Average Medicaid Case Management Services Payments in Oceanside, CA: $122.70
Avg. Paid
$122.70
Range
$0.00 – $411.17
Total Claims
34,913
Providers
13
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 Oceanside, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
North County Lifeline
707 Oceanside Blvd |
$271.86 | 41 | 29 |
|
Community Research Foundation Inc
321 Cassidy St |
$85.75 | 92 | 26 |
|
Mental Health Systems, Inc.
1100 Sportfisher Dr |
$202.40 | 207 | 144 |
|
Lisa Ellen Mcdaniel
818 Pier View Way |
$411.17 | 278 | 242 |
|
Mcalister Institute For Treatment & Education, Inc.
3355 Mission Ave |
$197.65 | 370 | 220 |
|
Mission Treatment Services, Inc.
1905 Apple St Ste 3 |
$165.46 | 377 | 187 |
|
Lindsey Armatis-Rivera
616 S Coast Hwy |
$0.00 | 566 | 353 |
|
Mcalister Institute For Treatment & Education, Inc.
1701 Mission Ave Ste 310 |
$160.09 | 743 | 457 |
|
North County Lifeline
3142 Vista Way |
$271.13 | 1,212 | 852 |
|
Denise Gomez
605 Crouch St Bldg C |
$407.25 | 1,812 | 1,806 |
|
Rady Children'S Hospital San Diego
3605 Vista Way |
$129.49 | 5,298 | 3,410 |
|
Mental Health Systems, Inc.
1701 Mission Ave Ste 230 |
$68.32 | 10,884 | 6,572 |
|
Mental Health Systems, Inc.
2122 S El Camino Real Ste 102 |
$104.19 | 13,033 | 4,749 |
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 Oceanside, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Oceanside, CA is $122.70 per claim, based on 34,913 claims from 13 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 Oceanside, CA?
There are 13 Medicaid providers offering Case Management Services related services in Oceanside, CA according to public payment data.
What is the price range for Case Management Services in Oceanside, CA?
Medicaid reimbursement for Case Management Services in Oceanside, CA ranges from $0.00 to $411.17 per claim, with an average of $122.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $33.22
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Miami, FL
Avg $82.94
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New York, NY
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Montgomery, AL
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Oklahoma City, OK
Avg $178.61
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Avg $32.09
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Other Procedures in Oceanside, CA
Office Visit
Avg $21.55
826,862 claims
Blood Work & Lab Tests
Avg $6.51
639,238 claims
Speech Therapy
Avg $15.68
252,046 claims
Vaccines & Immunizations
Avg $0.83
218,629 claims
Emergency Room Visit
Avg $90.58
217,809 claims
Urinalysis & Urine Tests
Avg $9.14
189,352 claims
Substance Abuse Treatment
Avg $79.55
137,403 claims
Dental Cleaning & Exam
Avg $48.09
113,124 claims