Average Medicaid Case Management Services Payments in Escondido, CA: $171.16
Avg. Paid
$171.16
Range
$0.00 – $420.24
Total Claims
64,739
Providers
33
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 Escondido, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Reem Ballout
728 E Valley Pkwy |
$420.24 | 12 | 12 |
|
Arsenio Jimenez
555 E Valley Pkwy |
$0.00 | 14 | 14 |
|
Neighborhood Healthcare
460 N Elm St |
$129.24 | 16 | 16 |
|
James Schultz
460 N Elm St |
$289.59 | 28 | 28 |
|
Whole Person Care Clinic
120 N Ash St |
$278.45 | 34 | 20 |
|
Sara Keshavarzi
1510 S Escondido Blvd Ste 101 |
$360.34 | 64 | 64 |
|
Melanie Akemi Nakamura
460 N Elm St |
$374.19 | 65 | 65 |
|
Gabriel Rodarte
425 N Date St |
$342.22 | 70 | 70 |
|
Neighborhood Healthcare
426 N Date St |
$0.00 | 89 | 49 |
|
Byron Chow
460 N Elm St |
$367.42 | 115 | 115 |
|
Noopur Mehta
460 N Elm St |
$362.68 | 132 | 132 |
|
Daniel Solomon Ageze
550 W Washington Ave |
$194.89 | 151 | 147 |
|
Mental Health Systems, Inc.
474 W Vermont Ave |
$240.33 | 155 | 117 |
|
Keyvan Malekshamran
1121 E Washington Ave |
$357.85 | 179 | 179 |
|
Archana Krishnarajpet Narayan
425 N Date St |
$386.61 | 202 | 202 |
|
Michael Avila
460 N Elm St |
$378.14 | 205 | 204 |
|
Healthright 360
1341 N Escondido Blvd |
$129.33 | 230 | 194 |
|
Edita Soriano Aguilar
426 N Date St |
$348.87 | 298 | 298 |
|
New Alternatives, Inc.
225 W Valley Pkwy |
$82.03 | 582 | 328 |
|
Palomar Family Counseling Service, Inc.
1002 E Grand Ave |
$64.28 | 629 | 450 |
|
Mental Health Systems, Inc.
221 W Crest St Ste 200&210 |
$71.06 | 646 | 500 |
|
Interfaith Community Services, Inc
550 W Washington Ave |
$256.42 | 834 | 473 |
|
Mission Treatment Services, Inc.
161 N Date St |
$130.47 | 1,393 | 625 |
|
Mcalister Institute For Treatment & Education, Inc.
200 E Washington Ave Ste 100 And 200 |
$221.30 | 1,499 | 741 |
|
Ving Yam
701 E Grand Ave Ste 100 |
$319.76 | 1,634 | 1,634 |
|
The Fellowship Center Alcohol Services Program, Inc.
737 E Grand Ave |
$254.26 | 1,744 | 767 |
|
Kristy Buterbaugh
1341 N Escondido Blvd |
$315.79 | 1,943 | 1,663 |
|
Rady Children'S Hospital San Diego
2125 Citracado Pkwy Ste 200 |
$145.73 | 1,991 | 1,395 |
|
Palomar Family Counseling Service, Inc.
1002 E Grand Ave |
$69.53 | 2,969 | 2,448 |
|
Vista Hill Foundation
1029 N Broadway |
$168.21 | 7,482 | 4,303 |
|
Mental Health Systems, Inc.
1955 Citracado Pkwy Ste 300 |
$176.23 | 11,883 | 6,695 |
|
Mental Health Systems, Inc.
474 W Vermont Ave |
$124.08 | 13,411 | 5,267 |
|
San Diego Center For Children
235 W 5Th Ave Ste 130 |
$179.49 | 14,040 | 1,624 |
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 Escondido, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Escondido, CA is $171.16 per claim, based on 64,739 claims from 33 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 Escondido, CA?
There are 33 Medicaid providers offering Case Management Services related services in Escondido, CA according to public payment data.
What is the price range for Case Management Services in Escondido, CA?
Medicaid reimbursement for Case Management Services in Escondido, CA ranges from $0.00 to $420.24 per claim, with an average of $171.16. 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
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Mesa, AZ
Avg $32.09
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Other Procedures in Escondido, CA
Office Visit
Avg $15.11
974,226 claims
Blood Work & Lab Tests
Avg $25.59
881,752 claims
Substance Abuse Treatment
Avg $86.46
266,008 claims
Urinalysis & Urine Tests
Avg $6.73
239,275 claims
Dental Cleaning & Exam
Avg $51.46
214,719 claims
Emergency Room Visit
Avg $199.96
182,324 claims
Psychiatric Evaluation
Avg $36.59
169,226 claims
Eye Exam
Avg $27.00
132,412 claims