Average Medicaid Case Management Services Payments in Pomona, CA: $119.43
Avg. Paid
$119.43
Range
$4.08 – $320.69
Total Claims
75,201
Providers
18
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 Pomona, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rita Kamal Pradhan
1904 N Orange Grove Ave |
$10.59 | 13 | 13 |
|
Healthright 360
831 E Arrow Hwy |
$238.85 | 22 | 15 |
|
Well And Fit Adult Day Health Care, Inc
105 Mercury Circle |
$153.05 | 183 | 164 |
|
Healthright 360
845 E Arrow Hwy |
$102.66 | 188 | 106 |
|
Los Angeles County Department Of Mental Health
801 Corporate Center Dr |
$130.53 | 200 | 103 |
|
Rosemary Children'S Services
801 Corporate Center Dr |
$216.06 | 394 | 222 |
|
Tri-City Mental Health Authority
1900 Royalty Dr |
$211.09 | 611 | 355 |
|
Anthony Cerafice
162 Valley Oak Ln |
$5.30 | 642 | 545 |
|
Behavioral Health Services, Inc.
2180 West Valley Blvd. |
$19.26 | 1,066 | 398 |
|
East Valley Community Health Center, Inc.
1555 S Garey Ave |
$39.51 | 1,433 | 1,166 |
|
Chaparral Medical Group, Inc.
1866 N Orange Grove Ave |
$4.08 | 1,628 | 915 |
|
Ettie Lee Homes, Inc
160 E Holt Ave Ste B |
$119.38 | 2,575 | 1,079 |
|
Behavioral Health Services Inc.
2180 West Valley Blvd |
$86.69 | 2,763 | 895 |
|
Victor Treatment Centers, Inc.
801 Corporate Center Dr Ste 202 |
$213.46 | 3,773 | 1,341 |
|
Tri-City Mental Health Authority
2008 N Garey Ave |
$320.69 | 4,474 | 2,382 |
|
Healthright 360
831 E Arrow Hwy |
$212.27 | 5,099 | 2,252 |
|
Blehealth, Llc
300 S Park Ave Ste 850 |
$68.43 | 22,250 | 10,073 |
|
Florence Crittenton Services Of Orange County, Inc.
1460 E Holt Ave |
$115.09 | 27,887 | 2,606 |
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 Pomona, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Pomona, CA is $119.43 per claim, based on 75,201 claims from 18 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 Pomona, CA?
There are 18 Medicaid providers offering Case Management Services related services in Pomona, CA according to public payment data.
What is the price range for Case Management Services in Pomona, CA?
Medicaid reimbursement for Case Management Services in Pomona, CA ranges from $4.08 to $320.69 per claim, with an average of $119.43. 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 Pomona, CA
Blood Work & Lab Tests
Avg $3.21
4,565,012 claims
Office Visit
Avg $29.82
1,091,740 claims
Urinalysis & Urine Tests
Avg $1.47
848,645 claims
Physical Therapy
Avg $34.06
464,973 claims
Substance Abuse Treatment
Avg $64.29
429,941 claims
Dental Cleaning & Exam
Avg $49.69
313,121 claims
Emergency Room Visit
Avg $72.32
308,969 claims
X-Ray
Avg $10.26
271,954 claims