Average Medicaid Case Management Services Payments in Irvine, CA: $399.41
Avg. Paid
$399.41
Range
$0.00 – $642.58
Total Claims
7,394
Providers
15
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 Irvine, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sowing Seeds Health, Inc.
4902 Irvine Center Dr Ste 105 |
$609.59 | 2,038 | 2,038 |
|
The Restoration Circle Inc.
17595 Harvard Ave # C721 |
$77.27 | 1,986 | 155 |
|
Hoa Hieu Nguyen
16100 Sand Canyon Ave Ste 240 |
$319.34 | 724 | 724 |
|
Monarch Healthcare, A Medical Group, Inc.
7 Technology Dr |
$525.24 | 651 | 651 |
|
Global Transitional Care, Inc.
5161 California Ave Ste 200 |
$609.58 | 597 | 597 |
|
Jamboree Housing Corporation
17701 Cowan Ste 200 |
$618.39 | 422 | 422 |
|
Christopher E Salem
18021 Sky Park Cir Ste G |
$320.00 | 406 | 406 |
|
Central County Senior Services
2515 Mccabe Way Ste 200 |
$626.85 | 237 | 237 |
|
Farrokh Alemzadeh
4950 Barranca Pkwy |
$0.58 | 129 | 124 |
|
Aids Services Foundation Orange County
17982 Sky Park Circle |
$642.58 | 72 | 72 |
|
Arta Western California, Inc.
3333 Michelson Dr |
$544.74 | 57 | 57 |
|
Stacy Debrow
1063 Mcgaw Ave |
$62.57 | 30 | 14 |
|
Clint Harold Salo
17782 Cowan |
$0.00 | 17 | 17 |
|
Thao M Duong
16 Bel Spgs |
$0.00 | 15 | 15 |
|
Wyatt Allen Stokes
16782 Von Karman Ave Ste 11 |
$125.97 | 13 | 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 Irvine, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Irvine, CA is $399.41 per claim, based on 7,394 claims from 15 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 Irvine, CA?
There are 15 Medicaid providers offering Case Management Services related services in Irvine, CA according to public payment data.
What is the price range for Case Management Services in Irvine, CA?
Medicaid reimbursement for Case Management Services in Irvine, CA ranges from $0.00 to $642.58 per claim, with an average of $399.41. 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 Irvine, CA
Office Visit
Avg $41.92
985,384 claims
Physical Therapy
Avg $21.50
489,307 claims
Dental Cleaning & Exam
Avg $51.65
486,390 claims
Durable Medical Equipment (DME)
Avg $52.50
310,608 claims
Psychiatric Evaluation
Avg $58.51
235,043 claims
Behavioral & Mental Health Therapy
Avg $140.19
206,705 claims
Nursing Facility Care
Avg $15.60
200,937 claims
Non-Emergency Medical Transportation
Avg $75.89
151,944 claims