Average Medicaid Case Management Services Payments in Buffalo, NY: $250.24
Avg. Paid
$250.24
Range
$0.00 – $345.35
Total Claims
760,219
Providers
32
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 Buffalo, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laurie Kasnicki
515 Abbott Rd |
$91.67 | 12 | 12 |
|
Gail H Ferguson
155 Lawn Avenue |
$100.00 | 12 | 12 |
|
Andrew M Dybalski
700 Michigan Ave |
$170.00 | 12 | 12 |
|
Samantha Jenkins
397 Louisiana St |
$100.00 | 13 | 13 |
|
Pamela Vida London
237 Linwood Ave |
$100.00 | 13 | 13 |
|
Timothy V Harris
219 Bryant St |
$100.00 | 13 | 13 |
|
Marycatherine Aungst
Elm And Carlton Streets |
$100.00 | 13 | 13 |
|
Courtney Mercer
237 Linwood Ave Fl 1 |
$100.00 | 14 | 14 |
|
Kathleen M Mccarthy
515 Abbott Rd |
$100.00 | 15 | 15 |
|
Steven J Lana
1131 Delaware Ave |
$100.00 | 22 | 21 |
|
Christopher R Springer
515 Abbott Rd |
$46.43 | 28 | 28 |
|
Joseph Treanor
462 Grider St |
$177.59 | 29 | 29 |
|
Gloria Wang
1595 Bailey Ave |
$100.00 | 31 | 31 |
|
Amanda Marie Barnhard
237 Linwood Ave Fl 1 |
$43.63 | 39 | 15 |
|
Emily S Friedan
2924 Main St |
$100.00 | 42 | 42 |
|
Kimberly L Jackson
818 Ellicott St |
$96.49 | 57 | 57 |
|
Andrew S Justo
462 Grider St |
$164.41 | 64 | 64 |
|
Grace D Dimitroff
2924 Main Street |
$98.44 | 64 | 63 |
|
Paul J Violanti
184 Barton St |
$98.51 | 67 | 67 |
|
Megan Wrest
40 La Riviere Dr Ste 140 |
$191.08 | 186 | 186 |
|
Stephanie H Fretz
899 Main St |
$0.00 | 219 | 213 |
|
Christine E Scime
2924 Main St |
$97.54 | 284 | 284 |
|
Michael Paolini
462 Grider St |
$185.85 | 369 | 368 |
|
Child And Family Services Of Erie County
330 Delaware Ave |
$345.35 | 674 | 674 |
|
Erie County Medical Center Corporation
462 Grider St |
$22.78 | 7,453 | 1,703 |
|
People Inc.
2128 Elmwood Ave |
$20.36 | 7,654 | 1,980 |
|
Erie County Health - Early Intervention Program
95 Franklin St |
$35.47 | 20,465 | 9,115 |
|
Children'S Health Home Of Western New York (Chhwny)
219 Bryant St |
$305.61 | 27,781 | 27,729 |
|
Bestself Behavioral Health, Inc.
255 Delaware Ave |
$299.31 | 86,628 | 86,628 |
|
Cinq-Ny Health Home Ipa, Llc
564 Niagara St Bldg 2 |
$239.94 | 159,933 | 159,562 |
|
Bestself Behavioral Health, Inc.
430 Niagara St |
$306.11 | 188,543 | 188,540 |
|
Greater Buffalo United Ipa
564 Niagara St |
$224.52 | 259,470 | 259,400 |
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 Buffalo, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Buffalo, NY is $250.24 per claim, based on 760,219 claims from 32 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 Buffalo, NY?
There are 32 Medicaid providers offering Case Management Services related services in Buffalo, NY according to public payment data.
What is the price range for Case Management Services in Buffalo, NY?
Medicaid reimbursement for Case Management Services in Buffalo, NY ranges from $0.00 to $345.35 per claim, with an average of $250.24. 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 Buffalo, NY
Home Health Visit
Avg $138.93
2,641,639 claims
Office Visit
Avg $60.22
2,438,221 claims
Blood Work & Lab Tests
Avg $8.36
2,385,372 claims
Substance Abuse Treatment
Avg $44.27
1,684,325 claims
Emergency Room Visit
Avg $120.86
1,082,052 claims
Dental Cleaning & Exam
Avg $30.59
790,427 claims
Psychiatric Evaluation
Avg $135.39
730,584 claims
Ambulance Transport
Avg $114.37
601,138 claims