Based on public Medicaid payment data.

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

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
Pacific Clinics 1460 N Lake Ave	$82.67	19	15
Grandview Foundation, Inc. 1230 N Marengo Ave	$235.08	19	13
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.

Average Medicaid Case Management Services Payments in Pasadena, CA: $147.75

Providers Offering Case Management Services in Pasadena, CA

What to Expect: Case Management Services

Cost Components

Frequently Asked Questions

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Office Visit

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