Based on public Medicaid payment data.

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
Melissa Jiao Jiao Jin 45 Johnstone Dr Apt 301	$0.00	12	12
Fort Help Mission Inc 1101 Capp St	$0.00	15	15
Mary Katherine Wheeler Cote 333 1St St Ste A	$0.00	17	12
Felicitas Koster 100 Pine St Ste 1250	$0.00	20	12
Sutter Bay Hospitals 1580 Valencia Street	$0.00	21	14
Maria Vallejo Hower 1182 Market St Ste 300	$0.00	26	12
Felton Institute 280 Turk St Fl 2	$620.53	28	23
Shelby Clare Kilkenny 1801 Vicente St	$0.00	33	28
Clark Santee 165 Capp St	$600.00	45	12
City & County Of San Francisco 220 Golden Gate Ave	$114.67	46	12
North East Medical Services 3431 Taraval St	$230.00	50	26
Shannon Heuklom 330 Ellis St	$10.95	51	26
John Lester Schaeffer 101 California St Ste 2710	$0.28	53	39
Victor Rafael Laluz 98 Gough St	$0.00	56	50
Sarah Poole 1385 Mission St Ste 200	$115.90	65	31
Claude L. Roge 505 Parnassus Ave # M696	$190.98	66	61
Kaleas Johnson 440 Potrero Ave	$32.36	84	77
Healthright 360 1563 Mission St Fl 5	$462.23	91	84
Brilliant Corners 854 Folsom St	$0.00	101	42
Rene Antonio Santos Lopez 160 Capp St	$587.29	118	40
Gina Li 1235 Mission St	$0.00	122	55
Richard Johnson 1010 Gough St	$14.38	128	98
Michael D. Alvarado 505 Parnassus Ave	$339.86	148	52
Ucsf Health Community Hospitals 450 Stanyan St	$148.43	154	50
Community Housing Partnership 684 Ellis St	$401.54	176	56
Edgewood Center For Children And Families 3801 3Rd St	$230.49	187	71
City Vitals 1182 Market St Ste 300	$140.00	225	144
Rebecca J Fowlkes 5214F Diamond Heights Blvd	$0.00	240	208
Asian And Pacific Islander Wellness Center, Inc. 726 Polk St	$539.57	278	120
A Better Way, Inc. 832 Folsom St Ste 702	$252.66	300	97
Healthright 360 1563 Mission St	$448.04	316	277
Felton Institute 1663 Mission St Ste 604	$288.42	321	211
North East Medical Services 82 Leland Avenue	$63.93	335	144
North East Medical Services 1400 Noriega St	$52.49	372	156
North East Medical Services 1033 Clement St	$65.79	390	159
City And County Of San Francisco 1525 Silver Avenue	$168.93	419	253
University Of California, San Francisco 995 Potrero Ave	$291.19	424	205
San Francisco Pretrial Diversion Project 236 8Th St	$569.41	425	111
Regina Angela Santa Maria 425 7Th St Ste 309	$0.00	490	249
Community Youth Center Of San Francisco 1038 Post St	$316.65	504	253
Instituto Familiar De La Raza 2919 Mission Street	$430.55	510	177
Ellen Mcinnes 160 Capp St	$501.70	529	142
North East Medical Services 650 Polk St	$66.68	569	238
Alondra Peregrino 160 Capp St	$472.36	615	159
North East Medical Services 728 Pacific Ave Ste 201	$0.00	636	422
Baker Places, Inc 170 9Th St	$234.61	641	327
Episcopal Community Services Of San Francisco 972 Mission St Fl 3	$315.92	662	343
City & County Of San Francisco 1001 Potrero Ave	$355.29	725	175
Instituto Familiar De La Raza 5128 Mission St	$299.61	744	114
City & County Of San Francisco 555 Stevenson St	$105.85	774	289

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.

Average Medicaid Case Management Services Payments in San Francisco, CA: $219.34

Providers Offering Case Management Services in San Francisco, CA

What to Expect: Case Management Services

Cost Components

Frequently Asked Questions

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