Average Medicaid Case Management Services Payments in Santa Cruz, CA: $218.33
Avg. Paid
$218.33
Range
$0.00 – $801.31
Total Claims
81,572
Providers
28
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 Santa Cruz, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Santa Cruz
1400 Emeline Ave |
$393.70 | 32,098 | 14,772 |
|
County Of Santa Cruz
1080 Emeline Ave |
$5.62 | 14,743 | 5,057 |
|
Health Projects Center
736 Chestnut St |
$19.84 | 9,841 | 4,263 |
|
Encompass Community Services
380 Encinal St Ste 200 |
$200.37 | 6,580 | 2,646 |
|
County Of Santa Cruz
1400 Emeline Ave |
$435.79 | 3,629 | 1,985 |
|
Senior Network Services
1777A Capitola Rd |
$11.10 | 2,536 | 966 |
|
Front St Inc
2115 7Th Ave |
$15.68 | 2,118 | 870 |
|
Janus Of Santa Cruz
200 7Th Ave Ste 150 |
$58.92 | 1,847 | 948 |
|
Volunteer Centers Of Santa Cruz
300 Harvey West Blvd |
$341.64 | 1,627 | 876 |
|
Front St. Inc.
1201 Shaffer Rd |
$274.09 | 1,533 | 625 |
|
Encompass Community Services
115C Coral St |
$148.70 | 928 | 290 |
|
Sandy J Elder
3035 Prather Ln |
$0.00 | 920 | 421 |
|
Encompass Community Services
125 Rigg St And 121 Weeks Ave |
$205.18 | 761 | 207 |
|
Callia Hansen
1510 Capitola Rd |
$4.53 | 534 | 330 |
|
New Life Community Services, Inc.
707 Fair Ave |
$801.31 | 424 | 199 |
|
County Of Santa Cruz
1060 Emeline Ave |
$360.66 | 407 | 407 |
|
Kayla Weiss
250 Locust St |
$19.80 | 389 | 238 |
|
The Free Guide
301 Armory Rd |
$14.69 | 186 | 108 |
|
Santa Cruz Community Health Centers
1510 Capitola Rd |
$9.88 | 131 | 103 |
|
Encompass Community Services
120 Dubois St |
$229.90 | 62 | 41 |
|
Margarita Munoz
380 Encinal St Ste 200 |
$0.00 | 59 | 24 |
|
Encompass Community Services
380 Encinal St Ste 200 |
$208.53 | 46 | 24 |
|
Janus Of Santa Cruz
1000A & 1010C Emeline Ave |
$229.31 | 40 | 35 |
|
Santa Cruz Community Health Centers
250 Locust St |
$21.62 | 37 | 36 |
|
Santa Cruz County
1400 Emeline Ave |
$174.33 | 37 | 25 |
|
Parents Center
530 Soquel Ave |
$262.64 | 26 | 15 |
|
Deidre Gordon
126 Front St # A |
$328.00 | 18 | 13 |
|
Katie Marie Morehead
126 Front St |
$29.33 | 15 | 13 |
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 Santa Cruz, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Santa Cruz, CA is $218.33 per claim, based on 81,572 claims from 28 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 Santa Cruz, CA?
There are 28 Medicaid providers offering Case Management Services related services in Santa Cruz, CA according to public payment data.
What is the price range for Case Management Services in Santa Cruz, CA?
Medicaid reimbursement for Case Management Services in Santa Cruz, CA ranges from $0.00 to $801.31 per claim, with an average of $218.33. 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 Santa Cruz, CA
Office Visit
Avg $33.23
980,453 claims
Substance Abuse Treatment
Avg $32.01
703,736 claims
Psychiatric Evaluation
Avg $65.40
298,214 claims
Emergency Room Visit
Avg $85.44
235,236 claims
Behavioral & Mental Health Therapy
Avg $272.72
195,735 claims
Blood Work & Lab Tests
Avg $11.46
185,254 claims
Non-Emergency Medical Transportation
Avg $31.30
175,051 claims
X-Ray
Avg $12.48
166,316 claims