Average Medicaid Case Management Services Payments in San Rafael, CA: $262.87
Avg. Paid
$262.87
Range
$0.00 – $538.87
Total Claims
63,854
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 Rafael, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Marin
3270 Kerner Boulevard |
$306.62 | 23,112 | 8,702 |
|
Homeward Bound Of Marin
830 B St |
$146.29 | 7,761 | 3,538 |
|
County Of Marin
3230 Kerner Boulevard |
$321.31 | 7,385 | 3,861 |
|
Seneca Family Of Agencies
30 Professional Center Pkwy |
$176.19 | 6,287 | 1,111 |
|
Catholic Charities Cyo Of The Archdiocese Of San Francisco
1 Saint Vincents Dr |
$184.47 | 4,916 | 954 |
|
County Of Marin
10 N San Pedro Rd Ste 1020 |
$363.02 | 4,608 | 1,603 |
|
Community Action Marin
555 Northgate Dr Ste 201 |
$246.59 | 4,312 | 1,899 |
|
The Housing Authority Of The County Of Marin
4020 Civic Center Dr |
$283.60 | 3,285 | 1,731 |
|
Ritter Center
16 Ritter St |
$229.53 | 933 | 539 |
|
Amy Bower
4020 Civic Center Dr |
$30.63 | 364 | 126 |
|
County Of Marin
3270 Kerner Blvd Ste A |
$538.87 | 283 | 108 |
|
Marin Center For Independent Living
710 4Th St |
$242.60 | 250 | 143 |
|
Evelyn Aguiar
3270 Kerner Blvd Ste B |
$388.14 | 118 | 95 |
|
Marin Treatment Center
1466 Lincoln Ave |
$159.10 | 106 | 66 |
|
Jessica Harris Neil
1650 Los Gamos Dr |
$0.00 | 105 | 79 |
|
Side By Side
810 5Th Ave Ste 100 |
$256.96 | 29 | 17 |
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 Rafael, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in San Rafael, CA is $262.87 per claim, based on 63,854 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 Rafael, CA?
There are 16 Medicaid providers offering Case Management Services related services in San Rafael, CA according to public payment data.
What is the price range for Case Management Services in San Rafael, CA?
Medicaid reimbursement for Case Management Services in San Rafael, CA ranges from $0.00 to $538.87 per claim, with an average of $262.87. 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 Rafael, CA
Office Visit
Avg $11.51
386,259 claims
Substance Abuse Treatment
Avg $140.74
123,484 claims
Vaccines & Immunizations
Avg $11.27
104,785 claims
Psychiatric Evaluation
Avg $51.60
35,151 claims
Behavioral & Mental Health Therapy
Avg $412.00
31,527 claims
Emergency Room Visit
Avg $109.11
30,050 claims
Blood Work & Lab Tests
Avg $5.56
19,838 claims
Dental Cleaning & Exam
Avg $49.03
19,297 claims