85 | 199 | 114 |
|
Intake Connect Child Services Llc
6171 Tyndall Ave |
$37.24 | 185 | 30 |
|
Wianna Marie Frias
915 Weschester Avenue |
$125.23 | 108 | 54 |
|
Nancy Jean Faunt
781 E 142Nd St |
$79.28 | 98 | 61 |
|
New York City Health And Hospitals Corporation
1225 Gerard Ave |
$34.96 | 78 | 67 |
|
Tayler Dooley
1400 Pelham Pkwy S |
$213.53 | 75 | 75 |
|
Paul Quinto De Guzman
3972 3Rd Ave |
$50.26 | 69 | 66 |
|
Eric Geovanni Erickson
1011 Washington Ave |
$116.36 | 68 | 34 |
|
Farhad Kadkhodaei Elyaderani
4234 Bronx Blvd Frnt 1 |
$0.18 | 41 | 41 |
|
Julissa S Adames-Torres
915 Westchester Ave |
$75.00 | 41 | 25 |
|
Badri D Taparia
2015 Grand Concourse |
$0.00 | 41 | 41 |
|
Susan Bonadonna
1 Fordham Plz |
$109.69 | 40 | 38 |
|
Abigail Ionie Caesar
915 Westchester Ave |
$147.83 | 36 | 18 |
|
Ariel Anderson
915 Westchester Ave |
$147.83 | 32 | 16 |
|
Teresa T. Hsu-Walklet
3444 Kossuth Ave |
$58.06 | 31 | 13 |
|
Abraham Irizarry
2064 Boston Rd |
$0.00 | 27 | 16 |
|
Julianne Dimaio
731 White Plains Rd |
$0.90 | 25 | 25 |
|
Angela Cancel
305 E 161St St |
$83.15 | 23 | 14 |
|
Elizabeth Nosier-Turenne
1371 Seabury Ave |
$0.00 | 22 | 22 |
|
New York City Health And Hospitals Corporation
3424 Kossuth Ave |
$38.32 | 22 | 12 |
|
Andrew Telzak
111 E 210Th St |
$79.54 | 20 | 12 |
|
Mahmood Mehdi Kazmi
3329 Bainbridge Ave |
$0.37 | 20 | 20 |
|
Sireen M Gopal
1250 Waters Pl Ste 710 |
$0.00 | 17 | 17 |
|
Tirza Greer
2532 Grand Concourse |
$112.50 | 12 | 12 |
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 Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Bronx, NY is $82.97 per claim, based on 413,512 claims from 50 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 Bronx, NY?
There are 50 Medicaid providers offering Case Management Services related services in Bronx, NY according to public payment data.
What is the price range for Case Management Services in Bronx, NY?
Medicaid reimbursement for Case Management Services in Bronx, NY ranges from $0.00 to $264.94 per claim, with an average of $82.97. 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 Bronx, NY
Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
Blood Work & Lab Tests
Avg $9.72
7,432,399 claims
Substance Abuse Treatment
Avg $38.59
6,144,578 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
3,317,284 claims
Emergency Room Visit
Avg $138.65
3,278,500 claims