Average Medicaid Case Management Services Payments in Helena, MT: $39.68
Avg. Paid
$39.68
Range
$0.00 – $299.51
Total Claims
85,729
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 Helena, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Intermountain Deaconess Home
500 S. Lamborn St. |
$38.72 | 47,008 | 6,245 |
|
Montana Children'S Home & Hospital
2755 Colonial Dr |
$54.09 | 15,301 | 1,853 |
|
Jhg Ventures Inc
833 N Last Chance Gulch |
$18.06 | 11,781 | 2,756 |
|
Instar Community Services
1826 N Last Chance Gulch |
$44.01 | 3,970 | 827 |
|
County Of Lewis And Clark
1930 9Th Ave |
$31.13 | 3,081 | 1,558 |
|
Montana Counseling Services Llc
1824 N Last Chance Gulch Ste 1A |
$31.50 | 1,370 | 518 |
|
Colman Community Services
25 S Ewing St Ste 514 |
$23.23 | 1,241 | 495 |
|
Intermountain Deaconess Home For Children
3240 Dredge Dr |
$0.01 | 1,054 | 144 |
|
Lewis & Clark City-County Health Department
1930 9Th Ave |
$299.51 | 628 | 605 |
|
Florence Crittenton Home And Services Inc.
901 North Harris |
$63.48 | 162 | 39 |
|
Region Iv Family Outreach, Inc
1236 Helena Ave |
$0.00 | 120 | 114 |
|
Boyd Andrew Community Services
60 S Last Chance Gulch |
$0.00 | 13 | 12 |
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 Helena, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Helena, MT is $39.68 per claim, based on 85,729 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 Helena, MT?
There are 12 Medicaid providers offering Case Management Services related services in Helena, MT according to public payment data.
What is the price range for Case Management Services in Helena, MT?
Medicaid reimbursement for Case Management Services in Helena, MT ranges from $0.00 to $299.51 per claim, with an average of $39.68. 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
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Tucson, AZ
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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Mesa, AZ
Avg $32.09
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Other Procedures in Helena, MT
Blood Work & Lab Tests
Avg $0.56
363,316 claims
Office Visit
Avg $67.63
311,254 claims
Psychiatric Evaluation
Avg $64.81
233,254 claims
Physical Therapy
Avg $32.33
219,555 claims
Dental Cleaning & Exam
Avg $30.07
164,772 claims
Behavioral & Mental Health Therapy
Avg $81.01
163,561 claims
Emergency Room Visit
Avg $58.38
111,160 claims
Speech Therapy
Avg $28.32
96,283 claims