Average Medicaid Case Management Services Payments in San Marcos, CA: $187.82
Avg. Paid
$187.82
Range
$97.03 – $560.69
Total Claims
14,367
Providers
12
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 Marcos, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arturo Magno Tolentino
2085 Montiel Rd Ste 102 |
$387.35 | 33 | 33 |
|
Casa De Amparo
325 Buena Creek Rd |
$261.85 | 35 | 12 |
|
Kathryn Danielle Mchenry
2085 Montiel Rd |
$376.34 | 67 | 67 |
|
Mental Health Systems, Inc.
340 Rancheros Dr |
$199.18 | 84 | 52 |
|
Americare Adhc, Inc.
340 Rancheros Dr Ste 196 |
$277.20 | 182 | 139 |
|
Mcalister Institute For Treatment & Education, Inc.
751 Rancheros Dr |
$225.52 | 603 | 286 |
|
Premier Healthcare Services, Llc
338 Via Vera Cruz |
$97.03 | 789 | 758 |
|
San Diego Health Alliance
1560 Capalina Clinic |
$179.71 | 835 | 423 |
|
Fred Finch Youth Center
910 W San Marcos Blvd Ste 205 |
$560.69 | 971 | 159 |
|
Casa De Amparo
325 Buena Creek Rd |
$203.21 | 1,351 | 651 |
|
New Alternatives, Inc.
1529 Grand Ave Ste A |
$115.95 | 2,257 | 1,395 |
|
Merakey Allos
334 Via Vera Cruz |
$159.33 | 7,160 | 3,322 |
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 Marcos, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in San Marcos, CA is $187.82 per claim, based on 14,367 claims from 12 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 Marcos, CA?
There are 12 Medicaid providers offering Case Management Services related services in San Marcos, CA according to public payment data.
What is the price range for Case Management Services in San Marcos, CA?
Medicaid reimbursement for Case Management Services in San Marcos, CA ranges from $97.03 to $560.69 per claim, with an average of $187.82. 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
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Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in San Marcos, CA
Office Visit
Avg $9.71
866,422 claims
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Avg $21.59
444,600 claims
Dental Cleaning & Exam
Avg $50.15
250,683 claims
Substance Abuse Treatment
Avg $56.90
179,672 claims
Vaccines & Immunizations
Avg $1.15
173,703 claims
Psychiatric Evaluation
Avg $19.67
117,189 claims
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Avg $1.58
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Chiropractic Care
Avg $8.56
89,369 claims