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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
Rakesh Malhotra

200 W Arbor Dr

$7.99 15 15
Heather Schmit

2026 Illion St

$28.92 16 13
Richard William Novotny

200 W Arbor Dr

$12.36 16 14
Lauren Mary Pollock

7801 Mission Center Ct Ste 250

$66.45 16 16
Zalya Castaner

7060 Clairemont Mesa Blvd

$347.30 24 24
Union Of Pan Asian Communities

3539 College Ave

$140.02 25 15
Nadine Elaine Sidrick

4440 Euclid Ave # C

$3.99 25 25
Christopher Steven Hall

734 10Th Ave

$35.53 28 26
Rooted Life

6315 Connie Dr

$743.36 30 26
North County Lifeline

3890 Murphy Canyon Rd Ste 250

$295.88 33 24
Alan James Zieg

1809 National Ave

$0.00 41 40
Sylvia Akua Searleman

17927 Aguamiel Rd

$0.00 42 42
Jeffrey A Sandler

4060 4Th Ave Ste 340

$8.70 46 46
San Diego Unified School District

5650 Mount Ackerly Dr

$72.12 49 24
Lightbridge Hospice, Llc

6155 Cornerstone Court East

$134.50 52 28
San Diego Youth Services

3660 Fairmount Ave

$147.82 55 25
St. Vincent De Paul Village, Inc

1501 Imperial Ave

$168.92 59 37
Mary Ariel East

1250 6Th Ave Ste 150

$465.00 61 61
Pathfinders Of San Diego

1530 Dale St

$131.58 66 24
Union Of Pan Asian Communities

3539 College Ave

$32.22 67 30
San Diego Youth Services

3427 4Th Ave

$172.28 76 31
Family Health Centers Of San Diego Inc

1750 5Th Ave

$139.29 89 82
Vietnam Veterans Of San Diego

4141 Pacific Hwy

$293.93 90 68
Jehrib M Cabarlo

3900 Fifth Ave Ste 140

$135.62 94 30
Family Health Centers Of San Diego, Inc

1809 National Ave

$0.00 99 62
Emily Christine Rall

3177 Ocean View Blvd

$97.72 105 25
San Diego Second Chance Program

6145 Imperial Ave

$66.74 110 62
Eli Marrette Watts

292 Euclid Ave Ste 210

$100.01 111 26
Vista Hill Foundation

4484 Pacific Highway

$240.61 111 49
San Diego Center For Children

3002 Armstrong St

$67.51 116 66
Prime Healthcare Paradise Valley Hospital

2001 Rimbey Avenue

$226.39 118 81
Vista Hill Foundation

6070 Mission Gorge Rd

$285.56 125 93
Tsuh-Yin Chen

3544 30Th St

$116.82 128 37
Silvia Denise Mejia Garcia

734 10Th Ave

$0.00 148 70
Neighborhood House Association

286 Euclid Ave Ste 102

$136.13 170 113
Sweetwater Union High School District

1051 Picador Blvd

$137.25 183 147
The Neighborhood House Association

286 Euclid Ave Ste 207

$67.97 184 106
San Diego Unified School District

4150 Ute Dr

$83.80 195 105
Sarah Trevena

3491 Kurtz St Ste 150

$129.97 203 136
Mission Treatment Services, Inc.

8898 Clairemont Mesa Blvd

$261.16 231 131
Mental Health Systems, Inc.

4660 Viewridge Ave

$49.44 264 139
Pathfinders Of San Diego

2952 Cedar St

$156.99 266 148
Crash, Inc.

835 25Th St

$159.87 269 130
San Diego Unified School District

5650 Mount Ackerly Dr

$104.02 275 197
Elly Hann

8285 Santa Arminta Ave

$0.00 290 200
Crash, Inc.

4161 Marlborough Ave

$105.83 296 198
Hilda Lizeth Griffitts

8910 Clairemont Mesa Blvd

$0.00 299 234
Mental Health Systems, Inc.

3340 Kemper St Ste 105&207

$178.05 304 170
Katherine N White

15004 Innovation Dr

$124.08 315 97
Deborah San Lee

2121 San Diego Ave

$0.00 335 254

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