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
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