Average Medicaid Substance Abuse Treatment Payments in Caldwell, ID: $146.14
Avg. Paid
$146.14
Range
$35.91 – $188.34
Total Claims
101,538
Providers
15
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 Caldwell, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lillian Danelle Connelly
315 E Elm St Ste 201 |
$146.67 | 27 | 12 |
|
Diana M Bell
2719 S Kimball Ave |
$49.02 | 50 | 25 |
|
Estella Acosta
524 Cleveland Blvd |
$106.67 | 92 | 56 |
|
Heather Louise Carrizales
524 S 9Th Ave Ste 103 |
$35.91 | 101 | 46 |
|
Dominique Davi Juarez
314 Badiola St |
$55.67 | 150 | 32 |
|
Wendy M Weston
2423 S Georgia Ave |
$73.12 | 159 | 58 |
|
Tracie Ann Bolen
314 Badiola St |
$102.88 | 188 | 54 |
|
Samantha Potts
106 N 9Th Ave |
$63.51 | 339 | 122 |
|
Tammy Lyn Law-Mcmillan
524 S 9Th Ave |
$57.62 | 363 | 100 |
|
Arthur S Mcginn
524 S 9Th Ave Ste 103 |
$52.08 | 408 | 182 |
|
Susan M Martinelli
2814S Indiana Ave |
$105.39 | 1,506 | 410 |
|
Donald Schultze
524 Cleveland Blvd Ste 230 |
$52.76 | 2,873 | 917 |
|
Michonne Pieksma
2423 S Georgia Ave |
$58.53 | 11,418 | 3,410 |
|
Vallivue School District #139
5207 S Montana Ave |
$188.34 | 41,437 | 2,873 |
|
County Of Canyon Canyon Co School Dist 132
1101 Cleveland Blvd |
$139.83 | 42,427 | 3,153 |
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 Caldwell, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Caldwell, ID is $146.14 per claim, based on 101,538 claims from 15 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 Caldwell, ID?
There are 15 Medicaid providers offering Substance Abuse Treatment related services in Caldwell, ID according to public payment data.
What is the price range for Substance Abuse Treatment in Caldwell, ID?
Medicaid reimbursement for Substance Abuse Treatment in Caldwell, ID ranges from $35.91 to $188.34 per claim, with an average of $146.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Caldwell, ID
Office Visit
Avg $44.71
187,554 claims
Dental Cleaning & Exam
Avg $47.09
126,901 claims
Speech Therapy
Avg $21.97
103,418 claims
Vaccines & Immunizations
Avg $8.77
83,253 claims
Blood Work & Lab Tests
Avg $6.74
80,967 claims
Behavioral & Mental Health Therapy
Avg $118.00
61,050 claims
Ambulance Transport
Avg $123.57
59,603 claims
Emergency Room Visit
Avg $130.63
58,134 claims