Average Medicaid Case Management Services Payments in Stroudsburg, PA: $68.29
Avg. Paid
$68.29
Range
$68.29 – $68.29
Total Claims
41,210
Providers
1
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 Stroudsburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carbon Monroe Pike Mh Ds
732 Phillips St |
$68.29 | 41,210 | 20,364 |
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 Stroudsburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Stroudsburg, PA is $68.29 per claim, based on 41,210 claims from 1 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 Stroudsburg, PA?
There are 1 Medicaid providers offering Case Management Services related services in Stroudsburg, PA according to public payment data.
What is the price range for Case Management Services in Stroudsburg, PA?
Medicaid reimbursement for Case Management Services in Stroudsburg, PA ranges from $68.29 to $68.29 per claim, with an average of $68.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Stroudsburg, PA
Office Visit
Avg $48.64
76,706 claims
Emergency Room Visit
Avg $100.10
21,433 claims
Blood Work & Lab Tests
Avg $8.14
20,427 claims
Speech Therapy
Avg $20.45
12,838 claims
Dental Cleaning & Exam
Avg $36.15
10,034 claims
Durable Medical Equipment (DME)
Avg $35.04
9,054 claims
Nursing Facility Care
Avg $17.13
8,388 claims
Physical Therapy
Avg $14.10
8,386 claims