Average Medicaid Case Management Services Payments in Ontario, CA: $132.60
Avg. Paid
$132.60
Range
$0.00 – $380.66
Total Claims
17,024
Providers
15
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 Ontario, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
West End Family Counseling Service
1420 S Milliken Ave Ste 506&508 |
$190.65 | 5,383 | 3,548 |
|
Institute On Aging - Southern California Llc
3200 E Guasti Rd Ste 173 |
$35.26 | 4,925 | 2,569 |
|
Calibrated Healthcare, Llc
3633 Inland Empire Blvd Ste 301 |
$30.12 | 1,507 | 850 |
|
Ontario-Montclair School District
1515 S Bon View Ave |
$190.39 | 1,236 | 786 |
|
County Of San Bernardino
2940 Inland Empire Blvd |
$272.54 | 1,106 | 922 |
|
Michael James Conley
3401 Centre Lake Dr Ste 470 |
$218.78 | 668 | 665 |
|
West End Family Counseling Service
855 N Euclid Ave |
$95.16 | 589 | 482 |
|
Vache Chakmakian
437 N Euclid Ave |
$5.29 | 454 | 392 |
|
Valley Star Behavioral Health, Inc.
316 E E St |
$380.66 | 428 | 227 |
|
Clare Matrix
812 N Euclid Ave |
$171.46 | 373 | 187 |
|
Ricardo Vela
403 W F St |
$0.00 | 150 | 117 |
|
County Of San Bernardino
2940 Inland Empire Blvd |
$195.06 | 134 | 79 |
|
Vanessa Clara Seal
3110 E Guasti Rd Ste 315 |
$250.00 | 42 | 42 |
|
Jacquiline Rances Jamora
1035 E Riverside Dr |
$250.00 | 15 | 15 |
|
Francesca Yarnall
3401 Centre Lake Dr Ste 512 |
$242.57 | 14 | 14 |
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 Ontario, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Ontario, CA is $132.60 per claim, based on 17,024 claims from 15 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 Ontario, CA?
There are 15 Medicaid providers offering Case Management Services related services in Ontario, CA according to public payment data.
What is the price range for Case Management Services in Ontario, CA?
Medicaid reimbursement for Case Management Services in Ontario, CA ranges from $0.00 to $380.66 per claim, with an average of $132.60. 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 Ontario, CA
Substance Abuse Treatment
Avg $25.92
554,316 claims
Office Visit
Avg $37.92
498,039 claims
Behavioral & Mental Health Therapy
Avg $159.21
465,128 claims
Dental Cleaning & Exam
Avg $54.84
216,829 claims
Speech Therapy
Avg $42.25
216,721 claims
Blood Work & Lab Tests
Avg $2.46
141,892 claims
Psychiatric Evaluation
Avg $137.36
121,883 claims
Vaccines & Immunizations
Avg $3.27
116,444 claims