Average Medicaid Case Management Services Payments in Portland, ME: $67.60
Avg. Paid
$67.60
Range
$0.00 – $520.44
Total Claims
459,038
Providers
27
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 Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Peregrine Corporation
1011 Forest Avenue |
$51.33 | 165,550 | 27,581 |
|
Care Lync Georgia, Llc
795 Congress St |
$70.94 | 58,085 | 25,052 |
|
Frannie Peabody Center
335 Valley St |
$52.50 | 49,477 | 13,145 |
|
Spurwink Services Incorporated
62 Elm St |
$61.89 | 43,629 | 8,939 |
|
Gateway Community Services, Llc
999 Forest Ave |
$115.01 | 41,302 | 11,042 |
|
Cor Health Services Llc
999 Forest Ave |
$64.11 | 36,686 | 5,114 |
|
Goodwill Industries Of Northern New England
75 Washington Avenue |
$56.26 | 30,704 | 7,306 |
|
Mainehealth
165 Lancaster St |
$123.49 | 7,344 | 2,978 |
|
Enso, Llc
103 India St |
$77.89 | 4,965 | 1,181 |
|
Maine Behavioral Healthcare
165 Lancaster St |
$65.42 | 4,354 | 1,233 |
|
Granite Bay Care, Inc
1037 Forest Ave |
$308.84 | 3,081 | 3,016 |
|
City Of Portland
196 Lancaster St |
$56.52 | 2,799 | 1,008 |
|
Preble Street
343 Cumberland Street |
$128.85 | 2,288 | 1,759 |
|
Shanelle Ravesi
30 Blueberry Rd |
$113.83 | 1,514 | 437 |
|
Mollie Caitlin Gunnoe
22 Bramhall St |
$1.61 | 1,294 | 481 |
|
Merrimack River Medical Services, Inc.
2300 Congress St |
$0.00 | 1,192 | 761 |
|
Children'S Odyssey
110 Davis Farm Rd |
$43.12 | 949 | 387 |
|
Preble Street
5 Portland St |
$149.22 | 865 | 620 |
|
The Opportunity Alliance
190 Lancaster St |
$365.70 | 718 | 688 |
|
Efrat Lelkes
22 Bramhall St |
$275.00 | 683 | 659 |
|
Catholic Charities Maine
307 Congress Street |
$378.53 | 602 | 588 |
|
Ubuntu Care
33 Mcalister Farm Rd Ste 200 |
$520.44 | 474 | 354 |
|
Spurwink Services Incorporated
901 Washington Ave Ste 100 |
$41.08 | 319 | 108 |
|
Alexander George Katopis
3 Walker St |
$62.13 | 64 | 24 |
|
Veritas Care Of Maine Inc
570 Brighton Ave Ste B2 |
$235.34 | 39 | 13 |
|
Portland Housing Authority
14 Baxter Blvd |
$238.20 | 35 | 28 |
|
Mainehealth
110 Free St |
$0.00 | 26 | 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 Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Portland, ME is $67.60 per claim, based on 459,038 claims from 27 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 Portland, ME?
There are 27 Medicaid providers offering Case Management Services related services in Portland, ME according to public payment data.
What is the price range for Case Management Services in Portland, ME?
Medicaid reimbursement for Case Management Services in Portland, ME ranges from $0.00 to $520.44 per claim, with an average of $67.60. 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
New York, NY
Avg $322.62
3,682,218 claims · 65 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
Other Procedures in Portland, ME
Blood Work & Lab Tests
Avg $1.50
622,485 claims
Office Visit
Avg $36.14
593,977 claims
Home Health Visit
Avg $319.11
499,937 claims
Substance Abuse Treatment
Avg $116.83
397,924 claims
Emergency Room Visit
Avg $145.93
357,964 claims
X-Ray
Avg $10.50
304,258 claims
Behavioral & Mental Health Therapy
Avg $199.04
231,478 claims
Ultrasound
Avg $41.00
223,352 claims