Average Medicaid Case Management Services Payments in San Francisco, CA: $219.34
Avg. Paid
$219.34
Range
$0.00 – $620.53
Total Claims
857,389
Providers
108
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 Francisco, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pair Team Medical Group Of California Pc
95 3Rd St Ste 293 |
$23.83 | 172,310 | 103,313 |
|
Uc San Francisco
1263 Mission St |
$351.02 | 120,811 | 38,609 |
|
Neil Andrew Solomon
345 Casitas Ave |
$234.09 | 79,176 | 55,508 |
|
Felton Institute
1500 Franklin St |
$318.73 | 53,036 | 17,061 |
|
Institute On Aging
3575 Geary Blvd |
$83.90 | 46,856 | 24,862 |
|
San Francisco Health Authority
50 Beale St |
$0.00 | 34,762 | 8,217 |
|
City & County Of San Francisco
1001 Potrero Ave |
$426.22 | 34,188 | 8,904 |
|
City & County Of San Francisco
760 Harrison St |
$328.82 | 32,832 | 12,739 |
|
Special Service For Groups, Inc.
98 Bosworth St |
$301.90 | 20,443 | 4,056 |
|
Seneca Family Of Agencies
2513 24Th St |
$355.46 | 17,333 | 5,137 |
|
North East Medical Services
1520 Stockton Street |
$122.71 | 16,565 | 9,725 |
|
City & County Of San Francisco - Department Of Public Health
1309 Evans Avenue |
$374.88 | 15,695 | 2,890 |
|
City & County Of San Francisco
2712 Mission Street |
$240.22 | 15,074 | 5,970 |
|
City & County Of San Francisco
729 Filbert St |
$237.57 | 13,790 | 10,063 |
|
Alternative Family Services, Inc.
250 Executive Park Blvd |
$299.27 | 12,699 | 3,328 |
|
Hyde Street Community Services, Inc
815 Hyde St |
$259.89 | 12,572 | 5,248 |
|
Conard House Inc
1385 Mission St |
$183.60 | 12,258 | 4,604 |
|
North And South Of Market Adult Day Health Corp
930 Fourth Street |
$566.37 | 10,255 | 1,649 |
|
Westside Community Mental Health Center
245 11Th St |
$267.94 | 9,849 | 4,194 |
|
City And County Of San Francisco
3801 3Rd St |
$203.89 | 7,040 | 5,140 |
|
Felton Institute
6221 Geary Blvd Fl 2 |
$318.56 | 6,803 | 3,554 |
|
Janelle Marie Dawana Buccat
98 Bosworth St |
$0.00 | 6,670 | 4,177 |
|
Homebridge Inc
1035 Market St Ste 100 |
$522.38 | 5,907 | 1,767 |
|
City & County Of San Francisco
1563 Mission St Ste A |
$180.67 | 5,748 | 3,149 |
|
City & County Of San Francisco
1701 Ocean Avenue |
$288.67 | 5,361 | 3,291 |
|
Richmond Area Multi-Services, Inc.
601 Clement St |
$223.68 | 5,243 | 3,733 |
|
City & County Of San Francisco
755 South Van Ness Avenue |
$331.75 | 5,043 | 2,275 |
|
City & County Of San Francisco
3905 Mission St |
$258.50 | 4,473 | 2,662 |
|
Edgewood Center For Children And Families
1801 Vicente St |
$338.47 | 4,149 | 1,900 |
|
Homeless Children'S Network
3450 3Rd St |
$357.31 | 3,822 | 1,988 |
|
Cayenne Bierman
1390 Market St |
$355.83 | 3,797 | 3,420 |
|
City & County Of San Francisco
1990 41St Ave |
$284.78 | 3,618 | 2,430 |
|
North East Medical Services
2574 San Bruno Ave |
$82.65 | 3,540 | 1,957 |
|
City And County Of San Francisco
100 Blanken Ave |
$186.84 | 3,332 | 1,437 |
|
On Lok Day Services
225 30Th Street Third Floor |
$415.94 | 3,070 | 951 |
|
City And County Of San Francisco
3801 3Rd St |
$250.33 | 3,043 | 1,242 |
|
Oakes Children'S Center, Inc
98 Bosworth St |
$201.82 | 2,550 | 1,186 |
|
Curry Senior Center
315 Turk St |
$285.41 | 2,365 | 1,320 |
|
Center On Juvenile And Criminal Justice
424 Guerrero St Ste A |
$403.13 | 2,229 | 567 |
|
City And County Of San Francisco
1650 Mission Street |
$445.61 | 2,210 | 982 |
|
Aids Healthcare Foundation
518A Castro St |
$52.68 | 2,151 | 1,004 |
|
University Of California, San Francisco
1930 Market St |
$199.39 | 1,856 | 1,195 |
|
City And Couny Of San Francisco
720 Sacramento St |
$251.53 | 1,843 | 1,066 |
|
Westside Community Mental Health, Inc.
245 11Th St |
$360.72 | 1,661 | 1,427 |
|
St Anthony Foundation
150 Golden Gate Ave Fl 2 |
$243.24 | 1,641 | 891 |
|
Seneca Family Of Agencies
45 Farallones St |
$298.33 | 1,610 | 688 |
|
Bayview Hunters Point Foundation For Community Improvement Inc
1625 Carroll Ave |
$218.28 | 1,272 | 867 |
|
City & County Of San Francisco
1380 Howard St. |
$88.04 | 1,265 | 942 |
|
University Of California San Francisco Medical Center
505 Parnassus Ave |
$130.40 | 1,227 | 1,090 |
|
Baart Community Healthcare
433 Turk St |
$98.64 | 1,187 | 677 |
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 Francisco, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in San Francisco, CA is $219.34 per claim, based on 857,389 claims from 108 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 Francisco, CA?
There are 108 Medicaid providers offering Case Management Services related services in San Francisco, CA according to public payment data.
What is the price range for Case Management Services in San Francisco, CA?
Medicaid reimbursement for Case Management Services in San Francisco, CA ranges from $0.00 to $620.53 per claim, with an average of $219.34. 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 Francisco, CA
Office Visit
Avg $27.38
4,381,925 claims
Substance Abuse Treatment
Avg $24.87
3,627,413 claims
Blood Work & Lab Tests
Avg $9.39
1,330,034 claims
Emergency Room Visit
Avg $99.86
864,304 claims
X-Ray
Avg $10.29
837,190 claims
Vaccines & Immunizations
Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims
Behavioral & Mental Health Therapy
Avg $384.22
468,630 claims