Average Medicaid Case Management Services Payments in Rockford, IL: $63.01
Avg. Paid
$63.01
Range
$27.11 – $118.50
Total Claims
99,471
Providers
11
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 Rockford, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rosecrance Inc
2704 N Main St |
$47.90 | 34,272 | 17,323 |
|
Stepping Stones Of Rockford, Inc
706 N Main St |
$49.07 | 34,261 | 10,346 |
|
Youth Services Network
107 N 3Rd St |
$118.50 | 21,341 | 21,341 |
|
Rosecrance, Inc.
8616 Northern Ave |
$27.11 | 3,619 | 2,499 |
|
Rosecrance
2415 E State St |
$56.43 | 1,777 | 868 |
|
Adapt Of Illinois, Inc.
321 Arnold Ave |
$31.55 | 1,210 | 547 |
|
Rosecrance Inc
605 Mulberry St |
$42.55 | 743 | 415 |
|
Lutheran Social Services Of Il
308 W State St Ste 250 |
$104.37 | 668 | 228 |
|
Remedies Renewing Lives
215 Easton Pkwy |
$37.45 | 664 | 288 |
|
Children'S Home And Aid
424 7Th St |
$56.57 | 656 | 448 |
|
Roscrance Inc.
707 N Court St |
$62.62 | 260 | 102 |
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 Rockford, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Rockford, IL is $63.01 per claim, based on 99,471 claims from 11 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 Rockford, IL?
There are 11 Medicaid providers offering Case Management Services related services in Rockford, IL according to public payment data.
What is the price range for Case Management Services in Rockford, IL?
Medicaid reimbursement for Case Management Services in Rockford, IL ranges from $27.11 to $118.50 per claim, with an average of $63.01. 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
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New York, NY
Avg $322.62
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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 Rockford, IL
Office Visit
Avg $30.80
1,227,594 claims
Blood Work & Lab Tests
Avg $4.91
864,122 claims
Dental Cleaning & Exam
Avg $30.40
556,400 claims
X-Ray
Avg $7.26
279,317 claims
Vaccines & Immunizations
Avg $3.11
257,183 claims
Speech Therapy
Avg $17.51
256,309 claims
Urinalysis & Urine Tests
Avg $1.91
245,520 claims
Emergency Room Visit
Avg $69.98
227,177 claims