Average Medicaid Case Management Services Payments in Montrose, CO: $65.32
Avg. Paid
$65.32
Range
$0.00 – $150.45
Total Claims
41,048
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 Montrose, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Voans Senior Community Care Of Colorado, Inc.
2377 Robins Way |
$0.00 | 19,779 | 9,782 |
|
Community Options, Inc.
932 N Park Ave |
$134.20 | 8,481 | 8,016 |
|
Montrose County Case Management Agency
1845 S Townsend Ave |
$150.45 | 4,307 | 4,188 |
|
Community Options, Inc.
932 N Park Ave |
$138.98 | 4,192 | 4,093 |
|
Community Options, Inc.
932 N Park Ave |
$106.46 | 2,694 | 2,434 |
|
Alexis A Baca-Spry
321 S. 1St St., #877 |
$4.02 | 802 | 510 |
|
Erik Scott Cooper
543 S 2Nd St |
$40.44 | 403 | 117 |
|
Roy G Icasiano
2788 Stoney Creek Ln |
$0.00 | 146 | 135 |
|
Miranda Franklin
2130 E Main St |
$24.01 | 90 | 65 |
|
Lynette M Moore
605 Miami Rd |
$0.00 | 52 | 38 |
|
Kristi Michelle Edwards
543 S 2Nd St |
$30.87 | 38 | 28 |
|
Southwest Colorado Mental Health Center Inc
605 Miami Rd |
$0.00 | 34 | 26 |
|
Renee Joyce
605 Miami Rd |
$96.75 | 30 | 25 |
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 Montrose, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Montrose, CO is $65.32 per claim, based on 41,048 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 Montrose, CO?
There are 13 Medicaid providers offering Case Management Services related services in Montrose, CO according to public payment data.
What is the price range for Case Management Services in Montrose, CO?
Medicaid reimbursement for Case Management Services in Montrose, CO ranges from $0.00 to $150.45 per claim, with an average of $65.32. 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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Avg $178.61
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Avg $32.09
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Other Procedures in Montrose, CO
Home Health Visit
Avg $23.64
326,990 claims
Office Visit
Avg $75.58
235,506 claims
Dental Cleaning & Exam
Avg $32.45
216,232 claims
Non-Emergency Medical Transportation
Avg $20.33
119,133 claims
Substance Abuse Treatment
Avg $81.04
105,998 claims
Personal Care Services
Avg $24.35
87,515 claims
Blood Work & Lab Tests
Avg $5.56
67,159 claims
Emergency Room Visit
Avg $110.30
65,162 claims