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Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in San Diego, CA: $165.41

Avg. Paid

$165.41

Range

$0.00 – $743.36

Total Claims

1,182,202

Providers

159

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 San Diego, CA

Provider Avg. Paid Claims Patients
Serene Health

9265 Sky Park Ct Ste 100

$136.56 336,494 130,730
American Truecare, Inc

4849 Ronson Ct

$366.24 73,212 59,915
Community Research Foundation Inc

1202 Morena Blvd Ste 100

$287.09 66,776 29,392
La Maestra Family Clinic, Inc.

4060 Fairmount Ave

$107.74 45,615 13,699
La Maestra Family Clinic

4060 Fairmount Ave

$267.53 41,523 15,841
Community Research Foundation Inc

1963 4Th Ave

$70.67 29,667 15,468
Family Health Centers Of San Diego

1809 National Ave

$222.98 29,626 14,787
Telecare Corporation

6160 Mission Gorge Rd

$207.77 27,850 15,654
Community Research Foundation Inc

1260 Morena Blvd

$139.03 26,211 11,918
San Diego Center For Children

3002 Armstrong St

$193.50 24,338 2,699
Community Eldercare Of San Diego

111 Elm St

$0.00 22,755 7,059
Community Research Foundation Inc

995 Gateway Center Way Ste 300

$168.99 21,743 11,012
Pathways Community Services Llc

3870 Murphy Canyon Rd Ste 320-325

$123.63 21,240 8,355
Mental Health Systems, Inc.

4283 El Cajon Blvd

$104.57 20,585 7,994
County Of San Diego

1250 Morena Blvd

$239.58 19,964 12,109
Community Research Foundation Inc

1465 30Th St

$93.98 19,843 10,487
Community Research Foundation Inc

928 Broadway

$179.59 16,941 7,066
Info Line Of San Diego

3860 Calle Fortunada Ste 101

$214.78 16,522 5,944
Telecare Corporation

3132 Jefferson St

$117.64 16,443 7,358
Telecare Corporation

3132 Jefferson St

$115.73 14,516 5,741
Community Research Foundation Inc

7917 Ostrow St Ste A

$78.36 14,436 7,892
San Diego Center For Children

2655 Camino Del Rio N Ste 450

$112.49 14,003 4,741
Community Research Foundation Inc

1045 9Th Ave

$87.72 13,632 10,754
New Alternatives, Incorporated

3517 Camino Del Rio S.

$129.94 12,325 3,944
Community Research Foundation Inc

1260 Morena Blvd Ste 200

$94.36 12,127 5,431
Telecare Corporation

1660 Hotel Cir N Ste 101

$140.70 11,886 3,356
Mental Health Systems, Inc.

8775 Aero Dr Ste 132

$121.18 11,244 4,565
Community Research Foundation Inc

1202 Morena Blvd Ste 204

$92.65 10,518 2,077
Community Research Foundation Inc

10717 Camino Ruiz

$93.16 8,871 4,958
Telecare Corporation

3491 Kurtz St Ste 150

$173.15 8,608 2,507
La Maestra Family Clinic, Inc.

4060 Fairmount Ave

$115.74 8,307 2,196
Telecare Corporation

3491 Kurtz St Ste 150

$197.62 7,582 2,848
Jewish Family Service Of San Diego

8804 Balboa Ave

$253.35 6,533 3,739
Mental Health Systems, Inc.

1011 Camino Del Rio S Ste 300

$140.51 6,282 2,178
Telecare Corporation

3132 Jefferson St

$119.05 5,474 1,622
New Alternatives, Incorporated

9400 Ruffin Court

$113.67 5,459 2,315
Telecare Corporation

1675 Morena Blvd

$54.48 5,393 1,319
Lydia Schaake

7801 Mission Center Ct Ste 250

$193.83 4,556 2,520
Exodus Recovery, Inc.

2950 El Cajon Blvd

$208.94 4,524 3,096
Telecare Corporation

3491 Kurtz St Ste 150

$128.60 4,408 2,113
Pathways Community Services Llc

6244 El Cajon Blvd

$107.32 4,316 3,217
Volunteers Of America Southwest California, Inc.

3530 Camino Del Rio N

$161.19 4,189 3,642
Telecare Corporation

3491 Kurtz St Ste 150

$181.89 4,105 1,900
Rady Children'S Hospital San Diego

3665 Kearny Villa Rd

$108.68 3,571 2,230
Serene Health Group Llc

9265 Sky Park Ct Ste 100

$401.63 3,525 3,429
Union Of Pan Asian Communities

7830 Clairemont Mesa Blvd

$235.69 3,499 2,121
Pouya Afshar Md Inc

3111 Camino Del Rio N Ste 625

$159.12 3,393 1,654
The Neighborhood House Assn

286 Euclid Ave Ste 102

$83.95 3,391 2,536
San Diego Center For Children

6386 Alvarado Ct Ste 310

$119.00 3,303 1,840
Centro De Salud De La Comunidad De San Ysidro Inc

3177 Ocean View Blvd

$197.18 3,272 2,034

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 San Diego, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in San Diego, CA is $165.41 per claim, based on 1,182,202 claims from 159 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 San Diego, CA?

There are 159 Medicaid providers offering Case Management Services related services in San Diego, CA according to public payment data.

What is the price range for Case Management Services in San Diego, CA?

Medicaid reimbursement for Case Management Services in San Diego, CA ranges from $0.00 to $743.36 per claim, with an average of $165.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Case Management Services in Other Cities

Other Procedures in San Diego, CA