Average Medicaid Case Management Services Payments in Worcester, MA: $90.73
Avg. Paid
$90.73
Range
$0.00 – $1,139
Total Claims
563,042
Providers
12
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 Worcester, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Center For Living And Working, Inc
484 Main St |
$54.57 | 205,082 | 196,533 |
|
Seven Hills Family Services, Inc.
81 Hope Ave |
$0.00 | 122,197 | 89,181 |
|
Elder Services Of Worcester Area, Inc
67 Millbrook St Ste 100 |
$56.92 | 65,754 | 62,430 |
|
Elder Services Of Worcester Area, Inc
411 Chandler St |
$51.26 | 58,358 | 53,678 |
|
Community Healthlink Inc
12 Queen Street |
$0.50 | 46,351 | 35,120 |
|
Department Of Developmental Services
Worcester Cm |
$339.20 | 44,099 | 44,099 |
|
Department Of Mental Health
305 Belmont St |
$1,139 | 15,465 | 15,464 |
|
Youth Opportunities Upheld, Inc.
135 Gold Star Blvd |
$120.39 | 4,528 | 618 |
|
Sarah W Goldberg
19 Tacoma St |
$30.65 | 691 | 646 |
|
Maria Inez Valenca
72 Jaques Ave |
$0.00 | 434 | 372 |
|
Debra Maddox
250 Commercial St |
$13.05 | 66 | 13 |
|
Eleanor Health Professional Ma, Pllc
108 Grove St Ste 200 |
$0.02 | 17 | 17 |
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 Worcester, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Worcester, MA is $90.73 per claim, based on 563,042 claims from 12 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 Worcester, MA?
There are 12 Medicaid providers offering Case Management Services related services in Worcester, MA according to public payment data.
What is the price range for Case Management Services in Worcester, MA?
Medicaid reimbursement for Case Management Services in Worcester, MA ranges from $0.00 to $1,139 per claim, with an average of $90.73. 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 Worcester, MA
Substance Abuse Treatment
Avg $21.52
6,777,067 claims
Office Visit
Avg $63.47
2,032,687 claims
Psychiatric Evaluation
Avg $73.77
1,006,360 claims
Non-Emergency Medical Transportation
Avg $31.12
1,000,136 claims
Home Health Visit
Avg $34.51
979,234 claims
Dental Cleaning & Exam
Avg $35.51
850,672 claims
Blood Work & Lab Tests
Avg $12.59
846,391 claims
Behavioral & Mental Health Therapy
Avg $166.04
808,172 claims