Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in New York, NY: $322.62

Avg. Paid

$322.62

Range

$0.00 – $744.00

Total Claims

3,682,218

Providers

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 New York, NY

Provider	Avg. Paid	Claims	Patients
Coordinated Behavioral Care, Inc 40 Rector St	$335.52	1,213,466	1,212,523
Community Care Management Partners Llc (Ccmp) 1250 Broadway	$300.18	823,453	822,930
The Collaborative For Children And Families 590 Avenue Of The Americas	$616.41	563,205	562,881
Community Healthcare Network, Inc 60 Madison Ave	$261.08	290,278	290,154
New York City Health And Hospital Corporation 160 Water St Fl 9	$300.38	148,531	148,290
Los Ninos Services 535 8Th Avenue	$27.65	133,160	19,236
Therapists 2 Go Occupational Physical & Speech Language Patholog 18 E 116Th St	$43.46	91,884	11,717
The New York And Presbyterian Hospital 622 W 168Th St	$268.33	86,147	85,567
St Lukes Roosevelt Hospital Center 1000 10Th Ave	$257.83	72,505	72,470
New York Center For Infants And Toddlers, Inc. 159 West 127Th Street	$32.38	60,178	10,200
Theracare Of New York Inc 116 W 32Nd St	$33.62	59,760	10,735
Functional Life Achievement, Inc. 161 Madison Ave	$37.64	46,470	5,090
Chdfs Inc 307 W 38Th St	$36.78	24,694	3,642
Meg Shannon Sullivan 211 West 21St Street	$114.01	24,311	12,113
Northside Center For Child Development Day School 1301 5Th Ave	$35.75	7,899	1,493
The St. Lukes Roosevelt Hospital Center 440 W 114Th St	$508.56	7,581	7,581
Arthur R Williams 228 Park Ave S Ste 15314	$272.03	4,651	4,622
Early Childhood Associates 825 W End Ave	$33.56	4,422	478
Hand In Hand Development Inc 465 Grand St	$39.06	4,002	792
Association To Benefit Children 404 E 91St St	$33.69	3,147	1,010
Mjhs Medical Associates Pc 55 Water St Fl 46	$0.00	2,913	2,886
Andrew Weissman 801 W 190Th St	$1.60	1,199	1,011
Mount Sinai Hospital 1 Gustave L Levy Pl	$109.21	1,133	1,123
The Institute For Family Health 1824 Madison Ave	$317.54	736	725
Clarke School For The Deaf, The 80 E End Ave	$26.97	697	212
Walmonde Agenor 2090 Adam Clayton Powell Jr Blvd	$0.00	671	309
Anthony Hartzog 622 W 168Th St	$275.71	650	650
Jennifer Liu 1 Gustave L Levy Pl # 1228	$744.00	570	570
Jewish Board Of Family And Children'S Services, Inc. 463 7Th Ave Fl 18	$272.23	499	499
The New York And Presbyterian Hospital 622 W 168Th St	$386.82	483	483
Jian Wei Zhang 139 Centre St Ste 709	$1.07	374	372
Evelyn A Batista-Sanchez 622 W 168Th St	$67.29	274	94
Kevin J Guo 70 Bowery	$0.34	190	190
New York City Health And Hospitals Corporation 462 First Avenue	$41.88	182	135
Kuan Hung Shen 139 Centre St	$0.43	179	178
Dustin Triet Nguyen 202 Canal St	$0.00	169	169
Lu You 350 E 17Th St	$0.15	140	139
Smc Manhattan Health Center, Inc. 512 W 126Th St	$29.78	134	96
Yitzchak Goldsmith 1901 1St Ave	$0.00	127	127
Cynthia Tam 139 Centre St Ste 709	$0.57	117	117
New York City Health And Hospitals Corporation 264 W 118Th St	$56.03	97	69
Desiree Chow 10 Union Sq E	$121.02	96	96
Vivian M Medina 1 Gustave Levy Place	$89.01	83	63
Anthony Tam 139 Centre St Ste 709	$1.12	76	76
Roberta Guimaraes De Oliveira 462 1St Ave	$39.52	69	24
St. Mary'S Center, Inc 512 W 126Th St	$30.45	67	42
Wei Y. Sun 139 Centre Street	$0.98	67	67
Marilyn M. Mota 110 W 97Th St	$54.92	66	31
Larry M Neuman 577 W 161St St	$0.00	65	65
Sekuleo Gathers 350 5Th Ave 59Th Floor	$0.00	62	62

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 New York, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in New York, NY is $322.62 per claim, based on 3,682,218 claims from 65 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 New York, NY?

There are 65 Medicaid providers offering Case Management Services related services in New York, NY according to public payment data.

What is the price range for Case Management Services in New York, NY?

Medicaid reimbursement for Case Management Services in New York, NY ranges from $0.00 to $744.00 per claim, with an average of $322.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Case Management Services Payments in New York, NY: $322.62

Providers Offering Case Management Services in New York, NY

What to Expect: Case Management Services

Cost Components

Frequently Asked Questions

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