Average Medicaid Case Management Services Payments in Upland, CA: $192.48
Avg. Paid
$192.48
Range
$40.00 – $291.69
Total Claims
11,991
Providers
8
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 Upland, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
South Coast Children'S Society, Inc.
1425 W Foothill Blvd Ste 201 |
$209.07 | 8,712 | 3,075 |
|
South Coast Children'S Society, Inc.
1425 W Foothill Blvd Ste 201 |
$196.81 | 1,547 | 437 |
|
Saniyyah Shaleece Mayo
219 N Euclid Ave Ste B |
$40.00 | 879 | 746 |
|
Inland Valley Drug And Alcohol Recovery Services
1260 E Arrow Hwy |
$115.62 | 410 | 208 |
|
Upland Unified School District
601 5Th Ave |
$291.69 | 202 | 123 |
|
Fields Comp. Youth Services, Inc.
1214 Eddington St |
$126.07 | 147 | 49 |
|
Inland Valley Drug And Alcohol Recovery Services
934 N Mountain Ave Ste A-D |
$262.14 | 79 | 67 |
|
G & C Swan Inc
239 W 9Th St # A-B |
$94.59 | 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 Upland, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Upland, CA is $192.48 per claim, based on 11,991 claims from 8 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 Upland, CA?
There are 8 Medicaid providers offering Case Management Services related services in Upland, CA according to public payment data.
What is the price range for Case Management Services in Upland, CA?
Medicaid reimbursement for Case Management Services in Upland, CA ranges from $40.00 to $291.69 per claim, with an average of $192.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Upland, CA
Office Visit
Avg $44.57
715,468 claims
Blood Work & Lab Tests
Avg $8.30
467,774 claims
Emergency Room Visit
Avg $69.32
227,225 claims
Eye Exam
Avg $30.79
208,846 claims
X-Ray
Avg $12.71
148,970 claims
EKG / ECG (Electrocardiogram)
Avg $18.65
134,300 claims
Psychiatric Evaluation
Avg $104.62
120,656 claims
Dental Cleaning & Exam
Avg $46.20
118,688 claims