Average Medicaid Case Management Services Payments in Cumberland, MD: $146.21
Avg. Paid
$146.21
Range
$143.83 – $202.50
Total Claims
53,884
Providers
5
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 Cumberland, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Board Of Education Of Allegany County
108 Washington St |
$146.34 | 45,882 | 43,866 |
|
Board Of Education Of Allegany County
108 Washington St |
$145.95 | 3,855 | 3,796 |
|
Potomac Case Management Services, Inc.
29 Baltimore St |
$143.83 | 3,729 | 1,375 |
|
Sheppard Pratt Health System, Inc.
10100 Country Club Rd Se |
$148.32 | 358 | 354 |
|
John Owen Western
18 Long Dr |
$202.50 | 60 | 59 |
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 Cumberland, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Cumberland, MD is $146.21 per claim, based on 53,884 claims from 5 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 Cumberland, MD?
There are 5 Medicaid providers offering Case Management Services related services in Cumberland, MD according to public payment data.
What is the price range for Case Management Services in Cumberland, MD?
Medicaid reimbursement for Case Management Services in Cumberland, MD ranges from $143.83 to $202.50 per claim, with an average of $146.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Cumberland, MD
Office Visit
Avg $79.07
519,245 claims
Blood Work & Lab Tests
Avg $10.68
296,660 claims
Psychiatric Evaluation
Avg $100.55
268,643 claims
Substance Abuse Treatment
Avg $66.34
180,064 claims
Physical Therapy
Avg $54.02
138,012 claims
X-Ray
Avg $5.64
113,089 claims
Nursing Facility Care
Avg $45.76
93,967 claims
Speech Therapy
Avg $39.90
86,760 claims