Based on public Medicaid payment data.

Average Medicaid Case Management Services Payments in San Jose, CA: $220.56

Avg. Paid

$220.56

Range

$0.00 – $769.07

Total Claims

998,173

Providers

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 Jose, CA

Provider	Avg. Paid	Claims	Patients
Gardner Family Health Network, Inc. 160 E Virginia St	$270.58	127,456	48,782
Momentum For Health 2001 The Alameda	$178.58	76,372	29,607
Pacific Clinics 232 E Gish Rd	$231.30	76,203	23,237
Hope Services 1555 Parkmoor Ave	$234.58	71,444	27,059
Starlight Community Services, Inc. 1885 Lundy Ave	$198.66	67,840	6,167
Community Solutions For Children, Families And Individuals 1356 Ridder Park Dr.	$209.68	40,511	13,897
Starlight Community Services, Inc. 6203 San Ignacio Ave	$125.36	36,162	12,449
Telecare Corporation 425 E Santa Clara St	$209.72	29,764	6,858
Asian Americans For Community Involvement Of Santa Clara County 2400 Moorpark Ave	$209.00	26,184	10,522
Momentum For Health 540 N 1St St	$194.36	25,637	12,195
Seneca Family Of Agencies 485 N 1St St	$205.66	24,793	4,446
Momentum For Health 438 N White Rd	$209.80	23,857	10,525
Momentum For Health 438 North White Road	$199.63	19,640	3,082
Momentum For Health 185 Martinvale Ln	$168.46	18,830	6,256
Momentum For Health 86 S 14Th St	$263.92	18,385	3,219
Telecare Corporation 425 E Santa Clara St	$353.11	16,258	4,666
Caminar 2635 Zanker Rd	$150.93	16,145	7,697
Asian Americans For Community Involvement Of Santa Clara County 749 Story Rd Ste 50	$166.12	15,557	8,582
County Of Santa Clara 1075 East Santa Clara Street	$506.40	15,339	9,696
County Of Santa Clara 2221 Enborg Lane	$358.93	12,215	7,254
Momentum For Health 2115 The Alameda	$267.83	11,936	3,861
Children'S Health Council 2280 Kenwood Ave	$178.49	11,435	4,562
County Of Santa Clara 1650 Las Plumas Ave Ste K	$339.05	10,852	6,390
Hoi-Quan Cuu Long Mekong Community Center Inc 2670 S White Rd Ste 200	$245.76	9,956	6,153
Mental Health Systems, Inc. 2 N Market St Ste 300	$296.49	9,540	2,435
Catholic Charities Of Santa Clara County 195 E. San Fernando Street	$154.81	9,522	4,024
North East Medical Services 1870 Lundy Ave	$72.09	8,779	7,076
County Of Santa Clara 2400 Moorpark Ave	$143.44	8,743	6,447
Bill Wilson Center 691 S 2Nd St	$138.92	8,368	2,874
County Of Santa Clara 1887 Monterey Road	$388.58	8,003	6,113
County Of Santa Clara 2101 Alexian Dr	$91.70	7,648	6,180
Seneca Family Of Agencies 481 N 1St St	$160.81	7,136	3,320
County Of Santa Clara 2221 Enborg Ln Ste 200	$402.40	7,029	6,500
Bill Wilson Center 1671 The Alameda #201	$106.45	6,994	2,214
Kidango 2000 Kammerer Ave	$147.56	6,851	2,774
Ranjani Chandramouli 3030 Alum Rock Ave	$13.62	6,277	2,773
Healthright 360 1340 Tully Rd	$106.76	6,149	3,254
Alum Rock Counseling Center Inc 1245 E Santa Clara St	$117.84	5,580	2,906
County Of Santa Clara 2090 Evans Ln	$381.32	5,444	2,170
Ujima Adult And Family Services Inc 1898 The Alameda	$306.61	4,886	2,757
County Of Santa Clara 500 Tully Rd	$165.72	4,830	3,386
Catholic Charities Of Santa Clara County 2625 Zanker Rd	$151.12	4,635	2,018
Abode Services 25 N 14Th St Ste 400	$332.44	4,519	2,418
County Of Santa Clara 777 E Santa Clara St	$117.07	4,223	2,969
The Health Trust 46 Race St	$217.94	4,099	2,528
Bill Wilson Center 10 Margaret St	$173.18	3,676	1,531
Catholic Charities Of Scc 921 S 1St St Ste B	$146.71	3,498	1,422
Unity Care Group, Inc 1400 Parkmoor Ave Ste 115	$164.96	3,392	586
Path 290 N 2Nd Street	$309.63	3,343	941
County Of Santa Clara 828 S Bascom Ave	$392.49	3,107	2,086

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 Jose, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in San Jose, CA is $220.56 per claim, based on 998,173 claims from 91 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 Jose, CA?

There are 91 Medicaid providers offering Case Management Services related services in San Jose, CA according to public payment data.

What is the price range for Case Management Services in San Jose, CA?

Medicaid reimbursement for Case Management Services in San Jose, CA ranges from $0.00 to $769.07 per claim, with an average of $220.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Case Management Services Payments in San Jose, CA: $220.56

Providers Offering Case Management Services in San Jose, CA

What to Expect: Case Management Services

Cost Components

Frequently Asked Questions

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