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
Katherine Geiser 2800 E Enterprise Ave	$16.91	37	25
Thomas A Doughman 2555 E Calumet St	$20.30	41	31
Alisyn Cundiff 10 Tri Park Way	$16.92	44	12
Andrea T. Hansen 1835 E Edgewood Dr Ste 105107	$148.43	73	13
Kimeko Jean Hagen 4000 W Spencer St	$45.04	106	55
Brigette A Maki 3301 N Ballard Rd	$9.09	107	86
Ashley Patton 1000 N Lynndale Dr Ste C	$16.16	134	55
Kristen Mueller 3301 N Ballard Rd Ste B	$6.15	152	120
Milwaukee Health Services System, Llc 3301 N Ballard Rd Ste B	$0.00	166	86
Bradley M Vivoda 3301 N Ballard Rd	$0.54	198	115
Glenn Allenn Mcguire 3301 N Ballard Rd Ste B	$13.64	199	122
Mary L Reynolds 3301 N Ballard Rd Ste B	$11.87	225	133
Kimberly Williams-Nyberg 320 S Walnut St	$19.43	226	141
Chad Walters 1000 N Lynndale Dr Ste C	$37.23	236	100
Nichole L Godin 3301 N Ballard Rd	$9.80	247	134
Shari Walker 3301 N Ballard Rd Ste B	$14.70	355	200
Steven P Kaplan 477 S Nicolet Rd	$35.25	380	222
Sue Srnka 3301 N Ballard Rd Ste B	$12.92	382	148
Heather Lynn Mushrush 1000 N Lynndale Dr	$19.95	455	294
Jerome Mutchie 1000 N Lynndale Dr	$22.85	482	108
Terry William Reese 412 E Longview Dr Ste C	$22.34	545	333
Miranda M Renner 3301 N Ballard Rd Ste B	$41.24	553	291
Melissa Lynette Wheeler 3301 N Ballard Rd	$19.41	626	333
Morgan Leigh Meiners 17 Park Pl Ste 400	$15.48	697	298
Eric Allen 3301 N Ballard Rd	$7.10	907	524
Kristin L O'Neill 3301 N Ballard Rd Ste B	$4.59	1,028	317
Angela L Smith 3301 N Ballard Rd Ste B	$15.99	1,139	574
Jillian Lee Palmbach 3301 N Ballard Rd	$24.08	1,148	623
Melissa Joan Wohlwend 3301 N Ballard Rd Ste B	$9.27	1,164	596
Shawn Allen Fischer 1531 S Madison St Ste 580	$16.59	1,235	684
Jeffrey Holt Knudson 4000 W. Spencer St.	$32.63	1,289	866
Celine A Konetzke 3301 N Ballard Rd Ste B	$12.02	1,305	604
Jason Stoffel 3301 N Ballard Rd Ste B	$15.41	1,346	648
Mercedes Zivkovich 3301 N Ballard Rd Ste B	$16.14	1,425	564
Shari Ann Stenerson 1506 S Oneida St	$31.95	1,578	1,117
Elizabeth Talcott 3301 N Ballard Rd Ste B	$14.83	1,815	678
Maria Vanderlinden 3301 N Ballard Rd Ste B	$10.98	1,852	1,075
David Bushey 3301 N Ballard Rd Ste B	$14.17	2,150	789
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
Jennifer Lynn Tennessen 3301 N Ballard Rd Ste B	$17.29	2,321	1,051
Amanda E Mazariegos 3301 N Ballard Rd Ste B	$11.82	2,340	1,065
Eric E Preissner 3301 N Ballard Rd Ste B	$13.03	2,363	1,181
Amy Taake 1011 N Lynndale Dr Ste 2D	$43.97	2,468	910
Erin Bozich 1000 N Lynndale Dr Ste C	$33.17	2,754	846
James Edward Reider 3301 3301 N. Ballard Road	$23.07	3,827	2,478
Ascension Ne Wisconsin, Inc 1506 S Oneida St	$23.36	3,867	961
Ginger Guthrie 3301 N Ballard Rd	$10.38	3,874	1,167
Brian Withrow 607 West 7Th St.	$20.86	5,013	3,185
Ali Marie Bishop 3301 N Ballard Rd Ste B	$10.50	5,301	2,246

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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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