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
Silicon Valley Independent Living Center 2306 Zanker Rd	$414.55	16	15
Lisa Lauren Noon 232 E Gish Rd	$0.00	30	27
Camille Donita Albitres 232 E Gish Rd	$363.60	32	26
Cherie Yeung 232 E Gish Rd	$0.00	32	29
Elizabeth Joy Mccraven 1333 Meridian Ave	$0.00	65	57
Seneca Family Of Agencies 3165 Olin Ave	$252.82	65	41
Abode Services 1156 N 4Th St	$164.84	68	46
Yoruba Demond Harrison 232 E Gish Rd	$66.87	80	56
Christina V Garcia 1671 The Alameda Ste 306	$0.00	106	70
Homefirst Services Of Santa Clara County 2011 Little Orchard St	$131.69	134	63
Maria Fernanda Arballo Lohr 438 N White Rd	$360.48	216	192
Gardner Family Health Network 160 E Virginia St Ste 264	$159.99	221	120
County Of Santa Clara 1993 Mckee Rd	$602.26	243	100
San Jose Foothill Family Community Clinic, Inc. 1066 South White Road	$444.74	273	267
Momentum For Health 650 S Bascom Ave	$335.89	339	85
County Of Santa Clara 150 W Tasman Dr	$90.27	380	212
County Of Santa Clara 2410 Senter Rd	$333.94	397	341
Roots Community Health Center 1898 The Alameda	$346.81	403	370
San Jose Foothill Family Community Clinic, Inc 5504 Monterey Hwy	$374.79	411	345
County Of Santa Clara 2425 Enborg Ln	$209.39	414	340
Crystal Morris 4992 Union Ave	$4.71	539	299
Caminar 2218 North First St	$270.51	579	241
Goodwill Industries Of Santa Clara County 1080 N 7Th St	$266.86	805	413
Caminar 2226 N 1St St	$213.89	841	438
County Of Santa Clara 840 Guadalupe Pkwy	$769.07	895	227
Abode Services 1144 S 2Nd St Ste 110	$206.52	986	257
County Of Santa Clara 828 S Bascom Ave Ste 190	$362.28	1,000	669
County Of Santa Clara 750 S Bascom Ave	$111.84	1,092	703
Ana Cid Chrisman 232 E Gish Rd	$322.12	1,260	989
Catholic Charities Of Santa Clara County 645 Wool Creek Dr	$149.88	1,417	806
Asian Americans For Community Involvement Of Santa Clara County 2400 Moorpark Ave	$214.46	1,473	1,419
Marcia Viquez 232 E Gish Rd	$0.00	1,608	1,144
Caminar 2202 N 1St St Ste 2210	$199.27	1,670	1,010
School Health Clinics Of Santa Clara County 100 Oak St	$298.99	1,944	1,798
County Of Santa Clara 1993 Mckee Rd	$133.66	2,459	1,717
Santa Clara County Health Authority 6201 San Ignacio Ave	$0.00	2,503	1,022
Gardner Family Health Network Inc 725 E. Santa Clara Street	$289.52	2,727	2,242
Abode Services 2450 Senter Rd	$203.11	2,780	860
Indian Health Center Of Santa Clara Valley 602 E Santa Clara St	$182.82	2,792	959
The Unity Care Group 1400 Parkmoor Ave Ste 115	$148.83	2,816	413
Alum Rock Counseling Center, Inc. 777 N 1St St	$130.66	3,020	1,634
County Of Santa Clara 828 S Bascom Ave	$392.49	3,107	2,086
Path 290 N 2Nd Street	$309.63	3,343	941
Unity Care Group, Inc 1400 Parkmoor Ave Ste 115	$164.96	3,392	586
Catholic Charities Of Scc 921 S 1St St Ste B	$146.71	3,498	1,422
Bill Wilson Center 10 Margaret St	$173.18	3,676	1,531
The Health Trust 46 Race St	$217.94	4,099	2,528
County Of Santa Clara 777 E Santa Clara St	$117.07	4,223	2,969
Abode Services 25 N 14Th St Ste 400	$332.44	4,519	2,418
Catholic Charities Of Santa Clara County 2625 Zanker Rd	$151.12	4,635	2,018

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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