Average Medicaid Case Management Services Payments in Merced, CA: $230.92
Avg. Paid
$230.92
Range
$13.90 – $377.10
Total Claims
80,610
Providers
21
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 Merced, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Merced
480 E 13Th St |
$276.60 | 56 | 49 |
|
County Of Merced
300 E 15Th St Ste A |
$319.74 | 91 | 77 |
|
Sierra Saving Grace Homeless Project
3341 M St |
$53.05 | 152 | 63 |
|
County Of Merced
301 E 13Th St Ste B |
$194.56 | 158 | 146 |
|
Elder Services, Inc.
1460 Merced Ave |
$19.52 | 173 | 85 |
|
County Of Merced
1577 W Main St |
$151.64 | 240 | 184 |
|
Sierra Vista Child & Family Services
642 W Main St |
$43.97 | 341 | 290 |
|
Elder Services, Inc.
1460 Merced Ave |
$13.90 | 480 | 258 |
|
County Of Merced
301 E 13Th St Ste B |
$170.07 | 697 | 558 |
|
Dr. Jennifer M. Jones Foundation
535 W 26Th St |
$33.97 | 1,007 | 625 |
|
Glom Substance Abuse Program
1020 W Main St |
$262.49 | 1,216 | 721 |
|
Love Focus International Association Lfia
108 W Alexander Ave |
$53.89 | 1,246 | 1,067 |
|
Merced Lao Family Community Inc.
1748 Miles Ct |
$220.23 | 1,284 | 1,043 |
|
County Of Merced
300 E 15Th St Ste A |
$170.78 | 2,153 | 1,026 |
|
Aspiranet
3360 N Highway 59 |
$311.10 | 3,621 | 949 |
|
Mission Merced Incorporated
900 N St |
$42.37 | 3,786 | 3,288 |
|
Merced County Community Action Board
1235 W Main St |
$16.20 | 6,875 | 5,034 |
|
Turning Point Community Programs
3333 M St |
$377.10 | 7,411 | 2,800 |
|
Aspiranet
3360 N Highway 59 Ste G |
$266.29 | 7,820 | 3,002 |
|
County Of Merced
1275 B St Ste B |
$185.37 | 11,637 | 7,670 |
|
County Of Merced
301 E 13Th St Ste A |
$293.30 | 30,166 | 12,892 |
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 Merced, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Merced, CA is $230.92 per claim, based on 80,610 claims from 21 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 Merced, CA?
There are 21 Medicaid providers offering Case Management Services related services in Merced, CA according to public payment data.
What is the price range for Case Management Services in Merced, CA?
Medicaid reimbursement for Case Management Services in Merced, CA ranges from $13.90 to $377.10 per claim, with an average of $230.92. 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 Merced, CA
Office Visit
Avg $28.40
2,195,639 claims
Blood Work & Lab Tests
Avg $11.11
448,682 claims
Physical Therapy
Avg $31.09
426,908 claims
Urinalysis & Urine Tests
Avg $3.09
310,116 claims
Vaccines & Immunizations
Avg $15.31
300,011 claims
Emergency Room Visit
Avg $84.49
249,697 claims
Dental Cleaning & Exam
Avg $51.73
249,023 claims
Substance Abuse Treatment
Avg $85.66
223,627 claims