Average Medicaid Case Management Services Payments in Wilmington, NC: $168.87
Avg. Paid
$168.87
Range
$0.00 – $309.07
Total Claims
25,294
Providers
21
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 Wilmington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Coastal Horizons Center, Inc
615 Shipyard Blvd |
$271.05 | 5,663 | 4,730 |
|
Pathways Human Services Of North Carolina, Llc
5040 New Centre Dr Ste D |
$94.29 | 5,289 | 1,553 |
|
New Hanover Community Health Center Incorporated
925 N 4Th St |
$225.84 | 2,659 | 2,204 |
|
Easter Seals Ucp North Carolina & Virgiinia, Inc.
1410 Commonwealth Dr Ste 103A |
$302.04 | 1,872 | 1,866 |
|
Novant Health New Hanover Regional Medical Center Llc
2131 S 17Th St |
$230.30 | 1,522 | 993 |
|
Access Family Services
725 Wellington Ave |
$90.09 | 1,513 | 327 |
|
Mary Kathryn Rudyk
1709 S 16Th St Ste A |
$21.50 | 1,346 | 191 |
|
Coastal Horizons Center Inc
613 Shipyard Blvd |
$258.69 | 1,343 | 1,056 |
|
Coastal Horizons Center, Inc.
615 Shipyard Blvd |
$18.05 | 895 | 249 |
|
Bridges Of Wilmington
202 S 5Th Ave. |
$37.20 | 801 | 546 |
|
Roxanne S. Devane
3311 Burnt Mill Dr |
$77.93 | 754 | 513 |
|
Coastal Horizons Center Inc
4005 Oleander Dr |
$48.90 | 634 | 112 |
|
Katie Krail
3519 Iris St |
$69.81 | 275 | 207 |
|
Hoke Ward Pollock
3505 Converse Rd Ste 200 |
$14.05 | 165 | 24 |
|
Carter Clinic Pa
603 Eastwood Rd |
$0.00 | 153 | 153 |
|
New Hanover Community Health Center Incorporated
240 Calhoun Dr |
$1.37 | 122 | 50 |
|
Port Health Services
2206 Wrightsville Ave Ste A |
$261.51 | 104 | 104 |
|
Thomas Brent Overman
615 Shipyard Blvd |
$93.02 | 83 | 61 |
|
Behavioral Consulting For Autism, Llc
4039 Masonboro Loop Rd |
$309.07 | 53 | 46 |
|
Evie Schulz Nicklas
925 N 4Th St |
$0.00 | 28 | 27 |
|
Nadine Shivers
2909 Market St |
$0.00 | 20 | 16 |
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 Wilmington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Wilmington, NC is $168.87 per claim, based on 25,294 claims from 21 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 Wilmington, NC?
There are 21 Medicaid providers offering Case Management Services related services in Wilmington, NC according to public payment data.
What is the price range for Case Management Services in Wilmington, NC?
Medicaid reimbursement for Case Management Services in Wilmington, NC ranges from $0.00 to $309.07 per claim, with an average of $168.87. 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 Wilmington, NC
Office Visit
Avg $55.56
1,298,205 claims
Speech Therapy
Avg $55.85
566,290 claims
Emergency Room Visit
Avg $138.32
511,613 claims
Psychiatric Evaluation
Avg $41.28
438,201 claims
Blood Work & Lab Tests
Avg $11.72
431,588 claims
Substance Abuse Treatment
Avg $59.14
392,292 claims
Dental Cleaning & Exam
Avg $31.04
328,640 claims
Physical Therapy
Avg $63.02
316,863 claims