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Based on public Medicaid payment data.

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
County Of Stanislaus

1418 J St

$83.84 63 38
Caitlin Denise Cook-Davis

1700 Mchenry Village Way

$98.88 63 43
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

Other Procedures in Modesto, CA