Average Medicaid Case Management Services Payments in Durango, CO: $107.95
Avg. Paid
$107.95
Range
$0.00 – $129.26
Total Claims
44,857
Providers
12
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 Durango, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Connections Inc.
281 Sawyer Dr Ste 200 |
$127.02 | 18,204 | 15,499 |
|
Southwest Colorado Mental Health Center, Inc
150 Mercury Village Dr |
$91.62 | 10,131 | 4,503 |
|
Community Connections Inc.
281 Sawyer Dr Ste 200 |
$125.93 | 5,413 | 4,413 |
|
Southwest Colorado Mental Health Center, Inc
281 Sawyer Dr |
$129.26 | 4,606 | 2,563 |
|
Community Connections Inc.
281 Sawyer Dr Ste 200 |
$67.04 | 4,427 | 3,460 |
|
Leann Reese Shaw
1911 Main Ave |
$12.24 | 1,294 | 928 |
|
Shayla Mackey
1800 E 3Rd Ave Ste 110 |
$16.03 | 547 | 427 |
|
Jodie Miller
281 Sawyer Dr Ste 100 |
$0.00 | 71 | 44 |
|
Morgan Williams
1970 E 3Rd Ave Lowr Level |
$0.00 | 68 | 45 |
|
Southwest Colorado Mental Health Center, Inc
1125 Three Springs Blvd |
$63.27 | 53 | 44 |
|
Martha Cecile Fraley
810 East 3Rd St, Suite #301 |
$0.28 | 31 | 29 |
|
Anita R Kumar
281 Sawyer Dr Ste 100 |
$16.07 | 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 Durango, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Durango, CO is $107.95 per claim, based on 44,857 claims from 12 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 Durango, CO?
There are 12 Medicaid providers offering Case Management Services related services in Durango, CO according to public payment data.
What is the price range for Case Management Services in Durango, CO?
Medicaid reimbursement for Case Management Services in Durango, CO ranges from $0.00 to $129.26 per claim, with an average of $107.95. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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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
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Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in Durango, CO
Office Visit
Avg $86.23
262,459 claims
Psychiatric Evaluation
Avg $136.09
129,125 claims
Substance Abuse Treatment
Avg $54.30
112,757 claims
Dental Cleaning & Exam
Avg $31.68
104,542 claims
Emergency Room Visit
Avg $110.93
89,281 claims
Behavioral & Mental Health Therapy
Avg $98.96
52,387 claims
Blood Work & Lab Tests
Avg $7.96
50,497 claims
Vaccines & Immunizations
Avg $19.23
47,988 claims