Average Medicaid Case Management Services Payments in Raleigh, NC: $136.52
Avg. Paid
$136.52
Range
$0.00 – $343.97
Total Claims
320,260
Providers
36
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 Raleigh, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gerri Lynn Mattson
10 Sunnybrook Rd |
$59.43 | 156,522 | 92,862 |
|
The Arc Of North Carolina
353 E. Six Forks Road Suite 300 |
$250.39 | 36,383 | 23,144 |
|
Resources For Seniors, Inc
1110 Navaho Dr |
$138.43 | 33,221 | 15,345 |
|
Nc Dhhs Child And Family Well-Being
1100 Navaho Drive Suite 100 |
$46.27 | 16,208 | 9,721 |
|
Voca Corp Of North Carolina
1001 Navaho Dr Ste 101 |
$264.12 | 14,734 | 10,533 |
|
Fernandez Community Center, Llc
8522 Six Forks Rd Ste 102 |
$273.64 | 13,352 | 8,423 |
|
Community Partnerships, Inc.
3522 Haworth Dr |
$272.34 | 7,078 | 4,437 |
|
Tlc Operations, Inc.
739 Chappell Dr |
$265.02 | 5,252 | 3,165 |
|
Pinnacle Family Services Of North Carolina Llc
3117 Poplarwood Ct Ste 350 |
$282.20 | 4,833 | 3,930 |
|
Hope Services, Llc
3000 Highwoods Blvd |
$284.93 | 4,009 | 2,640 |
|
Easter Seals Ucp North Carolina & Virginia, Inc.
5000 Falls Of Neuse Rd Ste 300 |
$289.67 | 3,925 | 2,626 |
|
Southlight Healthcare
2101 Garner Rd |
$262.86 | 3,150 | 2,052 |
|
Autism Society Of North Carolina, Inc.
5121 Kingdom Way Ste 100 |
$214.65 | 3,022 | 1,503 |
|
Voice Therapeutic Solutions Pllc
1073 Bullard Ct |
$282.18 | 2,618 | 1,715 |
|
Carolina Outreach, Llc
3012 Falstaff Rd |
$269.25 | 2,474 | 1,644 |
|
Yelvertons Enrichment Services Inc
4805 Green Rd Ste 103 |
$274.20 | 2,428 | 1,777 |
|
Sigma Health Services Llc
1001 Navaho Dr Ste Gl150 |
$289.78 | 1,812 | 1,261 |
|
Touching Lives Center Inc.
616 Tucker St |
$52.26 | 1,716 | 479 |
|
Pathways Human Services Of North Carolina, Llc
8390 Six Forks Rd Ste 201 |
$255.17 | 1,443 | 1,074 |
|
Southeastern Healthcare Of North Carolina, Inc.
3401 Carl Sandburg Ct |
$337.64 | 1,435 | 1,418 |
|
Shannon R Brennan
7406 Chapel Hill Road |
$25.52 | 1,154 | 335 |
|
Community Workforce Solutions, Inc.
3011 Falstaff Rd |
$57.77 | 1,001 | 258 |
|
Ilean Hill
6108 Big Sandy Dr |
$246.89 | 728 | 496 |
|
Amanda Kay Dupuis
10208 Cerny St Ste 110 |
$38.79 | 374 | 347 |
|
Maggie Janes Llc
3004 Hillmer Dr |
$225.63 | 255 | 180 |
|
Easter Seals Ucp North Carolina & Virginia, Inc.
4000 Wake Forest Road |
$15.63 | 238 | 220 |
|
Sheila J Summer
319 Chapanoke Rd |
$23.64 | 216 | 210 |
|
Alexandra Esther Flynn
2815 Kidd Rd |
$59.47 | 215 | 214 |
|
Gerald W Lankford
1601 Jones Franklin Rd |
$82.40 | 174 | 128 |
|
Cynthia Susan Payne
4420 Lake Boone Trl |
$277.22 | 90 | 90 |
|
Pathways Human Services Of North Carolina, Llc
8390 Six Forks Rd Ste 201 |
$330.55 | 72 | 72 |
|
Carter Clinic, P A
4009 Barrett Dr |
$343.97 | 42 | 42 |
|
Dana Kouchel
4420 Lake Boone Trl |
$0.00 | 30 | 28 |
|
Mendy Sharpe
3610 Bush St |
$12.68 | 28 | 17 |
|
Tracey Karp
319 Chapanoke Rd Ste 101 |
$23.61 | 15 | 15 |
|
Tiandrea Scriven
1008 Bullard Ct |
$112.15 | 13 | 12 |
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 Raleigh, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Raleigh, NC is $136.52 per claim, based on 320,260 claims from 36 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 Raleigh, NC?
There are 36 Medicaid providers offering Case Management Services related services in Raleigh, NC according to public payment data.
What is the price range for Case Management Services in Raleigh, NC?
Medicaid reimbursement for Case Management Services in Raleigh, NC ranges from $0.00 to $343.97 per claim, with an average of $136.52. 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 Raleigh, NC
Blood Work & Lab Tests
Avg $14.74
2,273,950 claims
Office Visit
Avg $59.24
1,603,097 claims
Emergency Room Visit
Avg $139.82
911,865 claims
Dental Cleaning & Exam
Avg $29.35
889,864 claims
Psychiatric Evaluation
Avg $74.92
754,370 claims
Substance Abuse Treatment
Avg $63.03
671,403 claims
Vaccines & Immunizations
Avg $16.76
580,140 claims
Speech Therapy
Avg $62.41
512,881 claims