Average Medicaid Substance Abuse Treatment Payments in Duncan, OK: $64.45
Avg. Paid
$64.45
Range
$24.79 – $71.36
Total Claims
36,272
Providers
23
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 Duncan, OK
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paula Phelps
23 N 8Th St |
$25.32 | 12 | 12 |
|
Erica Gean Dewoody
23 N 8Th St |
$24.79 | 17 | 17 |
|
Sheryl Johnson-Bryan
16 S 7Th St |
$51.03 | 24 | 12 |
|
Linda Gillispie
1076 W Maple Ave |
$46.22 | 25 | 12 |
|
Shawn Douglas Roberts
2635 W Elk Ave |
$58.87 | 103 | 41 |
|
Melanie Judd
175445 N 2950 Rd |
$56.51 | 204 | 102 |
|
Amanda Lyn Foat
16 S 7Th St |
$71.36 | 308 | 152 |
|
Michelle Leann Howe
105 N 10Th St |
$64.63 | 435 | 172 |
|
Quinton W Templer
301 N 10Th St |
$67.23 | 534 | 136 |
|
Kelli Sue Brallier
1313 W Ash Ave |
$67.38 | 594 | 205 |
|
Amanda Lee Awad
105 N 10Th St |
$67.85 | 704 | 283 |
|
Jeffrey Keele
3125 Brookwood Ave |
$65.23 | 723 | 314 |
|
Douglas William Strange
23 N 8Th St |
$54.62 | 929 | 365 |
|
Elizabeth Anne Cerney
3011 N Hwy 81 |
$67.84 | 1,116 | 489 |
|
Sammie Lea Denson
1309 W Ash Ave Ste 103 |
$66.39 | 1,681 | 735 |
|
Chantelle Nicole Muse
23 N 8Th St |
$62.88 | 1,797 | 791 |
|
Tracie Gillispie
23 N 8Th St |
$68.00 | 1,999 | 1,225 |
|
Charmin Marie Andrews
1313 W Ash Ave Ste 103 |
$49.95 | 2,737 | 995 |
|
Rosalia G Scollard
1105 W Main St |
$65.20 | 2,855 | 678 |
|
William Moore
3405 Kristin Ln |
$69.60 | 3,674 | 1,559 |
|
Jerry Don Moore
7 N 8Th St |
$70.53 | 4,677 | 1,919 |
|
Heather Patrice Anton
23 N 8Th St |
$70.27 | 4,759 | 2,714 |
|
Kelcee Darlene Lewis
23 N 8Th St |
$57.54 | 6,365 | 2,447 |
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 Duncan, OK?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Duncan, OK is $64.45 per claim, based on 36,272 claims from 23 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 Duncan, OK?
There are 23 Medicaid providers offering Substance Abuse Treatment related services in Duncan, OK according to public payment data.
What is the price range for Substance Abuse Treatment in Duncan, OK?
Medicaid reimbursement for Substance Abuse Treatment in Duncan, OK ranges from $24.79 to $71.36 per claim, with an average of $64.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $94.34
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Springfield, MA
Avg $20.44
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Baltimore, MD
Avg $107.97
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Portland, OR
Avg $37.53
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Avg $21.52
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Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Duncan, OK
Office Visit
Avg $141.76
159,155 claims
Case Management Services
Avg $75.72
82,655 claims
Emergency Room Visit
Avg $145.70
38,642 claims
Blood Work & Lab Tests
Avg $8.08
34,511 claims
Eye Exam
Avg $61.26
24,237 claims
X-Ray
Avg $11.73
22,677 claims
Vaccines & Immunizations
Avg $18.60
15,204 claims
Urinalysis & Urine Tests
Avg $5.09
9,058 claims