Average Medicaid Case Management Services Payments in Pueblo, CO: $132.06
Avg. Paid
$132.06
Range
$0.00 – $252.54
Total Claims
78,806
Providers
20
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 Pueblo, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Colorado Bluesky Enterprises, Inc
2003 Northmoor Ter |
$134.10 | 25,211 | 24,092 |
|
Health Solutions
41 Montebello Rd Ste 204 |
$119.64 | 17,184 | 11,165 |
|
Colorado Bluesky Enterprises, Inc
2003 Northmoor Ter |
$158.86 | 14,061 | 12,652 |
|
Colorado Bluesky Enterprises, Inc.
2003 Northmoor Ter |
$135.29 | 10,156 | 9,829 |
|
Mi Casa Transitional Services Inc
1611 Crestmoor Dr |
$252.54 | 4,337 | 1,703 |
|
Colorado Bluesky Enterprises, Inc
2003 Northmoor Ter |
$3.30 | 2,794 | 1,401 |
|
Wendy Benedict
1012 W Abriendo Ave |
$44.02 | 2,009 | 840 |
|
Emma Segura
41 Montebello Rd Ste Ll1 |
$45.93 | 1,338 | 656 |
|
Jennifer Nelson
1310 Chinook Ln |
$70.28 | 587 | 391 |
|
Colorado Bluesky Enterprises, Inc.
2003 Northmoor Ter |
$0.00 | 330 | 117 |
|
Mi Casa Transitional Services Inc
1611 Crestmoor Dr |
$178.06 | 270 | 69 |
|
Melissa Ayala
1302 Chinook Ln |
$65.88 | 178 | 164 |
|
Kristina Lynn Carrera
2429 S Prairie Ave |
$49.19 | 108 | 83 |
|
Arlene Viray Shanklin
1304 Chinook Ln |
$0.00 | 55 | 50 |
|
Gateway To Success, Pc
2429 S Prairie Ave |
$40.41 | 44 | 31 |
|
Michael Hartenstein
41 Montebello Rd Ste Ll1 |
$0.00 | 44 | 38 |
|
Brenda Jean Mcbride-Wilson
1302 Chinook Ln |
$0.00 | 37 | 33 |
|
Karen S Morgenthaler
2429 S Prairie Ave |
$17.17 | 27 | 19 |
|
Jade Bryant
1910 Lake Ave |
$0.00 | 20 | 19 |
|
Sheri Lynn Lazenby
1304 Chinook Ln |
$0.00 | 16 | 14 |
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 Pueblo, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Pueblo, CO is $132.06 per claim, based on 78,806 claims from 20 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 Pueblo, CO?
There are 20 Medicaid providers offering Case Management Services related services in Pueblo, CO according to public payment data.
What is the price range for Case Management Services in Pueblo, CO?
Medicaid reimbursement for Case Management Services in Pueblo, CO ranges from $0.00 to $252.54 per claim, with an average of $132.06. 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 Pueblo, CO
Office Visit
Avg $101.81
1,279,905 claims
Home Health Visit
Avg $47.13
1,248,913 claims
Substance Abuse Treatment
Avg $90.02
582,607 claims
Emergency Room Visit
Avg $95.35
452,056 claims
Dental Cleaning & Exam
Avg $33.66
440,836 claims
Physical Therapy
Avg $53.13
400,827 claims
Personal Care Services
Avg $24.99
400,782 claims
Durable Medical Equipment (DME)
Avg $46.98
342,180 claims