Average Medicaid Case Management Services Payments in Santa Rosa, CA: $166.71
Avg. Paid
$166.71
Range
$0.00 – $350.35
Total Claims
123,711
Providers
29
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 Rosa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Sonoma
2245 Challenger Way Ste 100 |
$198.82 | 37,441 | 17,919 |
|
County Of Sonoma
2227 Capricorn Way Ste 201&207&211&213 |
$149.72 | 20,708 | 11,619 |
|
Seneca Family Of Agencies
160 Wikiup Dr Ste 102 |
$139.34 | 17,555 | 3,201 |
|
County Of Sonoma
2235 Challenger Way Ste 101&103&107 |
$184.61 | 11,813 | 4,689 |
|
County Of Sonoma
2350 Professional Dr |
$197.83 | 6,594 | 2,098 |
|
County Of Sonoma
2225 Challenger Way |
$127.44 | 5,398 | 3,295 |
|
Buckelew Programs
2235 Mercury Way Ste 107 |
$146.08 | 3,971 | 2,287 |
|
Santa Rosa Community Health Centers
2235 Challenger Way Ste 109 |
$184.14 | 3,691 | 1,778 |
|
Telecare Corporation
4704 Hoen Ave |
$147.13 | 3,275 | 1,403 |
|
Community Support Network
201 S. E St |
$208.82 | 2,771 | 1,477 |
|
Lifeworks Of Sonoma County
1260 N Dutton Ave Ste 220 |
$57.19 | 1,775 | 957 |
|
Individuals Now, Inc
2447 Summerfield Road |
$63.39 | 1,692 | 1,060 |
|
County Of Sonoma
2255 Challenger Way Ste 107 |
$161.30 | 1,356 | 520 |
|
Victor Treatment Centers, Inc.
3164 Condo Ct |
$151.41 | 1,317 | 290 |
|
Sharon Gay Peelor
1430 Neotomas Ave |
$55.59 | 684 | 317 |
|
Alternative Family Services, Inc
131B Stony Cir Suite 1200 |
$126.61 | 674 | 207 |
|
Alejandra Avila
2255 Challenger Way Ste 107 |
$4.40 | 625 | 187 |
|
St. Joseph Health Northern California, Llc
1165 Montgomery Dr |
$350.35 | 410 | 359 |
|
Paul Andrew Wendell Milus
3333 Chanate Rd |
$188.43 | 402 | 268 |
|
Siyan Clinical Research
480 Tesconi Cir Ste B |
$174.04 | 400 | 248 |
|
County Of Sonoma
2235 Challenger Way Ste 101, 103, 107 |
$113.95 | 298 | 97 |
|
County Of Sonoma
2227 Capricorn Way Ste 203 |
$0.00 | 247 | 130 |
|
Lenira Ortega
2255 Challenger Way Ste 107 |
$36.49 | 211 | 82 |
|
County Of Sonoma
2225 Challenger Way |
$189.11 | 151 | 117 |
|
Joel M. Lewis
983 Sonoma Ave |
$155.79 | 95 | 68 |
|
Chris Stewart
301 6Th St Ste 214 |
$126.61 | 62 | 39 |
|
Ryan Moran
3400 Montgomery Dr |
$54.37 | 61 | 44 |
|
California Parenting Institute
3650 Standish Ave |
$56.06 | 18 | 12 |
|
Andrew James Desruisseau
3569 Round Barn Cir |
$0.00 | 16 | 12 |
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 Rosa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Santa Rosa, CA is $166.71 per claim, based on 123,711 claims from 29 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 Rosa, CA?
There are 29 Medicaid providers offering Case Management Services related services in Santa Rosa, CA according to public payment data.
What is the price range for Case Management Services in Santa Rosa, CA?
Medicaid reimbursement for Case Management Services in Santa Rosa, CA ranges from $0.00 to $350.35 per claim, with an average of $166.71. 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 Rosa, CA
Office Visit
Avg $21.94
1,410,868 claims
Emergency Room Visit
Avg $93.87
505,118 claims
Blood Work & Lab Tests
Avg $10.43
454,321 claims
Substance Abuse Treatment
Avg $71.21
265,758 claims
X-Ray
Avg $16.73
255,609 claims
Dental Cleaning & Exam
Avg $50.06
255,325 claims
Non-Emergency Medical Transportation
Avg $40.57
251,882 claims
Psychiatric Evaluation
Avg $37.81
234,328 claims