Average Medicaid Case Management Services Payments in Saint Cloud, MN: $62.57
Avg. Paid
$62.57
Range
$11.26 – $273.29
Total Claims
15,448
Providers
13
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 Saint Cloud, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Colleen Walker Stedham
821 W Saint Germain St |
$14.28 | 4,191 | 2,061 |
|
Effective Living Center, Inc
821 W Saint Germain St |
$11.61 | 3,367 | 1,558 |
|
Dawn Benson-Hance
3400 1St St N Ste 101 |
$211.77 | 3,055 | 3,046 |
|
Courtney O'Malley
821 W Saint Germain St |
$14.15 | 1,611 | 912 |
|
Sobriety First Treatment Center
266 33Rd Ave S Ste 10 |
$22.54 | 1,068 | 637 |
|
Sobriety First, Llc
3333 W. Division St. |
$23.40 | 513 | 261 |
|
Steven Vincent Loos
1321 13Th St N |
$222.29 | 409 | 408 |
|
Metro Treatment Of Minnesota Lp
524 25Th Ave N |
$11.26 | 395 | 350 |
|
Charlotte Ann Lock
821 W Saint Germain St |
$13.63 | 257 | 133 |
|
Kristin Z Anderson
821 W Saint Germain St |
$14.90 | 221 | 150 |
|
Stearns County
705 Courthouse Sq |
$95.18 | 198 | 112 |
|
Douglas J Watkins
1900 Centracare Cir |
$273.29 | 146 | 133 |
|
Nicolette R Johnson
103 Doctors Park |
$48.85 | 17 | 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 Saint Cloud, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Saint Cloud, MN is $62.57 per claim, based on 15,448 claims from 13 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 Saint Cloud, MN?
There are 13 Medicaid providers offering Case Management Services related services in Saint Cloud, MN according to public payment data.
What is the price range for Case Management Services in Saint Cloud, MN?
Medicaid reimbursement for Case Management Services in Saint Cloud, MN ranges from $11.26 to $273.29 per claim, with an average of $62.57. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $37.73
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Tucson, AZ
Avg $33.22
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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
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Montgomery, AL
Avg $50.35
3,554,330 claims · 24 providers
Oklahoma City, OK
Avg $178.61
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Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in Saint Cloud, MN
Non-Emergency Medical Transportation
Avg $23.58
266,404 claims
Blood Work & Lab Tests
Avg $9.33
240,731 claims
Office Visit
Avg $68.26
197,504 claims
Substance Abuse Treatment
Avg $106.39
186,372 claims
Home Health Visit
Avg $79.27
154,223 claims
Behavioral & Mental Health Therapy
Avg $164.30
135,988 claims
Physical Therapy
Avg $42.98
83,123 claims
Psychiatric Evaluation
Avg $94.67
80,569 claims