Average Medicaid Case Management Services Payments in Erie, PA: $120.40
Avg. Paid
$120.40
Range
$20.52 – $577.69
Total Claims
236,326
Providers
18
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 Erie, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erie County Care Management
155 W 8Th St |
$100.82 | 135,004 | 58,175 |
|
Erie County Care Management
155 W 8Th St |
$83.11 | 52,989 | 25,335 |
|
A Bridge To Independence
2028 Filmore Ave |
$98.77 | 10,799 | 3,916 |
|
Melissa L Greene
1202 State St |
$264.26 | 7,093 | 7,007 |
|
Kathy S Foltz
1843 East 18Th Street |
$261.16 | 6,173 | 6,094 |
|
Bryant E Bojewski
2820 W 12Th St |
$271.33 | 5,902 | 5,876 |
|
Ronald Paul Leemhuis
227 W 22Nd St |
$254.15 | 4,432 | 4,376 |
|
Ann R Schlimm
213 E 41St St |
$264.66 | 4,299 | 4,268 |
|
Deonna Shrout
118 E 2Nd St |
$260.71 | 3,081 | 3,075 |
|
Dana Albrecht
1611 Peach St |
$308.83 | 2,454 | 2,427 |
|
Achievement Center Of Lecom Health
4950 W 23Rd St |
$30.36 | 2,279 | 950 |
|
John Foster Almquist
5241 Buffalo Rd |
$252.20 | 1,206 | 1,163 |
|
Stairways Behavioral Health
2185 W 8Th St |
$29.68 | 301 | 107 |
|
Janet E Kelley
5035 Peach St |
$318.19 | 122 | 122 |
|
Dr Gertrude A Barber Center Inc
100 Barber Pl |
$20.52 | 75 | 37 |
|
Anthony Mark Ruffa
2625 Parade St |
$222.86 | 51 | 40 |
|
Zahida Bhatti
1202 State Street |
$274.54 | 40 | 40 |
|
Voices For Independence
1432 Wilkins Rd |
$577.69 | 26 | 26 |
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 Erie, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Erie, PA is $120.40 per claim, based on 236,326 claims from 18 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 Erie, PA?
There are 18 Medicaid providers offering Case Management Services related services in Erie, PA according to public payment data.
What is the price range for Case Management Services in Erie, PA?
Medicaid reimbursement for Case Management Services in Erie, PA ranges from $20.52 to $577.69 per claim, with an average of $120.40. 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
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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
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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
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Other Procedures in Erie, PA
Blood Work & Lab Tests
Avg $9.83
855,307 claims
Office Visit
Avg $43.85
611,163 claims
Emergency Room Visit
Avg $80.44
582,207 claims
Urinalysis & Urine Tests
Avg $4.44
180,798 claims
EKG / ECG (Electrocardiogram)
Avg $6.90
152,614 claims
Physical Therapy
Avg $56.32
146,678 claims
X-Ray
Avg $9.19
101,434 claims
Ambulance Transport
Avg $171.37
84,178 claims