Average Medicaid Substance Abuse Treatment Payments in Beloit, WI: $10.93
Avg. Paid
$10.93
Range
$5.23 – $60.06
Total Claims
292,167
Providers
37
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 Beloit, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sandra A Mcclintic
2240 Prairie Ave Ste 10 |
$10.43 | 58,914 | 12,992 |
|
Julie May Roethler
1517 E Huebbe Pkwy |
$11.00 | 48,033 | 2,577 |
|
Cynthia Yount
2240 Prairie Ave |
$9.33 | 44,417 | 9,946 |
|
Latoya Marie White
2240 Prairie Ave |
$8.50 | 33,832 | 6,091 |
|
Kwamesha Mone' Milsap
2240 Prairie Ave |
$8.69 | 20,004 | 5,178 |
|
Letecia A Alfaro
2240 Prairie Ave |
$11.13 | 14,580 | 3,527 |
|
Jessica Rouse-Edmonds
2240 Prairie Ave Ste 10 |
$8.74 | 12,898 | 2,428 |
|
Jonee Michelle Ingram
2240 Prairie Ave Ste B |
$8.04 | 11,130 | 1,747 |
|
Lela M Frey
2240 Prairie Ave |
$11.60 | 9,662 | 4,317 |
|
Howard S Paul
1969 W Hart Road |
$14.78 | 7,071 | 820 |
|
Dori Martinez
2240 Prairie Ave |
$9.86 | 4,107 | 2,303 |
|
Catherine Caban-Treat
2240 Prairie Ave |
$9.10 | 3,816 | 622 |
|
Teresa Mcallister
2240 Prairie Ave Ste 10 |
$27.87 | 3,439 | 1,699 |
|
Leora Baremore
2240 Prairie Ave |
$9.84 | 3,219 | 596 |
|
Bethany Ann Johnson
2240 Prairie Ave |
$26.52 | 3,200 | 1,473 |
|
Laura Ann Woodberry
2240 Prairie Ave |
$9.93 | 3,097 | 742 |
|
Trista Marie Quinonez
2240 Prairie Ave |
$23.97 | 2,039 | 928 |
|
Crystal D Parker
2240 Prairie Ave |
$26.28 | 1,656 | 697 |
|
Breanna Elizabeth Adams
2240 Prairie Ave |
$21.41 | 780 | 349 |
|
Brenda May Diaz
2240 Prairie Ave |
$21.46 | 552 | 252 |
|
Alaina Marie Schindler
2240 Prairie Ave |
$10.92 | 529 | 247 |
|
Kristina Renee Stanis
2240 Prairie Ave |
$25.41 | 525 | 272 |
|
Mark Van Dyke
2240 Prairie Ave |
$40.69 | 522 | 303 |
|
Steven Thomas Koester
2240 Prairie Ave |
$20.92 | 516 | 269 |
|
Bonita May Cooke
838 Grant St. |
$22.55 | 502 | 257 |
|
Kate E Bowgren
2240 Prairie Ave |
$35.84 | 502 | 287 |
|
Yasmin Horton
2240 Praire Ave |
$22.22 | 498 | 268 |
|
Jacqueline Lucas
2240 Prairie Ave |
$27.31 | 360 | 165 |
|
Camryn A Withrow
2240 Prairie Ave |
$25.41 | 338 | 173 |
|
Tracie Dill
2240 Prairie Ave |
$23.47 | 331 | 130 |
|
Taylor Haefele
2240 Prairie Ave |
$26.57 | 274 | 160 |
|
Audrey Elaine Marchillo
3447 Bee Ln |
$25.77 | 263 | 172 |
|
Michael James York
2240 Prairie Ave |
$36.80 | 197 | 138 |
|
Jill Roehl
74 Eclipse Ctr |
$60.06 | 149 | 87 |
|
Dawn M Nicols
2240 Prairie Ave |
$30.61 | 102 | 46 |
|
Jill M Roche
2240 Prairie Ave |
$26.05 | 69 | 40 |
|
Pamela C Long
2240 Prairie Ave |
$5.23 | 44 | 21 |
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 Beloit, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Beloit, WI is $10.93 per claim, based on 292,167 claims from 37 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 Beloit, WI?
There are 37 Medicaid providers offering Substance Abuse Treatment related services in Beloit, WI according to public payment data.
What is the price range for Substance Abuse Treatment in Beloit, WI?
Medicaid reimbursement for Substance Abuse Treatment in Beloit, WI ranges from $5.23 to $60.06 per claim, with an average of $10.93. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
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Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Beloit, WI
Blood Work & Lab Tests
Avg $7.21
364,358 claims
Personal Care Services
Avg $7.93
199,701 claims
Office Visit
Avg $32.54
168,794 claims
Emergency Room Visit
Avg $57.49
124,331 claims
Speech Therapy
Avg $11.55
95,118 claims
Urinalysis & Urine Tests
Avg $8.15
83,039 claims
Physical Therapy
Avg $13.20
70,376 claims
X-Ray
Avg $3.09
68,865 claims