Average Medicaid Case Management Services Payments in Santa Monica, CA: $132.31
Avg. Paid
$132.31
Range
$0.00 – $191.83
Total Claims
69,937
Providers
14
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 Monica, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Step Up On Second Street, Inc.
1328 2Nd St |
$157.07 | 27,873 | 6,824 |
|
The People Concern
1749 14Th St |
$178.70 | 19,633 | 4,854 |
|
David Mark Tavlin
1328 2Nd St |
$0.00 | 10,634 | 5,154 |
|
Step Up On Second Street, Inc.
3435 Ocean Park Blvd |
$116.42 | 5,613 | 1,598 |
|
The People Concern
1751 Cloverfield Blvd |
$134.81 | 2,765 | 1,062 |
|
Step Up On Second Street, Inc.
1619 Santa Monica Blvd |
$96.77 | 2,527 | 774 |
|
Providence Saint John'S Health Center
1339 20Th St |
$191.83 | 256 | 157 |
|
Clare Matrix
907-909 Pico Blvd. |
$64.63 | 199 | 79 |
|
The People Concern
503 Olympic Blvd |
$102.12 | 178 | 117 |
|
Haley Speer
2417 Michigan Ave |
$46.86 | 140 | 137 |
|
Clare Matrix
844 Pico Blvd |
$92.49 | 45 | 13 |
|
Clare Matrix
1002 Pico Blvd |
$66.75 | 28 | 17 |
|
Wise & Healthy Aging
1527 4Th St |
$104.40 | 27 | 25 |
|
Alexander Bryce Williams Niculescu
2021 Santa Monica Blvd Ste 245E |
$11.67 | 19 | 19 |
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 Monica, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Santa Monica, CA is $132.31 per claim, based on 69,937 claims from 14 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 Monica, CA?
There are 14 Medicaid providers offering Case Management Services related services in Santa Monica, CA according to public payment data.
What is the price range for Case Management Services in Santa Monica, CA?
Medicaid reimbursement for Case Management Services in Santa Monica, CA ranges from $0.00 to $191.83 per claim, with an average of $132.31. 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 Monica, CA
Office Visit
Avg $22.57
373,557 claims
Blood Work & Lab Tests
Avg $4.49
329,206 claims
X-Ray
Avg $8.96
258,632 claims
Emergency Room Visit
Avg $63.11
219,456 claims
Dental Cleaning & Exam
Avg $54.55
178,189 claims
Ultrasound
Avg $30.17
163,467 claims
Nursing Facility Care
Avg $51.77
135,686 claims
CT Scan (Computed Tomography)
Avg $61.05
127,182 claims