Average Medicaid Substance Abuse Treatment Payments in Dover, DE: $47.47
Avg. Paid
$47.47
Range
$0.00 – $227.91
Total Claims
57,943
Providers
14
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 Dover, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Conexio Care, Inc.
1114 S Dupont Hwy |
$67.13 | 17,612 | 2,012 |
|
Nathan Lawrence Centers
156 S State St |
$0.00 | 11,583 | 486 |
|
Jessica Massuli
1241 College Park Dr |
$0.00 | 9,160 | 775 |
|
Psychotherapeutic Services Inc
1420 Mckee Rd |
$69.44 | 8,121 | 364 |
|
Champions For Childrens Mental Health Inc
1012 College Rd |
$122.82 | 3,890 | 1,516 |
|
Ats Of Delaware, Llc
429 S New St |
$12.26 | 3,514 | 282 |
|
Psychotherapeutic Services Inc
514 W Lebanon Rd |
$227.91 | 1,825 | 128 |
|
Kent Sussex Community Services, Inc.
1241 College Park Dr |
$2.80 | 1,236 | 194 |
|
Northnode Group Counseling
1418 S State St |
$87.19 | 491 | 94 |
|
Sarah Holien
1673 S State St Ste A |
$60.34 | 349 | 182 |
|
Candice Latrice Reynolds
1418 S State St |
$0.00 | 99 | 51 |
|
Cameron A Williams
1679 S Dupont Hwy |
$0.00 | 29 | 25 |
|
Michael Nathaniel Bryson
655 S Bay Rd Ste 5A |
$0.00 | 20 | 19 |
|
Lisa Ann Clark
1114 S Dupont Hwy |
$0.00 | 14 | 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 Dover, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Dover, DE is $47.47 per claim, based on 57,943 claims from 14 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 Dover, DE?
There are 14 Medicaid providers offering Substance Abuse Treatment related services in Dover, DE according to public payment data.
What is the price range for Substance Abuse Treatment in Dover, DE?
Medicaid reimbursement for Substance Abuse Treatment in Dover, DE ranges from $0.00 to $227.91 per claim, with an average of $47.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $34.24
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Other Procedures in Dover, DE
Office Visit
Avg $55.49
541,196 claims
Personal Care Services
Avg $107.16
437,262 claims
Blood Work & Lab Tests
Avg $14.59
230,179 claims
Emergency Room Visit
Avg $142.47
220,056 claims
X-Ray
Avg $11.25
131,691 claims
Psychiatric Evaluation
Avg $55.09
118,201 claims
Dental Cleaning & Exam
Avg $50.03
102,368 claims
Vaccines & Immunizations
Avg $7.81
91,997 claims