Average Medicaid Case Management Services Payments in Modesto, CA: $214.33
Avg. Paid
$214.33
Range
$0.00 – $356.44
Total Claims
151,256
Providers
40
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 Modesto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Stanislaus
1601 I St., Ste. 200, 2Nd Fl. |
$277.38 | 32,914 | 10,993 |
|
County Of Stanislaus
500 N 9Th St Ste D |
$212.02 | 16,230 | 9,265 |
|
Turning Point Community Programs
1001 Needham St |
$210.06 | 16,064 | 6,973 |
|
Telecare Corporation
121 Downey Ave |
$172.65 | 14,653 | 7,222 |
|
County Of Stanislaus
500 N 9Th St Ste C |
$213.87 | 12,517 | 5,191 |
|
Central Star Behavioral Health, Inc.
1539 Mchenry Ave. |
$168.53 | 11,953 | 3,817 |
|
County Of Stanislaus
500 N 9Th St Ste B |
$236.36 | 6,899 | 2,278 |
|
County Of Stanislaus
251 East Hackett Road |
$217.02 | 5,189 | 3,281 |
|
County Of Stanislaus
190 Hackett Road |
$230.87 | 4,010 | 1,611 |
|
County Of Stanislaus
500 N 9Th St Ste B |
$201.27 | 3,853 | 1,815 |
|
Telecare Corporation
121 Downey Ave |
$132.86 | 3,192 | 1,669 |
|
County Of Stanislaus
100 Poplar Ave |
$218.43 | 3,125 | 1,765 |
|
County Of Stanislaus
2215 Blue Gum Ave |
$270.61 | 2,644 | 1,457 |
|
Aspiranet
1620 Cummins Dr |
$356.44 | 2,224 | 420 |
|
Elaine Joy Tubayan Soriano
1510 Florida Ave |
$53.86 | 2,190 | 2,030 |
|
County Of Stanislaus
1208 9Th St |
$195.25 | 2,071 | 1,108 |
|
Stanislaus County Bhrs
800 Scenic Dr |
$0.00 | 1,890 | 571 |
|
Aspiranet Behavioral Health
1620 Cummins Dr |
$179.98 | 1,781 | 1,079 |
|
County Of Stanislaus
101 Park Ave |
$243.96 | 1,777 | 1,058 |
|
Sierra Vista Child & Family Services
1700 Mchenry Village Way |
$137.10 | 1,690 | 657 |
|
Aspiranet
1620 Cummins Dr |
$242.48 | 992 | 921 |
|
Nancy V Valdovinos Tapia
1539 Mchenry Ave |
$42.80 | 568 | 528 |
|
County Of Stanislaus
800 Scenic Dr Bldg D |
$237.81 | 542 | 105 |
|
Sierra Vista Child & Family Services
1700 Mchenry Village Way |
$183.04 | 454 | 138 |
|
Center For Human Services
2000 W Briggsmore Ave |
$114.47 | 440 | 353 |
|
County Of Stanislaus
920 16Th Street, Unit B & C |
$133.03 | 307 | 247 |
|
Center For Human Services
2000 W Briggsmore Ave. |
$115.86 | 222 | 136 |
|
Stacy Liane Catanzarite
100 Poplar Ave |
$99.67 | 209 | 209 |
|
Kelli D'Nell Jones
100 Poplar Ave |
$95.63 | 144 | 131 |
|
Estela Moreno
1700 Mchenry Village Way |
$95.33 | 107 | 107 |
|
Nirvana Drug And Alcohol
1100 Kansas Ave Ste Bc&D |
$12.11 | 70 | 70 |
|
Caitlin Denise Cook-Davis
1700 Mchenry Village Way |
$98.88 | 63 | 43 |
|
County Of Stanislaus
1418 J St |
$83.84 | 63 | 38 |
|
Romyna Mae Teale
800 Scenic Dr |
$44.00 | 62 | 59 |
|
Stephanie Fisher
1700 Mchenry Village Way Ste 16 |
$89.01 | 55 | 44 |
|
Koinonia Foster Homes Inc
406 Motor City Ct |
$157.50 | 34 | 13 |
|
Valerie Vecente
100 Poplar Ave |
$100.00 | 18 | 18 |
|
Aspiranet
1620 Cummins Dr |
$269.14 | 14 | 12 |
|
Sierra Vista Child & Family Services
2524 Finney Rd |
$100.66 | 13 | 12 |
|
Nisha Ann Roy
1923 Coffee Rd Ste 12 |
$0.00 | 13 | 12 |
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 Modesto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Modesto, CA is $214.33 per claim, based on 151,256 claims from 40 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 Modesto, CA?
There are 40 Medicaid providers offering Case Management Services related services in Modesto, CA according to public payment data.
What is the price range for Case Management Services in Modesto, CA?
Medicaid reimbursement for Case Management Services in Modesto, CA ranges from $0.00 to $356.44 per claim, with an average of $214.33. 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 Modesto, CA
Office Visit
Avg $28.79
2,335,494 claims
Blood Work & Lab Tests
Avg $7.39
1,231,704 claims
Substance Abuse Treatment
Avg $58.76
737,923 claims
Physical Therapy
Avg $26.45
700,100 claims
Emergency Room Visit
Avg $82.65
624,564 claims
Dental Cleaning & Exam
Avg $51.91
543,449 claims
Urinalysis & Urine Tests
Avg $2.49
526,756 claims
Vaccines & Immunizations
Avg $8.27
517,898 claims