Average Medicaid Case Management Services Payments in Saco, ME: $178.71
Avg. Paid
$178.71
Range
$0.00 – $383.09
Total Claims
18,056
Providers
7
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 Saco, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
New Tides Residential
321 North St Unit 2 |
$129.05 | 6,624 | 2,462 |
|
Everest Recovery Centers - Maine
2 Lehner Rd |
$383.09 | 5,270 | 4,288 |
|
Sweetser
50 Moody St |
$63.42 | 4,984 | 1,669 |
|
Margaret F Norbert
50 Moody St |
$0.00 | 565 | 196 |
|
Patricia Mckenzie
50 Moody St |
$72.07 | 474 | 98 |
|
Chelsea C Spear
50 Moody St |
$0.00 | 98 | 98 |
|
David C Kinsella
50 Moody St |
$67.47 | 41 | 41 |
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 Saco, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Saco, ME is $178.71 per claim, based on 18,056 claims from 7 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 Saco, ME?
There are 7 Medicaid providers offering Case Management Services related services in Saco, ME according to public payment data.
What is the price range for Case Management Services in Saco, ME?
Medicaid reimbursement for Case Management Services in Saco, ME ranges from $0.00 to $383.09 per claim, with an average of $178.71. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $33.22
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Nashville, TN
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Miami, FL
Avg $82.94
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New York, NY
Avg $322.62
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Montgomery, AL
Avg $50.35
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Oklahoma City, OK
Avg $178.61
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Avg $32.09
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Other Procedures in Saco, ME
Substance Abuse Treatment
Avg $78.28
205,073 claims
Home Health Visit
Avg $129.92
154,918 claims
Behavioral & Mental Health Therapy
Avg $269.66
127,925 claims
Physical Therapy
Avg $27.73
77,193 claims
Office Visit
Avg $38.29
51,702 claims
Speech Therapy
Avg $46.41
18,640 claims
Podiatry (Foot Care)
Avg $9.01
16,003 claims
Ambulance Transport
Avg $89.60
13,980 claims