Average Medicaid Case Management Services Payments in Orange, CA: $186.68
Avg. Paid
$186.68
Range
$0.00 – $613.27
Total Claims
68,197
Providers
32
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 Orange, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
My Md Inc
2680 N Santiago Blvd |
$21.20 | 15 | 15 |
|
Andrew Ira Shulman
455 S Main St |
$17.41 | 55 | 55 |
|
County Of Orange
4000 W Metropolitan Dr Ste 402 |
$94.21 | 69 | 39 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$98.28 | 80 | 80 |
|
Jasmynne Spence
736 E Whitecap Ave |
$32.27 | 86 | 33 |
|
County Of Orange
4000 W Metropolitan Dr Ste 403 |
$234.47 | 98 | 29 |
|
Patricia Rojas
100 W Chapman Ave Ste 200 |
$2.36 | 112 | 38 |
|
Jenny Ramirez
3155 Justice Center Way |
$0.00 | 153 | 125 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$100.89 | 158 | 158 |
|
Shoba Narayan
455 S Main St |
$51.91 | 330 | 317 |
|
Maria Anasis
3432 E White Chapel Ct |
$293.51 | 343 | 290 |
|
Avery Home Health Agency, Inc.
725 W Town And Country Rd Ste 420 |
$45.51 | 348 | 332 |
|
Genetics Center
211 South Main Street |
$101.39 | 425 | 423 |
|
Kasein Gonzalez
303 W Katella Ave Ste 308 |
$318.49 | 556 | 556 |
|
Premier Healthcare Services, Llc
625 The City Dr S |
$110.29 | 625 | 615 |
|
Children'S Hospital Of Orange
1201 W La Veta Ave |
$100.40 | 752 | 749 |
|
Salma Ahmed Farukhi
2680 N Santiago Blvd Ste 100 |
$248.55 | 816 | 693 |
|
Twin Town Corporation
705 West La Veta Ste. 208 |
$35.37 | 828 | 470 |
|
County Of Orange
401 The City Dr S |
$200.15 | 1,087 | 916 |
|
County Of Orange
4000 W Metropolitan Dr Ste 404 |
$131.32 | 1,435 | 610 |
|
New Alternatives, Incorporated
238 S Flower St |
$164.98 | 1,577 | 506 |
|
Mariposa Women And Family Center
1845 W Orangewood Ave Ste 300 |
$613.27 | 1,917 | 1,916 |
|
County Of Orange
500 City Pkwy W Ste 200 |
$187.66 | 2,014 | 1,588 |
|
Choc Physicians Network, Inc
1120 W. La Veta Avenue |
$131.27 | 2,017 | 712 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$8.35 | 2,668 | 2,629 |
|
Jacqueline Jeanna-Yturralde Early
500 S Main St Ste 1100 |
$0.02 | 2,864 | 940 |
|
Children'S Hospital Of Orange County
1120 W La Veta Ave Ste 470 |
$110.43 | 3,100 | 1,824 |
|
Children'S Hospital Of Orange County
1120 W La Veta Ave Ste 660/470 |
$214.66 | 4,750 | 2,244 |
|
College Community Services
1855 W Katella Ave |
$172.22 | 7,537 | 3,745 |
|
County Of Orange
301 The City Dr S |
$158.05 | 9,236 | 4,189 |
|
County Of Orange
4000 W Metropolitan Dr Ste 120 |
$210.36 | 9,664 | 5,387 |
|
County Of Orange
800 N Eckhoff St |
$263.07 | 12,482 | 4,587 |
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 Orange, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Orange, CA is $186.68 per claim, based on 68,197 claims from 32 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 Orange, CA?
There are 32 Medicaid providers offering Case Management Services related services in Orange, CA according to public payment data.
What is the price range for Case Management Services in Orange, CA?
Medicaid reimbursement for Case Management Services in Orange, CA ranges from $0.00 to $613.27 per claim, with an average of $186.68. 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 Orange, CA
Blood Work & Lab Tests
Avg $4.74
2,673,584 claims
Office Visit
Avg $52.01
2,116,805 claims
Ambulance Transport
Avg $108.94
1,443,285 claims
X-Ray
Avg $8.74
1,084,008 claims
Emergency Room Visit
Avg $91.53
892,554 claims
Urinalysis & Urine Tests
Avg $2.54
841,684 claims
Dental Cleaning & Exam
Avg $49.98
541,480 claims
EKG / ECG (Electrocardiogram)
Avg $12.71
437,065 claims