Average Medicaid Case Management Services Payments in Berkeley, CA: $289.02
Avg. Paid
$289.02
Range
$0.00 – $588.83
Total Claims
24,634
Providers
16
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 Berkeley, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
City Of Berkeley
2640 Martin Luther King Jr Way |
$588.83 | 10,771 | 4,466 |
|
Ali Hakimi
2620 Telegraph Ave |
$0.00 | 4,258 | 3,475 |
|
Lifelong Medical Care
2001 Dwight Way |
$175.43 | 2,246 | 1,108 |
|
Therris Laurise Cunningham
1497 Alcatraz Ave |
$0.00 | 1,408 | 641 |
|
Through The Looking Glass
3075 Adeline St |
$169.70 | 1,269 | 515 |
|
Esther Akiba
1497 Alcatraz Ave |
$0.00 | 1,269 | 1,182 |
|
Petrice P. Kam
1497 Alcatraz Ave |
$0.00 | 1,127 | 978 |
|
Darlyn Motas San Jose
1497 Alcatraz Ave |
$0.00 | 927 | 897 |
|
Jewish Family & Community Services East Bay
2484 Shattuck Ave |
$138.02 | 366 | 251 |
|
City Of Berkeley
1521 University Ave |
$337.75 | 305 | 103 |
|
Karla Spaulding
1497 Alcatraz Ave |
$0.00 | 257 | 230 |
|
Sarah Almyra Presno
1497 Alcatraz Ave |
$0.00 | 241 | 219 |
|
Rachel Joan Fogel
3260 Sacramento St |
$0.00 | 53 | 51 |
|
Thanh Trung T Nguyen
2052 Mcgee Ave |
$0.00 | 51 | 29 |
|
City Of Berkeley
1521 University Ave |
$233.40 | 46 | 38 |
|
Seneca Family Of Agencies
1980 Allston Way Bldg C |
$95.35 | 40 | 13 |
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 Berkeley, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Berkeley, CA is $289.02 per claim, based on 24,634 claims from 16 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 Berkeley, CA?
There are 16 Medicaid providers offering Case Management Services related services in Berkeley, CA according to public payment data.
What is the price range for Case Management Services in Berkeley, CA?
Medicaid reimbursement for Case Management Services in Berkeley, CA ranges from $0.00 to $588.83 per claim, with an average of $289.02. 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 Berkeley, CA
Blood Work & Lab Tests
Avg $7.21
1,019,482 claims
Office Visit
Avg $20.12
524,956 claims
Urinalysis & Urine Tests
Avg $3.28
377,997 claims
Substance Abuse Treatment
Avg $34.05
269,177 claims
Emergency Room Visit
Avg $72.88
161,073 claims
Culture & Microbiology Tests
Avg $3.59
144,863 claims
EKG / ECG (Electrocardiogram)
Avg $11.90
127,855 claims
Pathology & Lab Services
Avg $47.12
108,103 claims