Average Medicaid Case Management Services Payments in Laguna Hills, CA: $386.26
Avg. Paid
$386.26
Range
$61.82 – $630.81
Total Claims
4,610
Providers
7
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 Laguna Hills, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Telecare Corporation
23161 Mill Creek Dr Ste 230 |
$211.57 | 57 | 28 |
|
Western Youth Services
23461 S Pointe Dr |
$630.81 | 98 | 98 |
|
Roger Nguyen Tran
23595 Moulton Pkwy Ste E |
$320.00 | 132 | 132 |
|
Twin Town Corporation
23521 Paseo De Valencia Ste B5 |
$61.82 | 304 | 181 |
|
County Of Orange
23046 Avenida De La Carlota Ste 500 |
$175.56 | 855 | 520 |
|
Sepehr Golboo
23141 Verdugo Dr Ste 201 |
$319.70 | 1,320 | 1,320 |
|
Angelian Management Group Llc
23551 Moulton Pkwy |
$582.23 | 1,844 | 1,835 |
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 Laguna Hills, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Laguna Hills, CA is $386.26 per claim, based on 4,610 claims from 7 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 Laguna Hills, CA?
There are 7 Medicaid providers offering Case Management Services related services in Laguna Hills, CA according to public payment data.
What is the price range for Case Management Services in Laguna Hills, CA?
Medicaid reimbursement for Case Management Services in Laguna Hills, CA ranges from $61.82 to $630.81 per claim, with an average of $386.26. 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 Laguna Hills, CA
Office Visit
Avg $46.97
261,023 claims
Behavioral & Mental Health Therapy
Avg $112.80
128,538 claims
Blood Work & Lab Tests
Avg $3.27
108,539 claims
Physical Therapy
Avg $9.05
76,165 claims
X-Ray
Avg $4.85
63,422 claims
Psychiatric Evaluation
Avg $73.59
59,483 claims
Emergency Room Visit
Avg $51.53
58,477 claims
EKG / ECG (Electrocardiogram)
Avg $9.37
55,963 claims