Average Medicaid Case Management Services Payments in Pasadena, CA: $147.75
Avg. Paid
$147.75
Range
$0.00 – $320.15
Total Claims
147,738
Providers
41
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 Pasadena, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heritage Clinic And The Community Assistance Program For Seniors
253 N San Gabriel Blvd Ste 100 |
$105.77 | 40,008 | 14,465 |
|
Hillsides
940 Avenue 64 |
$140.04 | 24,702 | 1,816 |
|
Hathaway-Sycamores Child And Family Services
851 N Oakland Ave |
$204.56 | 13,745 | 5,258 |
|
Pacific Clinics
1020 S Arroyo Pkwy |
$189.08 | 9,179 | 3,651 |
|
Pacific Clinics
66 Hurlbut St |
$140.62 | 8,697 | 4,479 |
|
Huntington Hospital
100 W California Blvd |
$0.00 | 8,431 | 8,403 |
|
Community Health Alliance Of Pasadena
1855 N Fair Oaks Ave |
$243.04 | 6,672 | 4,307 |
|
D'Veal Family And Youth Services
2750 E. Washington Blvd |
$189.60 | 5,128 | 1,131 |
|
Pacific Clinics
1020 S Arroyo Pkwy |
$245.49 | 4,794 | 1,928 |
|
Social Model Recovery Systems, Inc.
44 S Mentor Ave Ste A |
$320.15 | 4,649 | 1,333 |
|
Healthright 360
2650 E Foothill Blvd |
$161.76 | 4,255 | 2,200 |
|
Principles Inc (Dba) Impact Drug & Alcohol Treatment Center
1680 N Fair Oaks Ave |
$94.28 | 2,888 | 323 |
|
Tobinworld
170 South Oakland Avenue |
$202.50 | 2,423 | 1,866 |
|
Hillsides
940 Avenue 64 |
$194.96 | 1,775 | 390 |
|
D'Veal Family And Youth Services
855 N Orange Grove Blvd |
$150.31 | 1,520 | 977 |
|
Jwch Institute, Inc
1845 N Fair Oaks Ave |
$7.78 | 1,317 | 633 |
|
Five Acres- The Boys' And Girls' Aid Society Of Los Angeles County
867 N Fair Oaks Ave |
$162.75 | 1,175 | 711 |
|
Cristina Marie Melendez
867 N Fair Oaks Ave |
$109.80 | 1,075 | 1,074 |
|
Alan Markie
898 N Fair Oaks Ave Ste G |
$319.63 | 872 | 872 |
|
Nakeya Tonisha Fields
236 W Mountain St Ste 103 |
$27.43 | 729 | 417 |
|
Connie Larissa Tate
447 N El Molino Ave |
$48.06 | 604 | 512 |
|
Foothill Family Service
897 Granite Dr |
$180.58 | 410 | 154 |
|
Pasadena Hospital Association, Ltd
100 W California Blvd |
$320.00 | 382 | 382 |
|
Rosemary Children'S Services
3244 E Green St |
$103.40 | 335 | 111 |
|
D'Veal Family & Youth Services
2750 E Washington Blvd |
$174.99 | 260 | 121 |
|
Maricsa Gomez
150 S Los Robles Ave Ste 950 |
$69.70 | 241 | 119 |
|
Victor Treatment Centers, Inc.
3244 E Green St |
$100.78 | 240 | 49 |
|
Genesis Medina
867 N Fair Oaks Ave |
$65.92 | 224 | 122 |
|
Pacific Clinics
2550 E Foothill Blvd |
$124.55 | 202 | 106 |
|
Principles Inc (Dba) Impact Drug & Alcohol Treatment Center
1450 N Lake Ave |
$72.41 | 202 | 60 |
|
Pacific Clinics
2550 E Foothill Blvd |
$242.08 | 142 | 79 |
|
Kevin Bertrand Tyson
2661 E Washington Blvd |
$0.00 | 105 | 72 |
|
Community Health Alliance Of Pasadena
2055 Lincoln Ave |
$0.00 | 90 | 73 |
|
Millennium Adult Health Care, Inc
136 Cook Ave. |
$96.96 | 78 | 74 |
|
Gwendolyn L Coleman
447 N El Molino Ave |
$122.73 | 47 | 27 |
|
Lizette B Ayala
855 N Orange Grove Blvd |
$51.84 | 43 | 35 |
|
Healthright 360
2650 E Foothill Blvd |
$229.06 | 26 | 16 |
|
Angie Dianna Maldonado
867 N Fair Oaks Ave |
$76.44 | 19 | 15 |
|
Grandview Foundation, Inc.
1230 N Marengo Ave |
$235.08 | 19 | 13 |
|
Pacific Clinics
1460 N Lake Ave |
$82.67 | 19 | 15 |
|
Emily Arce
66 Hurlbut St |
$0.00 | 16 | 16 |
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 Pasadena, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Pasadena, CA is $147.75 per claim, based on 147,738 claims from 41 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 Pasadena, CA?
There are 41 Medicaid providers offering Case Management Services related services in Pasadena, CA according to public payment data.
What is the price range for Case Management Services in Pasadena, CA?
Medicaid reimbursement for Case Management Services in Pasadena, CA ranges from $0.00 to $320.15 per claim, with an average of $147.75. 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 Pasadena, CA
Non-Emergency Medical Transportation
Avg $23.66
13,387,849 claims
Ambulance Transport
Avg $23.22
11,783,684 claims
Office Visit
Avg $21.48
1,036,760 claims
Behavioral & Mental Health Therapy
Avg $233.66
555,263 claims
Blood Work & Lab Tests
Avg $3.51
521,414 claims
Substance Abuse Treatment
Avg $65.64
408,555 claims
Eye Exam
Avg $22.37
329,869 claims
Dental Cleaning & Exam
Avg $48.59
299,357 claims