Average Medicaid Case Management Services Payments in Downey, CA: $120.34
Avg. Paid
$120.34
Range
$0.00 – $412.82
Total Claims
9,746
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 Downey, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Los Angeles
7601 Imperial Hwy |
$18.95 | 5,520 | 3,764 |
|
William Chunghun Sim
11480 Brookshire Ave |
$319.85 | 2,168 | 2,168 |
|
Reza Sharafi
11544 Downey Ave |
$319.74 | 605 | 605 |
|
Valley Star Behavioral Health, Inc.
7735 Leeds St |
$332.71 | 260 | 83 |
|
Southern California Alcohol & Drug Programs, Inc.
11500 Paramount Blvd |
$112.44 | 245 | 152 |
|
County Of Los Angeles Auditor Controller
7601 Imperial Hwy |
$0.00 | 201 | 147 |
|
Jwch Institute, Inc
8530 Firestone Blvd |
$0.00 | 187 | 113 |
|
Central Star Behavioral Health, Inc.
7745 Leeds St |
$330.60 | 116 | 51 |
|
Roopa Kollhapuri Rajgopal
12130 Paramount Blvd |
$0.00 | 105 | 70 |
|
Southern California Alcohol And Drug Programs, Inc.
11501 Dolan Ave |
$129.23 | 94 | 17 |
|
Southern California Alcohol And Drug Programs, Inc.
10603 Downey Ave |
$69.86 | 76 | 15 |
|
Omid Modarres Mousavi
12130 Paramount Blvd |
$0.00 | 46 | 39 |
|
Homeavenue Inc.
8114 Telegraph Rd |
$0.00 | 43 | 42 |
|
Lizet Martinez
12130 Paramount Blvd |
$0.00 | 33 | 26 |
|
Star View Behavioral Health, Inc.
7755 Leeds Street |
$412.82 | 28 | 12 |
|
Orlando Felix Cabrera
12130 Paramount Blvd |
$0.00 | 19 | 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 Downey, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Downey, CA is $120.34 per claim, based on 9,746 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 Downey, CA?
There are 16 Medicaid providers offering Case Management Services related services in Downey, CA according to public payment data.
What is the price range for Case Management Services in Downey, CA?
Medicaid reimbursement for Case Management Services in Downey, CA ranges from $0.00 to $412.82 per claim, with an average of $120.34. 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 Downey, CA
Office Visit
Avg $25.05
1,115,012 claims
Blood Work & Lab Tests
Avg $3.30
825,964 claims
Physical Therapy
Avg $16.06
809,671 claims
Behavioral & Mental Health Therapy
Avg $105.84
486,453 claims
Urinalysis & Urine Tests
Avg $1.75
266,455 claims
Emergency Room Visit
Avg $278.23
229,221 claims
EKG / ECG (Electrocardiogram)
Avg $11.43
193,721 claims
X-Ray
Avg $22.32
193,589 claims