Average Medicaid Case Management Services Payments in Decatur, AL: $117.16
Avg. Paid
$117.16
Range
$29.86 – $201.14
Total Claims
70,977
Providers
7
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 Decatur, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
North Central Alabama Mental Retardation Authority, Inc.
445 East Moulton Street Ne |
$201.14 | 28,885 | 25,994 |
|
Mental Health Center Of North Central Alabama Inc.
4110 Us Highway 31 S |
$51.40 | 24,169 | 8,656 |
|
Alabama Department Of Mental Health
401 Lee St Ne Ste 150 |
$89.38 | 8,176 | 2,655 |
|
Morgan County Health Dept Epsdt Cm
510 Cherry St Ne |
$63.07 | 4,410 | 2,011 |
|
Joel Alonzo Powell
1304 13Th Ave Se |
$29.86 | 2,034 | 464 |
|
Morgan County Health Dept Fp Cm
510 Cherry St Ne |
$42.18 | 1,804 | 1,193 |
|
Morgan County Health Dept Pat 1St Cm
510 Cherry St Ne |
$78.38 | 1,499 | 605 |
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 Decatur, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Decatur, AL is $117.16 per claim, based on 70,977 claims from 7 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 Decatur, AL?
There are 7 Medicaid providers offering Case Management Services related services in Decatur, AL according to public payment data.
What is the price range for Case Management Services in Decatur, AL?
Medicaid reimbursement for Case Management Services in Decatur, AL ranges from $29.86 to $201.14 per claim, with an average of $117.16. 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
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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 Decatur, AL
Office Visit
Avg $39.95
336,311 claims
Behavioral & Mental Health Therapy
Avg $55.34
181,784 claims
Psychiatric Evaluation
Avg $79.81
172,293 claims
Physical Therapy
Avg $23.23
153,971 claims
Dental Cleaning & Exam
Avg $23.50
114,089 claims
Blood Work & Lab Tests
Avg $7.90
79,935 claims
Emergency Room Visit
Avg $54.32
68,321 claims
Non-Emergency Medical Transportation
Avg $16.42
60,329 claims