Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Appleton, WI: $11.15

Avg. Paid

$11.15

Range

$0.00 – $148.43

Total Claims

589,242

Providers

Typical Payment Range

Typical Medicaid Substance Abuse Treatment payments fall between $34.14 and $105.27 per claim (median: $65.20). The top 10% of payments exceed $163.43.

Based on per-provider averages across all Medicaid claims in this category.

Treatment programs for substance use disorders, including detoxification, counseling, medication-assisted treatment (MAT), and rehabilitation services.

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 Substance Abuse Treatment in Appleton, WI

Provider	Avg. Paid	Claims	Patients
Jennifer Johnson 3301 N Ballard Rd	$11.13	74,640	20,979
Barbara Denise Johnson 3301 N Ballard Rd Ste B	$6.64	55,239	12,193
Lindalee Taylor 3301 N Ballard Rd	$8.97	47,811	11,909
Patricia Freeman 3301 N Ballard Rd	$7.48	45,927	10,915
Connie Jo Delongchamp 3301 N Ballard Rd	$10.25	44,205	9,178
Amy Putnam 3301 N Ballard Rd	$9.54	30,944	8,302
Ashley Bessette 3301 N Ballard Rd	$10.82	30,281	13,880
Rebecca Lynn Nowacki 3301 N Ballard Rd Ste B	$9.86	25,861	4,382
Don Jordan Martin 3329 N Richmond St	$18.38	19,906	5,444
Stacey L Verstegen 3301 N Ballard Rd Ste B	$11.51	17,637	3,612
Natirra L Plair-Holt 3301 N Ballard Rd Ste B	$11.69	17,534	7,249
Raquel Arenas-Grube 414 N Division St	$10.23	17,151	6,854
Julie R Delrow 3301 N Ballard Rd Ste B	$12.12	16,599	3,743
Heather Sagmeister 3301 N Ballard Rd Ste B	$7.18	16,185	3,204
Jacob Edward Struhelka 3301 N Ballard Rd Ste B	$11.09	11,112	5,005
Kristine A Olofson 3301 N Ballard Rd Ste B	$7.88	9,812	4,629
Danielle Witon 3301 N Ballard Rd	$13.26	8,889	3,845
Victoria L Merry 3301 N Ballard Rd Ste B	$12.08	7,838	1,716
Kaitlyn Krohn 1000 N Lynndale Dr	$20.55	7,298	1,684
Melissa R Stuczynski 3301 N Ballard Rd Ste B	$5.85	7,017	3,126
Laurie Kurth 3301 N Ballard Rd Ste B	$17.44	6,544	3,143
Amy Jo Emmer 3301 N Ballard Rd Ste B	$12.94	6,007	3,364
Ali Marie Bishop 3301 N Ballard Rd Ste B	$10.50	5,301	2,246
Brian Withrow 607 West 7Th St.	$20.86	5,013	3,185
Ginger Guthrie 3301 N Ballard Rd	$10.38	3,874	1,167
Ascension Ne Wisconsin, Inc 1506 S Oneida St	$23.36	3,867	961
James Edward Reider 3301 3301 N. Ballard Road	$23.07	3,827	2,478
Erin Bozich 1000 N Lynndale Dr Ste C	$33.17	2,754	846
Amy Taake 1011 N Lynndale Dr Ste 2D	$43.97	2,468	910
Eric E Preissner 3301 N Ballard Rd Ste B	$13.03	2,363	1,181
Amanda E Mazariegos 3301 N Ballard Rd Ste B	$11.82	2,340	1,065
Jennifer Lynn Tennessen 3301 N Ballard Rd Ste B	$17.29	2,321	1,051
Thomas Robert Rowell 1531 S Madison St	$18.73	2,315	955
Summer Uchacz 3301 N Ballard Rd Ste B	$9.92	2,315	564
David Bushey 3301 N Ballard Rd Ste B	$14.17	2,150	789
Maria Vanderlinden 3301 N Ballard Rd Ste B	$10.98	1,852	1,075
Elizabeth Talcott 3301 N Ballard Rd Ste B	$14.83	1,815	678
Shari Ann Stenerson 1506 S Oneida St	$31.95	1,578	1,117
Mercedes Zivkovich 3301 N Ballard Rd Ste B	$16.14	1,425	564
Jason Stoffel 3301 N Ballard Rd Ste B	$15.41	1,346	648
Celine A Konetzke 3301 N Ballard Rd Ste B	$12.02	1,305	604
Jeffrey Holt Knudson 4000 W. Spencer St.	$32.63	1,289	866
Shawn Allen Fischer 1531 S Madison St Ste 580	$16.59	1,235	684
Melissa Joan Wohlwend 3301 N Ballard Rd Ste B	$9.27	1,164	596
Jillian Lee Palmbach 3301 N Ballard Rd	$24.08	1,148	623
Angela L Smith 3301 N Ballard Rd Ste B	$15.99	1,139	574
Kristin L O'Neill 3301 N Ballard Rd Ste B	$4.59	1,028	317
Eric Allen 3301 N Ballard Rd	$7.10	907	524
Morgan Leigh Meiners 17 Park Pl Ste 400	$15.48	697	298
Melissa Lynette Wheeler 3301 N Ballard Rd	$19.41	626	333

What to Expect: Substance Abuse Treatment

Substance abuse treatment varies widely based on the program. Outpatient treatment involves regular counseling sessions and may include medication-assisted treatment (like Suboxone or methadone). Intensive outpatient programs (IOP) involve 9-20 hours per week of structured treatment. Individual counseling, group therapy, and peer support are common components.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
H0020	Alcohol and/or drug services	$20.02	312,323,784	3,904
H0004	Alcohol and/or drug services	$89.45	73,272,784	23,966
H0038	Self-help/peer svc per 15min	$102.60	30,385,812	7,670
H0015	Alcohol and/or drug services	$152.04	25,053,675	9,061
H0005	Alcohol and/or drug services	$53.46	23,222,742	9,936
H2036	A/d tx program, per diem	$258.14	18,209,988	1,399
H0023	Alcohol and/or drug outreach	$129.61	9,489,348	1,230
H2035	A/d tx program, per hour	$133.88	8,557,719	772
H0006	Alcohol and/or drug services	$58.37	8,299,938	8,185
H0025	Alcohol and/or drug preventi	$59.91	4,103,530	1,218
H0010	Alcohol and/or drug services	$422.31	3,875,371	395
H0001	Alcohol and/or drug assess	$82.04	3,265,107	5,031
H0002	Alcohol and/or drug screenin	$50.82	3,220,721	4,504
H0049	Alcohol/drug screening	$6.25	2,594,750	4,239
H0022	Alcohol and/or drug interven	$34.60	942,099	951
T1012	Alcohol/substance abuse skil	$61.60	820,776	236
H0014	Alcohol and/or drug services	$206.17	618,111	786
H0012	Alcohol and/or drug services	$266.77	587,849	172
H0050	Alcohol/drug service 15 min	$39.26	340,958	472
H0007	Alcohol and/or drug services	$261.94	101,784	110
T1006	Family/couple counseling	$172.57	38,563	50

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Substance Abuse Treatment cost in Appleton, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Appleton, WI is $11.15 per claim, based on 589,242 claims from 72 providers. Typical payments fall between $34.14 and $105.27. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Substance Abuse Treatment in Appleton, WI?

There are 72 Medicaid providers offering Substance Abuse Treatment related services in Appleton, WI according to public payment data.

What is the price range for Substance Abuse Treatment in Appleton, WI?

Medicaid reimbursement for Substance Abuse Treatment in Appleton, WI ranges from $0.00 to $148.43 per claim, with an average of $11.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Substance Abuse Treatment Payments in Appleton, WI: $11.15

Providers Offering Substance Abuse Treatment in Appleton, WI

What to Expect: Substance Abuse Treatment

Cost Components

Frequently Asked Questions

Substance Abuse Treatment in Other Cities

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Bronx, NY

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Other Procedures in Appleton, WI

Blood Work & Lab Tests

Office Visit

Behavioral & Mental Health Therapy

Personal Care Services

Emergency Room Visit

Speech Therapy

Non-Emergency Medical Transportation

Psychiatric Evaluation