Average Medicaid Case Management Services Payments in Burlington, VT: $1.81
Avg. Paid
$1.81
Range
$0.00 – $378.11
Total Claims
315,193
Providers
16
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 Burlington, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gussie Logan
1127 North Ave Ste 1 |
$40.80 | 13 | 13 |
|
Robert A Penney
789 Pine St |
$35.70 | 16 | 15 |
|
Rachel H Inker
617 Riverside Ave |
$31.20 | 17 | 17 |
|
Leslie Mccoy Conroy
86 Lake St |
$0.00 | 24 | 18 |
|
Path Integrated Healthcare
125 College St Ste 300 |
$63.87 | 36 | 16 |
|
Christine Hayner
855 Pine St |
$21.86 | 209 | 52 |
|
Catherine Suzanne Rude
One South Prospect Street |
$1.58 | 232 | 222 |
|
Jacqueline Cahill
617 Riverside Ave |
$15.34 | 293 | 148 |
|
Howard Center Inc
1138 Pine St |
$378.11 | 466 | 425 |
|
Sandra Steingard
300 Flynn Ave |
$25.20 | 489 | 155 |
|
Diane Flowers
76 Glen Rd |
$55.99 | 710 | 218 |
|
Transition Ii
346 Shelburne Rd |
$0.00 | 3,038 | 706 |
|
Howard Center Inc
855 Pine St |
$24.58 | 4,220 | 1,737 |
|
Howard Center Inc
300 Flynn Ave |
$23.39 | 9,609 | 1,669 |
|
Howard Center Inc
300 Flynn Ave |
$0.00 | 16,279 | 9,862 |
|
Howard Center Inc
102 S Winooski Ave |
$0.00 | 279,542 | 37,927 |
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 Burlington, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Burlington, VT is $1.81 per claim, based on 315,193 claims from 16 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 Burlington, VT?
There are 16 Medicaid providers offering Case Management Services related services in Burlington, VT according to public payment data.
What is the price range for Case Management Services in Burlington, VT?
Medicaid reimbursement for Case Management Services in Burlington, VT ranges from $0.00 to $378.11 per claim, with an average of $1.81. 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
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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 Burlington, VT
Office Visit
Avg $27.27
432,379 claims
Behavioral & Mental Health Therapy
Avg $162.36
324,408 claims
Psychiatric Evaluation
Avg $54.22
206,009 claims
Emergency Room Visit
Avg $56.39
123,025 claims
Blood Work & Lab Tests
Avg $11.71
105,166 claims
X-Ray
Avg $4.04
101,340 claims
EKG / ECG (Electrocardiogram)
Avg $3.12
69,982 claims
Dental Cleaning & Exam
Avg $36.85
69,421 claims