Average Medicaid Substance Abuse Treatment Payments in Durham, NC: $122.82
Avg. Paid
$122.82
Range
$0.00 – $400.67
Total Claims
746,211
Providers
35
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 Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher William Prater
3116 N Duke St |
$11.74 | 29 | 29 |
|
Associated Family And Life Services, Llc
2144 Page Rd |
$22.03 | 31 | 28 |
|
Charles Lee Ashley
411 Andrews Rd |
$400.67 | 89 | 26 |
|
Olumide A Danisa
40 Duke Medicine Cir |
$0.00 | 181 | 164 |
|
Ian Joseph Palombo
1200 Broad St Ste 101 |
$16.90 | 196 | 158 |
|
Carolina Outreach, Llc
2670 Durham Chapel Hill Blvd |
$48.64 | 356 | 46 |
|
Kimani Seryby
5810 Faulkner St Unit 1202 |
$103.77 | 766 | 128 |
|
B&D Integrated Health Services
249 E Nc Highway 54 Ste 320 |
$19.43 | 1,638 | 97 |
|
Jose K Antony
2511 Old Cornwallis Rd Ste 200 |
$14.13 | 2,031 | 54 |
|
Optimum Community Outreach, Inc
2530 Meridian Pkwy Ste 300 |
$87.66 | 2,131 | 293 |
|
Belinda Kim Khou
501 Willard St Apt 215 |
$0.00 | 2,175 | 1,272 |
|
Beacon Bridge Llc
415 Dunstan Ave Ste B |
$27.68 | 2,647 | 155 |
|
Freedom House Recovery Center, Inc.
400 Crutchfield St |
$92.14 | 3,035 | 609 |
|
Greater Outreach Services, Llp
2530 Meridian Pkwy Ste 3006 |
$139.91 | 3,741 | 413 |
|
Carolina Outreach, Llc
1823 Chapel Hill Rd |
$244.55 | 4,121 | 646 |
|
Community Alternatives Inc.
2634 Chapel Hill Blvd Ste 11 |
$182.87 | 4,755 | 314 |
|
Positive Milestones
4017 Lady Slipper Ln |
$112.93 | 4,944 | 498 |
|
Recovery Innovations, Inc
309 Crutchfield St |
$20.26 | 7,003 | 3,369 |
|
Baart Community Healthcare
800 N Mangum St Ste 300&400 |
$113.39 | 11,053 | 1,503 |
|
Larry Herman Daye
2530 Meridian Pkwy Ste 3006 |
$90.62 | 15,077 | 961 |
|
Morse Clinic Of Durham, Pc
4119 Capitol St |
$106.44 | 15,129 | 1,435 |
|
Sunrise Clinical Associates, Pllc
3500 Westgate Dr |
$104.62 | 17,205 | 2,726 |
|
Upward Change Health Services, Llc
2003 E Nc Highway 54 |
$124.91 | 17,641 | 2,644 |
|
Metro Treatment Of North Carolina L P
1913 Lamar St |
$73.15 | 22,471 | 2,732 |
|
Peter-Elst Llc
3700 Lyckan Pkwy Ste A |
$141.30 | 24,223 | 2,496 |
|
Rapha Healthcare Services,Llc
4411 Ben Franklin Blvd |
$125.28 | 26,149 | 3,847 |
|
Family Solutions And Support Services
4324 S Alston Ave Ste 205 |
$143.90 | 29,268 | 1,395 |
|
The Beauty Of Wellness, Llc
3209 Guess Rd |
$89.92 | 30,122 | 2,374 |
|
Securing Resources For Consumers, Inc.
3711 University Dr Ste C |
$134.36 | 49,936 | 4,784 |
|
Carolina Community Support Services, Inc.
4324 S Alston Ave Ste 113 |
$129.41 | 51,413 | 5,882 |
|
Jason C Ocean
2530 Meridian Pkwy Ste 300 |
$138.87 | 53,346 | 3,318 |
|
Fidelity Community Support Group, Inc
4324 S Alston Ave Ste 203 |
$120.93 | 53,670 | 5,883 |
|
Community Care Service Llc
5842 Fayetteville Rd Ste 101 |
$131.84 | 84,224 | 10,516 |
|
B&D Integrated Health Services
249 E Nc Highway 54 Ste 320 |
$114.27 | 90,853 | 11,747 |
|
Liasions Community Care
304A N Driver St |
$135.87 | 114,562 | 9,126 |
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 Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Durham, NC is $122.82 per claim, based on 746,211 claims from 35 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 Durham, NC?
There are 35 Medicaid providers offering Substance Abuse Treatment related services in Durham, NC according to public payment data.
What is the price range for Substance Abuse Treatment in Durham, NC?
Medicaid reimbursement for Substance Abuse Treatment in Durham, NC ranges from $0.00 to $400.67 per claim, with an average of $122.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Durham, NC
Office Visit
Avg $53.48
1,229,002 claims
Dental Cleaning & Exam
Avg $29.86
790,132 claims
X-Ray
Avg $5.74
576,677 claims
Blood Work & Lab Tests
Avg $13.80
572,218 claims
Speech Therapy
Avg $57.51
491,949 claims
Psychiatric Evaluation
Avg $65.37
472,359 claims
Emergency Room Visit
Avg $105.90
448,598 claims
Vaccines & Immunizations
Avg $15.02
377,320 claims