Based on public Medicaid payment data.

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

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
Medzed Physician Services, Inc. 1318 E Shaw Ave Ste 300	$236.52	93,150	54,265
Central Star Behavioral Health, Inc. 2934 N Fresno St	$114.10	85,340	16,868
California Psychological Institute 1470 W Herndon Ave	$94.18	43,451	13,861
Pacific Clinics 6051 N Fresno St Ste 201	$112.29	37,035	13,861
Fresno County 2719 N Air Fresno Dr	$121.28	36,256	19,469
Pacific Clinics 6051 N Fresno St Ste 201	$153.06	33,572	6,215
Fresno County Superintendent Of Schools 2560 W Shaw Ln Ste 104	$110.75	27,332	14,498
Fresno County Superintendent Of Schools 4939 E Yale Ave	$156.74	25,581	9,507
County Of Fresno 4441 E Cesar Chavez Blvd	$188.39	22,672	12,172
Fresno County Superintendent Of Schools 2560 W Shaw Ln Ste 104	$152.95	20,905	9,351
Fresno County 4452 E Cesar Chavez Blvd.	$178.43	19,786	9,738
Central Star Behavioral Health, Inc. 3433 W Shaw Ave	$187.83	18,675	2,250
Pacific Clinics 6051 N Fresno St Ste 201	$96.41	18,591	5,021
Fresno County 4447 E. Cesar Chavez Blvd	$203.69	17,335	10,203
Fresno County 2719 N Air Fresno Dr	$167.88	16,153	8,169
Central Star Behavioral Health, Inc. 3433 W Shaw Ave Ste 102-103	$77.19	14,125	4,173
Fresno County 3109 N Millbrook Ave	$171.30	13,835	5,955
Mental Health Systems, Inc. 2550 W Clinton Ave	$162.24	13,386	4,233
Rh Community Builders Lp. 2550 W Clinton Ave Unit 142	$73.19	12,469	7,784
Mental Health Systems, Inc. 2549 W Shaw Ave	$179.77	11,555	2,884
Turning Point Of Central California, Inc. 3636 N 1St St Ste 112&124	$131.16	9,553	4,669
Fresno County 2719 N Air Fresno Dr	$193.38	9,369	5,413
Comprehensive Youth Services Of Fresno, Inc. (Functional Family Therap 4545 N. West Ave.	$83.85	7,494	3,314
Turning Point Of Central California, Inc. 1690 W Shaw Ave Ste 201	$147.96	7,398	2,742
Exceptional Parents Unlimited, Inc. 4440 N 1St St	$143.82	7,398	3,349
Fresno County 142 E Cesar Chavez Blvd	$162.82	7,237	3,339
Turning Point Of Central California, Inc. 3855 N West Ave Ste 110	$160.42	7,220	2,621
Kings View Corporation 1396 W Herndon Ave	$49.12	6,885	4,438
Turning Point Of Central California, Inc. 3636 N 1St St	$169.25	6,819	3,056
Central Star Behavioral Health, Inc. 2140 Merced Street	$58.61	6,207	2,956
Turning Point Of Central California, Inc. 258 N Blackstone Ave	$95.24	6,148	3,619
Fresno County 4447 E. Cesar Chavez Blvd.	$235.35	5,785	3,165
Fresno County 3109 N Millbrook Ave	$203.49	5,501	3,205
Jdt Consultants Inc 4205 W. Figarden Drive	$130.70	5,375	2,739
County Of Fresno 4441 E Cesar Chavez Blvd	$133.77	4,687	4,224
Comprehensive Youth Services Of Fresno, Inc. 4545 N West Ave	$76.04	2,943	1,022
Westcare California Inc 2772 Martin L King Jr Blvd	$327.22	2,866	1,263
Fresno County 4468 E Cesar Chavez Blvd Bldg 340	$160.38	2,698	1,838
Exodus Recovery, Inc. 3520 E Shields Ave	$157.35	2,652	1,187
Westcare California, Inc. 3636 N. First Street	$268.51	2,461	1,086
The Fresno Center 4855 E Cesar Chavez # 105	$135.53	1,879	1,349
Susan Dianne Feil 2253 M Street	$8.95	1,866	1,656
Westcare California Inc 611 E Belmont Ave	$213.81	1,651	773
Rh Community Builders Lp. 1040 N Pleasant Avenue	$219.54	1,271	402
California Health Collaborative Foundation 1680 W Shaw Ave	$110.43	1,256	464
Exodus Recovery, Inc. 205 N Blackstone Ave	$182.18	1,113	238
Turning Point Of Central California, Inc 83 E Shaw Ave	$81.98	971	447
The Fresno Center 4871 E Cesar Chavez Blvd	$129.96	812	539
Fresno County 3151 N Millbrook Ave	$23.87	807	415
Eliza M Doria 6051 N Fresno St Ste 201	$171.56	726	530

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.

Average Medicaid Case Management Services Payments in Fresno, CA: $150.14

Providers Offering Case Management Services in Fresno, CA

What to Expect: Case Management Services

Cost Components

Frequently Asked Questions

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Other Procedures in Fresno, CA

Office Visit

Substance Abuse Treatment

Blood Work & Lab Tests

Dental Cleaning & Exam

Urinalysis & Urine Tests

Vaccines & Immunizations

Emergency Room Visit

Behavioral & Mental Health Therapy