Average Medicaid Substance Abuse Treatment Payments in Edmonds, WA: $17.25
Avg. Paid
$17.25
Range
$0.00 – $164.47
Total Claims
13,117
Providers
16
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 Edmonds, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shauna Anne Dentler
21616 76Th Ave W Ste 205 |
$0.00 | 14 | 14 |
|
Tammie Lynn Myers
9227 232Nd St Sw |
$0.00 | 16 | 15 |
|
Matthew David Hatting
21601 76Th Ave W |
$69.35 | 17 | 15 |
|
Andrea Yvette Mendoza
123 2Nd Ave S |
$22.62 | 18 | 14 |
|
Dadong Zhou
7320 216Th St Sw |
$0.00 | 18 | 18 |
|
Cherezade Smalley
21727 76Th Ave W Ste J |
$0.00 | 25 | 12 |
|
Bruce L Nordhausen
20903 70Th Ave W |
$164.47 | 65 | 45 |
|
Emily Grooms
406 Main St Ste 115C |
$0.00 | 75 | 69 |
|
Jenna Kay Koschmeder
21727 76Th Ave W Ste J |
$95.55 | 89 | 26 |
|
Megan Yvonne Kao
21727 76Th Ave W |
$28.85 | 119 | 48 |
|
Sandra Hong
21727 76Th Ave W Ste J |
$51.54 | 121 | 47 |
|
Socorro Fuentes
21727 76Th Ave W Ste J |
$18.92 | 170 | 65 |
|
Angela Marie Bond
7416 212Th St Sw |
$86.92 | 387 | 380 |
|
Nga Chi Wong
406 Main St Ste 106 |
$137.07 | 522 | 228 |
|
Coral Lynn Blankinship
7500 212Th St Sw Ste 106 |
$124.71 | 701 | 243 |
|
Luke J Vandekrol
21601 76Th Ave W |
$0.00 | 10,760 | 2,886 |
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 Edmonds, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Edmonds, WA is $17.25 per claim, based on 13,117 claims from 16 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 Edmonds, WA?
There are 16 Medicaid providers offering Substance Abuse Treatment related services in Edmonds, WA according to public payment data.
What is the price range for Substance Abuse Treatment in Edmonds, WA?
Medicaid reimbursement for Substance Abuse Treatment in Edmonds, WA ranges from $0.00 to $164.47 per claim, with an average of $17.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Edmonds, WA
Blood Work & Lab Tests
Avg $4.61
303,954 claims
Office Visit
Avg $43.17
184,894 claims
Emergency Room Visit
Avg $87.36
139,908 claims
EKG / ECG (Electrocardiogram)
Avg $4.97
78,897 claims
Dental Cleaning & Exam
Avg $31.03
73,722 claims
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Avg $1.27
51,796 claims
Physical Therapy
Avg $23.01
49,003 claims
Vaccines & Immunizations
Avg $6.52
46,170 claims