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
65
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 |
|---|---|---|---|
|
Judith Coffey Cole
321 W 125Th St Fl 2 |
$113.63 | 12 | 12 |
|
New York City Health And Hospitals Corporation
506 Lenox Ave |
$22.77 | 12 | 12 |
|
Katelyn M Thompson
109 W 27Th St |
$0.00 | 12 | 12 |
|
Larisa Mashensky
50 E 42Nd St |
$0.00 | 13 | 13 |
|
Ida Louise Santana
584 Broadway |
$290.11 | 14 | 14 |
|
Guido Macchiavello
25 W 53Rd St Fl 11 |
$99.11 | 14 | 14 |
|
Theodore Miller
179 Sullivan St |
$0.00 | 15 | 15 |
|
The Institute For Family Health
230 W 17Th St |
$94.69 | 16 | 12 |
|
Dening Zhu
168 Centre St Fl 2 |
$0.00 | 17 | 17 |
|
Katherine Morgan Small
17 E 102Nd St |
$112.50 | 20 | 20 |
|
Gevi Dominique Brillantes
234 E 85Th St |
$2.27 | 20 | 20 |
|
Sarah D Baden
1824 Madison Ave |
$79.54 | 20 | 12 |
|
Luz Elaine Towns Miranda
105 Payson Ave 1St Fl |
$138.20 | 29 | 13 |
|
Janetta Elisha Berry-Sissoko
320 W 37Th St Fl 7 |
$145.49 | 33 | 33 |
|
Melissa Man-Lai Chan
139 Centre Street |
$0.00 | 42 | 42 |
|
Sekuleo Gathers
350 5Th Ave 59Th Floor |
$0.00 | 62 | 62 |
|
Larry M Neuman
577 W 161St St |
$0.00 | 65 | 65 |
|
Marilyn M. Mota
110 W 97Th St |
$54.92 | 66 | 31 |
|
St. Mary'S Center, Inc
512 W 126Th St |
$30.45 | 67 | 42 |
|
Wei Y. Sun
139 Centre Street |
$0.98 | 67 | 67 |
|
Roberta Guimaraes De Oliveira
462 1St Ave |
$39.52 | 69 | 24 |
|
Anthony Tam
139 Centre St Ste 709 |
$1.12 | 76 | 76 |
|
Vivian M Medina
1 Gustave Levy Place |
$89.01 | 83 | 63 |
|
Desiree Chow
10 Union Sq E |
$121.02 | 96 | 96 |
|
New York City Health And Hospitals Corporation
264 W 118Th St |
$56.03 | 97 | 69 |
|
Cynthia Tam
139 Centre St Ste 709 |
$0.57 | 117 | 117 |
|
Yitzchak Goldsmith
1901 1St Ave |
$0.00 | 127 | 127 |
|
Smc Manhattan Health Center, Inc.
512 W 126Th St |
$29.78 | 134 | 96 |
|
Lu You
350 E 17Th St |
$0.15 | 140 | 139 |
|
Dustin Triet Nguyen
202 Canal St |
$0.00 | 169 | 169 |
|
Kuan Hung Shen
139 Centre St |
$0.43 | 179 | 178 |
|
New York City Health And Hospitals Corporation
462 First Avenue |
$41.88 | 182 | 135 |
|
Kevin J Guo
70 Bowery |
$0.34 | 190 | 190 |
|
Evelyn A Batista-Sanchez
622 W 168Th St |
$67.29 | 274 | 94 |
|
Jian Wei Zhang
139 Centre St Ste 709 |
$1.07 | 374 | 372 |
|
The New York And Presbyterian Hospital
622 W 168Th St |
$386.82 | 483 | 483 |
|
Jewish Board Of Family And Children'S Services, Inc.
463 7Th Ave Fl 18 |
$272.23 | 499 | 499 |
|
Jennifer Liu
1 Gustave L Levy Pl # 1228 |
$744.00 | 570 | 570 |
|
Anthony Hartzog
622 W 168Th St |
$275.71 | 650 | 650 |
|
Walmonde Agenor
2090 Adam Clayton Powell Jr Blvd |
$0.00 | 671 | 309 |
|
Clarke School For The Deaf, The
80 E End Ave |
$26.97 | 697 | 212 |
|
The Institute For Family Health
1824 Madison Ave |
$317.54 | 736 | 725 |
|
Mount Sinai Hospital
1 Gustave L Levy Pl |
$109.21 | 1,133 | 1,123 |
|
Andrew Weissman
801 W 190Th St |
$1.60 | 1,199 | 1,011 |
|
Mjhs Medical Associates Pc
55 Water St Fl 46 |
$0.00 | 2,913 | 2,886 |
|
Association To Benefit Children
404 E 91St St |
$33.69 | 3,147 | 1,010 |
|
Hand In Hand Development Inc
465 Grand St |
$39.06 | 4,002 | 792 |
|
Early Childhood Associates
825 W End Ave |
$33.56 | 4,422 | 478 |
|
Arthur R Williams
228 Park Ave S Ste 15314 |
$272.03 | 4,651 | 4,622 |
|
The St. Lukes Roosevelt Hospital Center
440 W 114Th St |
$508.56 | 7,581 | 7,581 |
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.
Case Management Services in Other Cities
Phoenix, AZ
Avg $37.73
14,607,817 claims · 601 providers
Tucson, AZ
Avg $33.22
5,915,648 claims · 255 providers
Nashville, TN
Avg $197.77
5,117,343 claims · 28 providers
Miami, FL
Avg $82.94
3,929,993 claims · 325 providers
Montgomery, AL
Avg $50.35
3,554,330 claims · 24 providers
Oklahoma City, OK
Avg $178.61
2,960,059 claims · 360 providers
Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Tempe, AZ
Avg $35.58
2,422,544 claims · 92 providers
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Eye Exam
Avg $50.07
3,393,865 claims
Substance Abuse Treatment
Avg $51.51
3,263,067 claims