Average Medicaid Case Management Services Payments in Rochester, NY: $416.23
Avg. Paid
$416.23
Range
$0.00 – $526.19
Total Claims
1,188,020
Providers
14
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 Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chhuny, Llc
2300 Buffalo Rd Bldg 500B |
$526.19 | 628,641 | 628,507 |
|
Greater Rochester Health Home Network, Llc
1 South Washington St. |
$312.78 | 258,913 | 258,839 |
|
Huther Doyle Memorial Institute
360 East Ave |
$314.51 | 233,234 | 233,234 |
|
County Of Monroe
111 Westfall Road |
$27.64 | 28,131 | 18,640 |
|
Huther Doyle Memorial Institute
360 East Ave |
$323.06 | 23,900 | 23,900 |
|
Finger Lakes Therapy Works, Physical Therapy, Occupational
2211 Lyell Ave |
$19.19 | 7,537 | 2,538 |
|
Gloria J Baciewicz
300 Crittenden Blvd |
$104.76 | 1,843 | 600 |
|
Makena'S Hope Incorporated
111 N Chestnut St |
$24.52 | 1,659 | 496 |
|
Myra L. Mathis-Uwanogho
300 Crittenden Blvd |
$252.26 | 1,609 | 858 |
|
Room To Bloom Therapy Services, Llc
1850 Buffalo Rd Ste 200 |
$28.18 | 1,236 | 386 |
|
Elder One
2066 Hudson Ave |
$0.00 | 645 | 499 |
|
Matthew D Mack
340 Arnett Blvd |
$51.91 | 321 | 288 |
|
Daystar For Medically Fragile Children, Inc
700 Lac De Ville Blvd |
$25.80 | 177 | 85 |
|
Robert L Weisman
601 Elmwood Ave |
$120.51 | 174 | 83 |
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 Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Rochester, NY is $416.23 per claim, based on 1,188,020 claims from 14 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 Rochester, NY?
There are 14 Medicaid providers offering Case Management Services related services in Rochester, NY according to public payment data.
What is the price range for Case Management Services in Rochester, NY?
Medicaid reimbursement for Case Management Services in Rochester, NY ranges from $0.00 to $526.19 per claim, with an average of $416.23. 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 Rochester, NY
Home Health Visit
Avg $155.96
4,468,559 claims
Blood Work & Lab Tests
Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Psychiatric Evaluation
Avg $142.49
1,087,559 claims
Substance Abuse Treatment
Avg $66.55
788,422 claims
Physical Therapy
Avg $59.14
727,107 claims
Ambulance Transport
Avg $103.20
693,655 claims