Average Medicaid Substance Abuse Treatment Payments in Brown Deer, WI: $57.93
Avg. Paid
$57.93
Range
$10.80 – $92.84
Total Claims
13,844
Providers
13
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 Brown Deer, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clare Ann Lewis
3900 W Brown Deer Rd |
$86.02 | 4,085 | 738 |
|
Michelle Ann Simmons
4550 W Bradley Rd |
$16.43 | 1,799 | 924 |
|
Don David Rosenberg
3900 W Brown Deer Rd |
$82.49 | 1,669 | 335 |
|
Jose B. Torres
3900 W Brown Deer Rd |
$84.83 | 1,374 | 259 |
|
Bradley D Klinger
3900 W Brown Deer Rd Ste 200 |
$34.17 | 1,258 | 717 |
|
Jeanne H Jeanphilippe
5939 W Green Brook Dr |
$10.80 | 1,123 | 406 |
|
Stacey King
3900 W Brown Deer Rd Ste 200 |
$18.54 | 653 | 359 |
|
Rebekah A Sandell
3900 W Brown Deer Rd |
$92.84 | 617 | 127 |
|
Anne Patricia Desellier
3900 W Brown Deer Rd Ste 200 |
$26.53 | 419 | 247 |
|
Tracy Jenifer Faust
3900 W Brown Deer Rd Ste 200 |
$55.94 | 410 | 76 |
|
Jenna Mohelnitzky
3900 W Brown Deer Rd Ste 200 |
$17.42 | 334 | 223 |
|
Tiffany Smith
4550 W Bradley Rd |
$28.22 | 61 | 40 |
|
Kristina Marie Daul
3900 W Brown Deer Rd |
$15.94 | 42 | 12 |
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 Brown Deer, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Brown Deer, WI is $57.93 per claim, based on 13,844 claims from 13 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 Brown Deer, WI?
There are 13 Medicaid providers offering Substance Abuse Treatment related services in Brown Deer, WI according to public payment data.
What is the price range for Substance Abuse Treatment in Brown Deer, WI?
Medicaid reimbursement for Substance Abuse Treatment in Brown Deer, WI ranges from $10.80 to $92.84 per claim, with an average of $57.93. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $61.24
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Avg $35.80
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Avg $20.53
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Avg $5.45
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