Average Medicaid Substance Abuse Treatment Payments in El Cajon, CA: $60.98
Avg. Paid
$60.98
Range
$0.00 – $687.18
Total Claims
386,165
Providers
22
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 El Cajon, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
San Diego Health Alliance
234 N Magnolia Ave |
$33.73 | 278,046 | 35,403 |
|
Mcalister Institute For Treatment & Education, Inc.
1365 And 1385 N Johnson Ave |
$107.51 | 90,302 | 24,303 |
|
Revive Pathway
1240 Broadway |
$687.18 | 4,980 | 326 |
|
La Maestra Family Clinic, Inc.
165 South First Street |
$0.02 | 4,035 | 3,982 |
|
Mcalister Institute For Treatment & Education, Inc.
550 Fesler St |
$222.51 | 3,970 | 1,128 |
|
Wasim Mansour
330 S Magnolia Ave |
$0.13 | 804 | 755 |
|
Community Research Foundation, Inc.
460 N. Magnolia Avenue |
$139.19 | 793 | 367 |
|
La Maestra Family Clinic Inc
1032 Broadway |
$0.00 | 728 | 713 |
|
Community Research Foundation Inc
700 N Johnson Ave Ste P |
$69.38 | 681 | 346 |
|
Ramiz Putrus
165 S 1St St |
$0.08 | 536 | 494 |
|
Nishwan Jibri
855 E Madison Ave |
$0.00 | 304 | 304 |
|
Mumtaz Thomas Almansour
330 S Magnolia Ave |
$0.04 | 252 | 250 |
|
Paige Alexandra Thiermann
855 E Madison Ave |
$0.00 | 190 | 190 |
|
La Maestra Family Clinic Inc.
181 Rea Ave |
$0.03 | 145 | 144 |
|
David Mansour
181 Rea Ave |
$0.14 | 102 | 100 |
|
Aliya I Khan
1032 Broadway |
$0.39 | 98 | 98 |
|
Christopher Jon Gordon
525 E Main St |
$0.00 | 73 | 27 |
|
Lindsay Summers
855 E Madison Ave |
$0.00 | 71 | 71 |
|
Nejat Arab Jalisi
1320 E Madison Ave |
$0.00 | 14 | 14 |
|
Yadira R. Ulrey
165 S 1St St |
$0.00 | 14 | 14 |
|
Hannah Green
855 E Madison Ave |
$0.00 | 14 | 14 |
|
Ahmed El-Ghoneimy
875 El Cajon Blvd |
$0.02 | 13 | 13 |
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 El Cajon, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in El Cajon, CA is $60.98 per claim, based on 386,165 claims from 22 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 El Cajon, CA?
There are 22 Medicaid providers offering Substance Abuse Treatment related services in El Cajon, CA according to public payment data.
What is the price range for Substance Abuse Treatment in El Cajon, CA?
Medicaid reimbursement for Substance Abuse Treatment in El Cajon, CA ranges from $0.00 to $687.18 per claim, with an average of $60.98. 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 El Cajon, CA
Office Visit
Avg $12.72
1,211,939 claims
Blood Work & Lab Tests
Avg $1.59
676,337 claims
Physical Therapy
Avg $23.20
246,105 claims
Vaccines & Immunizations
Avg $1.64
206,774 claims
Dental Cleaning & Exam
Avg $56.86
194,038 claims
Psychiatric Evaluation
Avg $31.60
155,761 claims
Case Management Services
Avg $148.78
101,214 claims
Urinalysis & Urine Tests
Avg $0.79
96,350 claims