Average Medicaid Substance Abuse Treatment Payments in Covina, CA: $114.04
Avg. Paid
$114.04
Range
$0.00 – $272.39
Total Claims
88,987
Providers
9
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 Covina, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adrian Tripp
420 W Rowland St |
$0.00 | 127 | 126 |
|
Kevin Liao
420 W Rowland St |
$0.00 | 463 | 461 |
|
Benjamin Herrick
210 W San Bernardino Rd |
$0.00 | 685 | 644 |
|
Hathaway-Sycamores Child And Family Services
1411 N Grand Ave |
$272.39 | 813 | 285 |
|
Rebecca Eve Torres
1274 Center Court Dr Ste 211 |
$64.27 | 1,906 | 495 |
|
Social Model Recovery Systems, Inc.
17727, 17719 E Cypress St |
$98.97 | 2,671 | 544 |
|
Social Model Recovery Systems, Inc.
508 S 2Nd Ave |
$86.08 | 10,644 | 2,800 |
|
National Council On Alcoholism And Drug Dependence Of East San Gabriel
4626 North Grand Ave |
$59.99 | 34,562 | 6,886 |
|
Center For Integrated Family And Health Services
540 S Eremland Dr |
$176.48 | 37,116 | 11,092 |
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 Covina, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Covina, CA is $114.04 per claim, based on 88,987 claims from 9 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 Covina, CA?
There are 9 Medicaid providers offering Substance Abuse Treatment related services in Covina, CA according to public payment data.
What is the price range for Substance Abuse Treatment in Covina, CA?
Medicaid reimbursement for Substance Abuse Treatment in Covina, CA ranges from $0.00 to $272.39 per claim, with an average of $114.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Other Procedures in Covina, CA
Behavioral & Mental Health Therapy
Avg $147.56
1,170,874 claims
Blood Work & Lab Tests
Avg $2.85
428,318 claims
Office Visit
Avg $41.94
324,704 claims
Case Management Services
Avg $206.19
203,895 claims
Speech Therapy
Avg $43.82
177,723 claims
Emergency Room Visit
Avg $58.12
122,922 claims
Urinalysis & Urine Tests
Avg $1.53
98,576 claims
Dental Cleaning & Exam
Avg $57.24
95,827 claims