Average Medicaid Case Management Services Payments in Lexington, NC: $71.10
Avg. Paid
$71.10
Range
$20.24 – $77.27
Total Claims
27,791
Providers
5
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 Lexington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daymark Recovery Services Inc
1104 A South Main St |
$77.27 | 22,623 | 11,735 |
|
Daymark Recovery Services Inc
1104B S Main St |
$33.18 | 2,428 | 924 |
|
Rha Behavioral Health Nc Llc
310 N Main St |
$58.89 | 2,367 | 349 |
|
Daymark Recovery Services Inc
100 W Hemstead St |
$20.24 | 329 | 185 |
|
The Arc Of Davidson County
6 Vance Cir |
$30.34 | 44 | 19 |
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 Lexington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Lexington, NC is $71.10 per claim, based on 27,791 claims from 5 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 Lexington, NC?
There are 5 Medicaid providers offering Case Management Services related services in Lexington, NC according to public payment data.
What is the price range for Case Management Services in Lexington, NC?
Medicaid reimbursement for Case Management Services in Lexington, NC ranges from $20.24 to $77.27 per claim, with an average of $71.10. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $32.09
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Other Procedures in Lexington, NC
Substance Abuse Treatment
Avg $37.79
559,581 claims
Office Visit
Avg $54.63
234,434 claims
Speech Therapy
Avg $45.23
234,175 claims
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Avg $74.35
136,856 claims
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Avg $15.31
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Avg $114.36
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Avg $27.87
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Avg $14.46
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