Average Medicaid Case Management Services Payments in Great Falls, MT: $130.84
Avg. Paid
$130.84
Range
$0.00 – $314.18
Total Claims
123,372
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 Great Falls, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joshua Holloway
2022 Central Ave |
$0.00 | 15 | 13 |
|
Karie Marie Pietrykowski
115 4Th St S |
$0.00 | 128 | 109 |
|
Melanie Lynn Trottman
4409 2Nd Ave N Apt 5 |
$11.77 | 182 | 92 |
|
Green Apple Counseling, Llc
1500 10Th Ave S Ste 200 |
$58.27 | 213 | 117 |
|
Mountain Therapy, Llc
914 20Th St S |
$23.33 | 403 | 98 |
|
Benefis Community Care, Inc.
1411 9Th St So |
$307.91 | 452 | 440 |
|
Gateway Community Services
26 4Th St N |
$11.33 | 496 | 124 |
|
Harpring & Hanson Llc
600 Central Ave Ste 408 |
$78.98 | 1,163 | 350 |
|
Seeking Recovery Llc
1601 2Nd Ave N Ste 335 |
$40.25 | 2,198 | 505 |
|
County Of Cascade
115 4Th St S |
$18.29 | 3,790 | 2,245 |
|
Benefis Community Care, Inc.
1411 9Th St So |
$314.18 | 39,937 | 37,953 |
|
Center For Mental Health
915 1St Ave S |
$42.69 | 74,395 | 19,079 |
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 Great Falls, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Great Falls, MT is $130.84 per claim, based on 123,372 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 Great Falls, MT?
There are 12 Medicaid providers offering Case Management Services related services in Great Falls, MT according to public payment data.
What is the price range for Case Management Services in Great Falls, MT?
Medicaid reimbursement for Case Management Services in Great Falls, MT ranges from $0.00 to $314.18 per claim, with an average of $130.84. 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 Great Falls, MT
Blood Work & Lab Tests
Avg $1.34
632,349 claims
Office Visit
Avg $69.01
498,486 claims
Psychiatric Evaluation
Avg $51.07
388,793 claims
Behavioral & Mental Health Therapy
Avg $70.57
325,633 claims
Emergency Room Visit
Avg $48.59
187,468 claims
Physical Therapy
Avg $13.45
181,583 claims
X-Ray
Avg $5.68
130,701 claims
Vaccines & Immunizations
Avg $18.24
104,182 claims