Average Medicaid Case Management Services Payments in West Covina, CA: $178.66
Avg. Paid
$178.66
Range
$0.48 – $531.47
Total Claims
41,987
Providers
15
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 West Covina, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Enki Health Service, Inc.
1215 W West Covina Pkwy |
$172.73 | 13 | 13 |
|
Altamed Health Services Corp
1300 S Sunset Ave |
$0.48 | 45 | 31 |
|
Los Angeles County Department Of Mental Health
2934 E Garvey Ave South Ste 230 |
$531.47 | 101 | 45 |
|
Premier Healthcare Services, Llc
1730 W Cameron Ave |
$132.93 | 226 | 222 |
|
Heritage Group Homes, Inc.
3340 E Whitebirch Dr |
$84.25 | 251 | 12 |
|
Elisa J Cuello
420 S Glendora Ave |
$87.11 | 969 | 783 |
|
Special Service For Groups, Inc.
1107 S Glendora Ave |
$333.68 | 2,215 | 900 |
|
Pacific Clinics
1517 W Garvey Ave N |
$161.22 | 2,275 | 1,204 |
|
Institute For Multicultural Counseling And Education Services, Inc
1730 W Cameron Ave Ste 200 |
$228.29 | 2,386 | 956 |
|
Anil Gupta
1535 W Merced Ave Ste 301 |
$319.71 | 2,849 | 2,849 |
|
Bridges Comm Treatment Svs.Inc.
1515 W Cameron Ave Ste 310 |
$178.42 | 2,876 | 1,399 |
|
East Valley Community Health Center, Inc.
420 S Glendora Ave |
$13.75 | 2,927 | 2,028 |
|
Merakey Allos
2934 E Garvey Ave S |
$84.57 | 3,700 | 2,266 |
|
Pacific Clinics
100 N Barranca St Ste 130 |
$240.94 | 4,023 | 1,817 |
|
Five Acres- The Boys' And Girls' Aid Society Of Los Angeles County
2934 E Garvey Ave S Ste 100A |
$170.03 | 17,131 | 3,294 |
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 West Covina, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in West Covina, CA is $178.66 per claim, based on 41,987 claims from 15 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 West Covina, CA?
There are 15 Medicaid providers offering Case Management Services related services in West Covina, CA according to public payment data.
What is the price range for Case Management Services in West Covina, CA?
Medicaid reimbursement for Case Management Services in West Covina, CA ranges from $0.48 to $531.47 per claim, with an average of $178.66. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $37.73
14,607,817 claims · 601 providers
Tucson, AZ
Avg $33.22
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Nashville, TN
Avg $197.77
5,117,343 claims · 28 providers
Miami, FL
Avg $82.94
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New York, NY
Avg $322.62
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Montgomery, AL
Avg $50.35
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Oklahoma City, OK
Avg $178.61
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Mesa, AZ
Avg $32.09
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Other Procedures in West Covina, CA
Office Visit
Avg $18.59
1,073,885 claims
Blood Work & Lab Tests
Avg $3.18
398,597 claims
Dental Cleaning & Exam
Avg $49.90
383,558 claims
Vaccines & Immunizations
Avg $2.95
312,564 claims
Physical Therapy
Avg $14.46
222,916 claims
Urinalysis & Urine Tests
Avg $1.39
183,574 claims
Emergency Room Visit
Avg $46.31
173,869 claims
Ultrasound
Avg $60.42
156,802 claims