Average Medicaid Case Management Services Payments in Durham, NC: $146.31
Avg. Paid
$146.31
Range
$0.00 – $302.73
Total Claims
38,698
Providers
20
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 Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carolina Outreach, Llc
1823 Chapel Hill Rd |
$0.00 | 74 | 69 |
|
Threshold Inc
609 Gary St |
$149.48 | 127 | 76 |
|
B&D Integrated Health Services
249 E Nc Highway 54 Ste 320 |
$0.00 | 155 | 154 |
|
Freedom House Recovery Center, Inc.
400 Crutchfield St |
$210.51 | 167 | 94 |
|
Keni Sanita Church-Hines
131 Southerland St |
$99.18 | 228 | 72 |
|
Family Solutions And Support Services
4324 S Alston Ave Ste 205 |
$14.09 | 247 | 26 |
|
Private Diagnostic Clinic, Pllc
4020 N Roxboro St |
$234.20 | 289 | 288 |
|
Duke University Affiliated Physicians, Inc.
2609 N Duke St |
$246.20 | 295 | 223 |
|
The Beauty Of Wellness, Llc
3209 Guess Rd |
$109.47 | 638 | 94 |
|
B&D Integrated Health Services
249 E Nc Highway 54 Ste 320 |
$302.73 | 648 | 456 |
|
The Bridge Consulting Group, Llc
3790 Guess Rd Ste 102 |
$179.14 | 1,219 | 156 |
|
Liasions Community Care
304A N Driver St |
$84.94 | 1,248 | 83 |
|
Community Alternatives Inc.
2634 Chapel Hill Blvd Ste 11 |
$286.79 | 1,722 | 1,228 |
|
Carolina Outreach, Llc
2670 Durham Chapel Hill Blvd |
$269.90 | 1,930 | 1,337 |
|
Sunrise Clinical Associates, Pllc
3500 Westgate Dr |
$252.03 | 2,124 | 1,713 |
|
Duke Health Integrated Practice, Inc.
40 Duke Medicine Cir |
$227.05 | 3,773 | 2,714 |
|
Jason C Ocean
2530 Meridian Pkwy Ste 300 |
$285.42 | 4,582 | 4,232 |
|
Durham County Dss
220 E Main St |
$13.22 | 5,174 | 1,219 |
|
Carolina Community Support Services, Inc.
4324 S Alston Ave Ste 113 |
$110.36 | 5,374 | 925 |
|
Healing With Caare Inc
214 Broadway Street |
$54.69 | 8,684 | 2,678 |
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 Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Durham, NC is $146.31 per claim, based on 38,698 claims from 20 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 Durham, NC?
There are 20 Medicaid providers offering Case Management Services related services in Durham, NC according to public payment data.
What is the price range for Case Management Services in Durham, NC?
Medicaid reimbursement for Case Management Services in Durham, NC ranges from $0.00 to $302.73 per claim, with an average of $146.31. 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 Durham, NC
Office Visit
Avg $53.48
1,229,002 claims
Dental Cleaning & Exam
Avg $29.86
790,132 claims
Substance Abuse Treatment
Avg $122.82
746,211 claims
X-Ray
Avg $5.74
576,677 claims
Blood Work & Lab Tests
Avg $13.80
572,218 claims
Speech Therapy
Avg $57.51
491,949 claims
Psychiatric Evaluation
Avg $65.37
472,359 claims
Emergency Room Visit
Avg $105.90
448,598 claims