Average Medicaid Case Management Services Payments in San Mateo, CA: $223.69
Avg. Paid
$223.69
Range
$0.00 – $354.24
Total Claims
159,131
Providers
13
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 Mateo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Upward Health Of California, Pc
400 Concar Dr |
$259.22 | 52,892 | 20,110 |
|
San Mateo County
1950 Alameda De Las Pulgas |
$231.52 | 42,894 | 20,148 |
|
Resolutioncare, Pc
1875 S Grant St Ste 760 |
$267.79 | 31,550 | 20,933 |
|
San Mateo County Aging & Disability Services
2000 Alameda De Las Pulgas, Suite 200 |
$16.67 | 13,507 | 8,382 |
|
County Of San Mateo
2000 Alameda De Las Pulgas |
$264.43 | 9,652 | 5,576 |
|
Edgewood Center For Children And Families
1510 Fashion Island Blvd Ste 310 |
$104.60 | 4,291 | 1,368 |
|
San Mateo County
2000 Alameda De Las Pulgas Ste 280 |
$131.37 | 1,434 | 1,025 |
|
Jeffrey Edgerton
225 37Th Ave |
$30.02 | 1,039 | 340 |
|
Nika Nachtsheim Rosen
225 37Th Ave |
$0.54 | 1,011 | 210 |
|
Kevin Dean Harding-Toy
1950 Alameda De Las Pulgas |
$15.58 | 328 | 110 |
|
Stephanie Hwanying Yeh
46 Hillsdale Mall |
$0.00 | 265 | 134 |
|
Felton Institute
1108 S El Camino Real |
$85.86 | 154 | 80 |
|
Horizon Services, Incorporated
2251 Palm Ave |
$354.24 | 114 | 51 |
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 Mateo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in San Mateo, CA is $223.69 per claim, based on 159,131 claims from 13 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 Mateo, CA?
There are 13 Medicaid providers offering Case Management Services related services in San Mateo, CA according to public payment data.
What is the price range for Case Management Services in San Mateo, CA?
Medicaid reimbursement for Case Management Services in San Mateo, CA ranges from $0.00 to $354.24 per claim, with an average of $223.69. 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
2,960,059 claims · 360 providers
Mesa, AZ
Avg $32.09
2,470,619 claims · 181 providers
Other Procedures in San Mateo, CA
Blood Work & Lab Tests
Avg $9.15
708,827 claims
Vaccines & Immunizations
Avg $18.63
281,622 claims
Office Visit
Avg $50.22
249,879 claims
Urinalysis & Urine Tests
Avg $3.65
138,075 claims
Emergency Room Visit
Avg $59.55
90,910 claims
X-Ray
Avg $13.51
87,661 claims
Behavioral & Mental Health Therapy
Avg $289.85
76,791 claims
EKG / ECG (Electrocardiogram)
Avg $20.50
71,458 claims