Average Medicaid Case Management Services Payments in Lumberton, NC: $159.82
Avg. Paid
$159.82
Range
$0.00 – $343.97
Total Claims
50,277
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 Lumberton, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southeastern Regional Medical Center
4308 Ludgate St |
$30.26 | 16,883 | 3,166 |
|
Primary Health Choice, Inc.
4701 Fayetteville Rd |
$277.66 | 13,042 | 11,148 |
|
Stephens Outreach Center, Inc
405 Dunn Rd # A |
$221.24 | 10,358 | 7,522 |
|
Eastpointe Human Services
3581 Lackey St |
$203.09 | 4,143 | 2,724 |
|
Borderbelt Aids Resources Team, Inc.
3147 W 5Th St |
$94.86 | 3,386 | 1,610 |
|
Rha Behavioral Health Nc Llc
2003 Godwin Ave |
$291.07 | 1,225 | 1,200 |
|
Melvin J Stephens
2105B Elizabethtown Road |
$0.00 | 963 | 367 |
|
Premier Behavioral Services Inc
2003 Godwin Ave |
$327.59 | 168 | 165 |
|
Primary Health Choice, Inc.
4701 Fayetteville Rd |
$343.97 | 109 | 109 |
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 Lumberton, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Lumberton, NC is $159.82 per claim, based on 50,277 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 Lumberton, NC?
There are 9 Medicaid providers offering Case Management Services related services in Lumberton, NC according to public payment data.
What is the price range for Case Management Services in Lumberton, NC?
Medicaid reimbursement for Case Management Services in Lumberton, NC ranges from $0.00 to $343.97 per claim, with an average of $159.82. 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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Avg $32.09
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Other Procedures in Lumberton, NC
Office Visit
Avg $51.56
820,249 claims
Substance Abuse Treatment
Avg $90.17
486,602 claims
Speech Therapy
Avg $64.14
484,137 claims
Personal Care Services
Avg $106.40
400,382 claims
Blood Work & Lab Tests
Avg $11.16
357,539 claims
Vaccines & Immunizations
Avg $14.27
342,183 claims
Emergency Room Visit
Avg $99.51
225,559 claims
Urinalysis & Urine Tests
Avg $3.77
141,788 claims