Average Medicaid Case Management Services Payments in San Luis Obispo, CA: $203.23
Avg. Paid
$203.23
Range
$15.27 – $438.89
Total Claims
98,142
Providers
16
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 Luis Obispo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Family Care Network, Inc.
1255 Kendall Rd |
$193.32 | 36,215 | 10,612 |
|
County Of San Luis Obispo
2178 Johnson Ave |
$191.42 | 21,451 | 14,019 |
|
Transitions-Mental Health Association
784 High St |
$249.58 | 11,269 | 4,114 |
|
County Of San Luis Obispo
2975 Mcmillan Ave Ste 160 |
$241.00 | 6,900 | 3,844 |
|
County Of San Luis Obispo
2180 Johnson Ave Fl 1 |
$221.11 | 4,751 | 1,417 |
|
County Of San Luis Obispo
2925 Mcmillan Ave Ste 108 |
$212.04 | 4,726 | 2,488 |
|
Transitions Mental Health Association
1998 Santa Barbara Ave |
$203.98 | 4,246 | 1,254 |
|
County Of San Luis Obispo Drug And Alcohol Services
2180 Johnson Ave |
$129.24 | 2,858 | 1,283 |
|
Wilshire Community Services
285 South St |
$228.06 | 1,779 | 468 |
|
Transitions Mental Health Associatioin
1998 Santa Barbara Ave Ste 100 |
$211.64 | 1,723 | 874 |
|
Sierra Mental Wellness Group
2975 Mcmillan Ave Ste 164 |
$99.02 | 834 | 769 |
|
County Of San Luis Obispo
2180 Johnson Ave |
$15.27 | 608 | 248 |
|
County Of San Luis Obispo
2191 Johnson Ave |
$317.39 | 457 | 424 |
|
County Of San Luis Obispo
2494 Pennington Creek Rd |
$189.02 | 222 | 144 |
|
County Of San Luis Obispo Drug And Alcohol Services
277 South St Ste T |
$105.24 | 58 | 45 |
|
Community Action Partnership Of San Luis Obispo County, Inc.
40 Prado Rd |
$438.89 | 45 | 42 |
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 Luis Obispo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in San Luis Obispo, CA is $203.23 per claim, based on 98,142 claims from 16 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 Luis Obispo, CA?
There are 16 Medicaid providers offering Case Management Services related services in San Luis Obispo, CA according to public payment data.
What is the price range for Case Management Services in San Luis Obispo, CA?
Medicaid reimbursement for Case Management Services in San Luis Obispo, CA ranges from $15.27 to $438.89 per claim, with an average of $203.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in San Luis Obispo, CA
Blood Work & Lab Tests
Avg $6.74
1,542,494 claims
Office Visit
Avg $62.92
514,146 claims
Urinalysis & Urine Tests
Avg $2.49
200,234 claims
Behavioral & Mental Health Therapy
Avg $182.89
130,665 claims
Psychiatric Evaluation
Avg $111.99
121,406 claims
Substance Abuse Treatment
Avg $90.65
112,808 claims
Culture & Microbiology Tests
Avg $4.65
87,338 claims
Dental Cleaning & Exam
Avg $56.08
79,567 claims