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
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 San Diego, CA
Blood Work & Lab Tests
Avg $4.97
35,607,223 claims
Office Visit
Avg $33.35
6,429,225 claims
Urinalysis & Urine Tests
Avg $1.06
5,271,070 claims
Speech Therapy
Avg $16.23
4,362,220 claims
X-Ray
Avg $14.53
2,038,180 claims
Emergency Room Visit
Avg $104.48
1,987,395 claims
Culture & Microbiology Tests
Avg $1.81
1,568,174 claims
Substance Abuse Treatment
Avg $88.82
1,360,427 claims