Average Medicaid Behavioral & Mental Health Therapy Payments in Appleton, WI: $78.04
Avg. Paid
$78.04
Range
$0.00 – $106.62
Total Claims
417,838
Providers
6
Typical Payment Range
Typical Medicaid Behavioral & Mental Health Therapy payments fall between $52.14 and $116.48 per claim (median: $79.35). The top 10% of payments exceed $178.23.
Based on per-provider averages across all Medicaid claims in this category.
Psychotherapy and behavioral health services for mental health conditions, including individual therapy, group therapy, and family therapy.
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 Behavioral & Mental Health Therapy in Appleton, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Catalpa Health
4635 W College Ave |
$66.55 | 140 | 12 |
|
Steven P. Klein
5733 W Grande Market Dr |
$106.62 | 364 | 58 |
|
Brandon B Hayes
4351 W College Ave Ste 410 |
$78.55 | 533 | 41 |
|
Deanna Sieg
1920 N Casaloma Dr |
$0.00 | 1,160 | 286 |
|
Ascension Ne Wisconsin, Inc
1506 S Oneida St |
$27.11 | 10,222 | 416 |
|
County Of Outagamie
320 S. Walnut St. |
$79.53 | 405,419 | 18,186 |
What to Expect: Behavioral & Mental Health Therapy
Therapy sessions typically last 45-60 minutes. You'll meet with a licensed therapist to discuss your thoughts, feelings, and behaviors. Common approaches include cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and psychodynamic therapy. Sessions are usually weekly. Group therapy sessions are 60-90 minutes with 6-12 participants.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $108.55 | 78,677,933 | 13,968 |
| H2019 | Ther behav svc, per 15 min | $107.35 | 69,547,577 | 28,270 |
| H2014 | Skills train and dev, 15 min | $111.31 | 60,726,091 | 6,266 |
| H0036 | Comm psy face-face per 15min | $80.37 | 56,498,126 | 22,470 |
| H0032 | Mh svc plan dev by non-md | $122.09 | 20,015,725 | 13,104 |
| H2012 | Behav hlth day treat, per hr | $129.23 | 15,388,000 | 3,225 |
| H0035 | Mh partial hosp tx under 24h | $127.90 | 14,129,079 | 904 |
| H0031 | Mh health assess by non-md | $118.38 | 10,496,976 | 9,197 |
| H2020 | Ther behav svc, per diem | $165.09 | 7,996,240 | 4,688 |
| H2011 | Crisis interven svc, 15 min | $281.72 | 6,613,568 | 3,992 |
| H0037 | Comm psy sup tx pgm per diem | $183.46 | 5,103,231 | 382 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Behavioral & Mental Health Therapy cost in Appleton, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Behavioral & Mental Health Therapy in Appleton, WI is $78.04 per claim, based on 417,838 claims from 6 providers. Typical payments fall between $52.14 and $116.48. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Behavioral & Mental Health Therapy in Appleton, WI?
There are 6 Medicaid providers offering Behavioral & Mental Health Therapy related services in Appleton, WI according to public payment data.
What is the price range for Behavioral & Mental Health Therapy in Appleton, WI?
Medicaid reimbursement for Behavioral & Mental Health Therapy in Appleton, WI ranges from $0.00 to $106.62 per claim, with an average of $78.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Behavioral & Mental Health Therapy in Other Cities
Washington, DC
Avg $86.63
8,402,752 claims · 1641 providers
Miami, FL
Avg $96.96
6,731,703 claims · 689 providers
Phoenix, AZ
Avg $123.66
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Clinton, MO
Avg $0.01
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Los Angeles, CA
Avg $203.16
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Columbus, OH
Avg $86.62
2,709,784 claims · 2349 providers
Cleveland, OH
Avg $95.38
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Toledo, OH
Avg $95.61
2,310,766 claims · 1774 providers
Other Procedures in Appleton, WI
Blood Work & Lab Tests
Avg $16.55
608,141 claims
Substance Abuse Treatment
Avg $11.15
589,242 claims
Office Visit
Avg $33.88
465,504 claims
Personal Care Services
Avg $10.20
379,580 claims
Emergency Room Visit
Avg $51.76
230,945 claims
Speech Therapy
Avg $12.24
206,735 claims
Non-Emergency Medical Transportation
Avg $10.28
167,243 claims
Psychiatric Evaluation
Avg $32.81
157,706 claims