Average Medicaid Case Management Services Payments in Fresno, CA: $150.14
Avg. Paid
$150.14
Range
$4.46 – $528.87
Total Claims
716,240
Providers
72
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 Fresno, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mental Health Systems, Inc.
2550 W Clinton Ave Bldg B128-138 |
$281.49 | 14 | 13 |
|
Turning Point Of Central California, Inc.
3636 N 1St St |
$201.54 | 18 | 12 |
|
Gabriela Palomo Cearbaugh
6051 N Fresno St Ste 201 |
$77.33 | 22 | 14 |
|
Lang Fang
4879 E Kings Canyon Rd |
$161.43 | 25 | 25 |
|
Environmental Alternatives
1100 W Shaw Ave Ste 120 |
$144.62 | 31 | 30 |
|
Kings View
1396 W Herndon Ave |
$178.63 | 85 | 73 |
|
Fresno County
3151 N Millbrook Ave |
$32.21 | 132 | 54 |
|
Kings View Corporation
1925 E Dakota Ave Ste Q |
$153.88 | 154 | 112 |
|
Turning Point Of Central California Inc.
3636 N 1St St Ste 135&154 |
$77.90 | 164 | 119 |
|
Mental Health Systems, Inc.
2550 W Clinton Ave |
$528.87 | 197 | 105 |
|
Central California Asthma Collaborative
1939 N Gateway Blvd |
$4.46 | 221 | 119 |
|
Ara Karnik Soghomonian
2645 Merced St |
$319.36 | 249 | 249 |
|
Kings View
1617 E Saginaw Way Ste 101 |
$111.02 | 278 | 167 |
|
Central California Recovery
1204 W Shaw Ave #102 |
$247.28 | 334 | 187 |
|
Asha Pritpal Singh Sidhu
5771 N Fresno St |
$303.80 | 429 | 410 |
|
Fresno County
3151 N Millbrook Ave |
$228.04 | 464 | 236 |
|
Exodus Recovery, Inc.
1553 Santa Clara St |
$191.68 | 478 | 236 |
|
Exodus Recovery, Inc.
4041 Plaza Drive W |
$163.93 | 480 | 152 |
|
Omid Counseling Center, Inc.
3451 W Shaw Ave |
$205.90 | 486 | 289 |
|
Exodus Recovery, Inc.
524 S Trinity St |
$176.42 | 550 | 126 |
|
Fresno County
4468 E Cesar Chavez Blvd Bldg 2 |
$185.34 | 555 | 326 |
|
Family Healthcare Network
5166 E Olive Ave |
$25.72 | 622 | 590 |
|
Eliza M Doria
6051 N Fresno St Ste 201 |
$171.56 | 726 | 530 |
|
Fresno County
3151 N Millbrook Ave |
$23.87 | 807 | 415 |
|
The Fresno Center
4871 E Cesar Chavez Blvd |
$129.96 | 812 | 539 |
|
Turning Point Of Central California, Inc
83 E Shaw Ave |
$81.98 | 971 | 447 |
|
Exodus Recovery, Inc.
205 N Blackstone Ave |
$182.18 | 1,113 | 238 |
|
California Health Collaborative Foundation
1680 W Shaw Ave |
$110.43 | 1,256 | 464 |
|
Rh Community Builders Lp.
1040 N Pleasant Avenue |
$219.54 | 1,271 | 402 |
|
Westcare California Inc
611 E Belmont Ave |
$213.81 | 1,651 | 773 |
|
Susan Dianne Feil
2253 M Street |
$8.95 | 1,866 | 1,656 |
|
The Fresno Center
4855 E Cesar Chavez # 105 |
$135.53 | 1,879 | 1,349 |
|
Westcare California, Inc.
3636 N. First Street |
$268.51 | 2,461 | 1,086 |
|
Exodus Recovery, Inc.
3520 E Shields Ave |
$157.35 | 2,652 | 1,187 |
|
Fresno County
4468 E Cesar Chavez Blvd Bldg 340 |
$160.38 | 2,698 | 1,838 |
|
Westcare California Inc
2772 Martin L King Jr Blvd |
$327.22 | 2,866 | 1,263 |
|
Comprehensive Youth Services Of Fresno, Inc.
4545 N West Ave |
$76.04 | 2,943 | 1,022 |
|
County Of Fresno
4441 E Cesar Chavez Blvd |
$133.77 | 4,687 | 4,224 |
|
Jdt Consultants Inc
4205 W. Figarden Drive |
$130.70 | 5,375 | 2,739 |
|
Fresno County
3109 N Millbrook Ave |
$203.49 | 5,501 | 3,205 |
|
Fresno County
4447 E. Cesar Chavez Blvd. |
$235.35 | 5,785 | 3,165 |
|
Turning Point Of Central California, Inc.
258 N Blackstone Ave |
$95.24 | 6,148 | 3,619 |
|
Central Star Behavioral Health, Inc.
2140 Merced Street |
$58.61 | 6,207 | 2,956 |
|
Turning Point Of Central California, Inc.
3636 N 1St St |
$169.25 | 6,819 | 3,056 |
|
Kings View Corporation
1396 W Herndon Ave |
$49.12 | 6,885 | 4,438 |
|
Turning Point Of Central California, Inc.
3855 N West Ave Ste 110 |
$160.42 | 7,220 | 2,621 |
|
Fresno County
142 E Cesar Chavez Blvd |
$162.82 | 7,237 | 3,339 |
|
Exceptional Parents Unlimited, Inc.
4440 N 1St St |
$143.82 | 7,398 | 3,349 |
|
Turning Point Of Central California, Inc.
1690 W Shaw Ave Ste 201 |
$147.96 | 7,398 | 2,742 |
|
Comprehensive Youth Services Of Fresno, Inc. (Functional Family Therap
4545 N. West Ave. |
$83.85 | 7,494 | 3,314 |
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 Fresno, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Fresno, CA is $150.14 per claim, based on 716,240 claims from 72 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 Fresno, CA?
There are 72 Medicaid providers offering Case Management Services related services in Fresno, CA according to public payment data.
What is the price range for Case Management Services in Fresno, CA?
Medicaid reimbursement for Case Management Services in Fresno, CA ranges from $4.46 to $528.87 per claim, with an average of $150.14. 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 Fresno, CA
Office Visit
Avg $9.04
7,118,942 claims
Substance Abuse Treatment
Avg $27.33
4,413,563 claims
Blood Work & Lab Tests
Avg $2.74
2,444,948 claims
Dental Cleaning & Exam
Avg $51.51
1,690,843 claims
Urinalysis & Urine Tests
Avg $0.70
1,247,642 claims
Vaccines & Immunizations
Avg $0.97
1,207,674 claims
Emergency Room Visit
Avg $38.60
1,035,563 claims
Behavioral & Mental Health Therapy
Avg $160.45
952,885 claims