Average Medicaid Case Management Services Payments in Farmington, NM: $195.23
Avg. Paid
$195.23
Range
$11.06 – $304.06
Total Claims
60,528
Providers
9
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 Farmington, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Excel Case Management, Inc.
300 W Arrington St |
$304.06 | 18,393 | 17,571 |
|
Pms Dba Roundtree Childrens' Development Services
608 Reilly Ave |
$185.19 | 13,249 | 12,426 |
|
San Juan Center For Independence
1204 San Juan Blvd |
$199.91 | 12,335 | 12,262 |
|
Basin Coordinated Healthcare,Inc
210 N Orchard Ave |
$11.06 | 7,548 | 7,431 |
|
Southwestern Private Services, Inc.
408 N Auburn Ave Ste B |
$130.04 | 4,742 | 4,317 |
|
Generations Personal Care, Inc
942 Schofield Ln |
$216.36 | 2,436 | 2,424 |
|
Links Ii Inc
1313 E Navajo St |
$12.51 | 1,421 | 1,380 |
|
Roots Home Health Care Inc
2012 San Juan Blvd |
$134.74 | 329 | 288 |
|
Guardian Angel Home Health, Inc.
2800 Hutton Ave |
$204.99 | 75 | 75 |
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 Farmington, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Farmington, NM is $195.23 per claim, based on 60,528 claims from 9 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 Farmington, NM?
There are 9 Medicaid providers offering Case Management Services related services in Farmington, NM according to public payment data.
What is the price range for Case Management Services in Farmington, NM?
Medicaid reimbursement for Case Management Services in Farmington, NM ranges from $11.06 to $304.06 per claim, with an average of $195.23. 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 Farmington, NM
Home Health Visit
Avg $71.81
2,360,027 claims
Office Visit
Avg $93.15
627,708 claims
Blood Work & Lab Tests
Avg $10.97
622,101 claims
Emergency Room Visit
Avg $158.46
439,282 claims
Psychiatric Evaluation
Avg $110.82
264,489 claims
Dental Cleaning & Exam
Avg $31.49
212,166 claims
Vaccines & Immunizations
Avg $15.62
202,854 claims
X-Ray
Avg $29.95
193,510 claims