Average Medicaid Case Management Services Payments in Gastonia, NC: $201.50
Avg. Paid
$201.50
Range
$0.00 – $295.68
Total Claims
241,594
Providers
13
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 Gastonia, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Partners Behavioral Health Management
901 S New Hope Rd |
$239.02 | 182,772 | 125,093 |
|
Branmarc, Inc. Family Services
1556 Union Rd Ste C |
$66.53 | 40,442 | 19,943 |
|
Gaston County Department Of Social Services
330 N Marietta St |
$49.53 | 11,195 | 2,414 |
|
Support Incorporated
175 W Franklin Blvd |
$274.63 | 2,825 | 2,340 |
|
Outreach Management Services Llc
1723 Armstrong Park Dr |
$247.68 | 1,194 | 960 |
|
Cognitive Priority Llc
543 Cox Rd Ste B8A |
$250.87 | 1,148 | 86 |
|
Broken Pieces Services Llc
2020 Remount Rd |
$169.75 | 653 | 62 |
|
Alexander Youth Network
1760B Country Club Rd |
$264.26 | 632 | 514 |
|
Kbhr Consulting Services, Llc
631 E Garrison Blvd Ste B |
$200.01 | 262 | 171 |
|
Pathways Human Services Of North Carolina, Llc
621 Huntsman Ct |
$171.07 | 187 | 186 |
|
Shakura E'Shauna Warren
175 W Franklin Blvd |
$0.00 | 133 | 38 |
|
Pinnacle Family Services Of North Carolina Llc
330 S York St |
$295.68 | 97 | 79 |
|
Support Incorporated
175 W Franklin Blvd |
$0.00 | 54 | 54 |
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 Gastonia, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Gastonia, NC is $201.50 per claim, based on 241,594 claims from 13 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 Gastonia, NC?
There are 13 Medicaid providers offering Case Management Services related services in Gastonia, NC according to public payment data.
What is the price range for Case Management Services in Gastonia, NC?
Medicaid reimbursement for Case Management Services in Gastonia, NC ranges from $0.00 to $295.68 per claim, with an average of $201.50. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $33.22
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Nashville, TN
Avg $197.77
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Miami, FL
Avg $82.94
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New York, NY
Avg $322.62
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Montgomery, AL
Avg $50.35
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Oklahoma City, OK
Avg $178.61
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Avg $32.09
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Other Procedures in Gastonia, NC
Office Visit
Avg $55.63
914,198 claims
Dental Cleaning & Exam
Avg $29.45
324,975 claims
Substance Abuse Treatment
Avg $100.79
307,968 claims
Behavioral & Mental Health Therapy
Avg $167.99
296,373 claims
Vaccines & Immunizations
Avg $13.08
282,013 claims
Blood Work & Lab Tests
Avg $22.08
273,661 claims
Psychiatric Evaluation
Avg $79.45
271,358 claims
Emergency Room Visit
Avg $128.41
219,453 claims