Average Medicaid Case Management Services Payments in La Mesa, CA: $185.57
Avg. Paid
$185.57
Range
$7.04 – $343.49
Total Claims
22,842
Providers
6
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 La Mesa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cristina Tobon-Chung
4579 Maple Ave |
$13.55 | 12 | 12 |
|
Venu Prabaker
7339 El Cajon Blvd |
$7.04 | 13 | 13 |
|
Neelima G. Doshi
10862 Calle Verde |
$343.49 | 13 | 13 |
|
Marriane Zurbano
4579 Maple Ave Ste 1 |
$7.65 | 16 | 16 |
|
Vista Hill Foundation
4990 Williams Ave |
$130.80 | 737 | 432 |
|
San Diego Center For Children
7373 University Ave Ste 215 |
$187.64 | 22,051 | 2,157 |
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 La Mesa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in La Mesa, CA is $185.57 per claim, based on 22,842 claims from 6 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 La Mesa, CA?
There are 6 Medicaid providers offering Case Management Services related services in La Mesa, CA according to public payment data.
What is the price range for Case Management Services in La Mesa, CA?
Medicaid reimbursement for Case Management Services in La Mesa, CA ranges from $7.04 to $343.49 per claim, with an average of $185.57. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $37.73
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Tucson, AZ
Avg $33.22
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Nashville, TN
Avg $197.77
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Miami, FL
Avg $82.94
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New York, NY
Avg $322.62
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Montgomery, AL
Avg $50.35
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Oklahoma City, OK
Avg $178.61
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Mesa, AZ
Avg $32.09
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Other Procedures in La Mesa, CA
Blood Work & Lab Tests
Avg $7.42
2,191,821 claims
Office Visit
Avg $56.10
664,824 claims
Urinalysis & Urine Tests
Avg $3.66
438,401 claims
X-Ray
Avg $25.68
328,937 claims
Emergency Room Visit
Avg $187.08
277,381 claims
Culture & Microbiology Tests
Avg $3.01
181,043 claims
Physical Therapy
Avg $23.07
153,856 claims
CT Scan (Computed Tomography)
Avg $210.84
144,772 claims