Average Medicaid Substance Abuse Treatment Payments in Fond Du Lac, WI: $10.48
Avg. Paid
$10.48
Range
$0.00 – $33.54
Total Claims
448,434
Providers
42
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 Fond Du Lac, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicki Toney
23 W Scott St |
$9.83 | 114,043 | 8,331 |
|
Alexis Lor
23 W Scott St |
$10.91 | 100,938 | 8,820 |
|
Jeannette Sroka
23 W Scott St |
$9.68 | 79,068 | 11,283 |
|
Donna Lehner
23 W Scott St |
$9.32 | 68,151 | 8,716 |
|
Robin L Hester
23 W Scott St |
$9.65 | 20,285 | 3,881 |
|
Charissa Doolittle
459 E 1St St |
$11.43 | 10,621 | 3,431 |
|
Yvette Marie Teichmiller-Hewitt
417 N National Ave |
$5.49 | 6,948 | 1,192 |
|
Elizabeth M Cotter
23 W Scott St |
$7.08 | 6,346 | 714 |
|
Agnesian Healthcare, Inc
430 E Division St |
$20.45 | 5,521 | 2,488 |
|
Nathan Edward Adams
W5270 Bechaud Beach Dr |
$9.48 | 3,758 | 846 |
|
Lorrie Ann Olig
430 E Division St |
$22.29 | 3,557 | 2,340 |
|
Jeffrey T Junig
1020 S Main St |
$23.66 | 3,093 | 2,010 |
|
Jamie Lynn Renard
23 W. Scott St. |
$18.35 | 2,880 | 1,356 |
|
Alli M Falkenthal
23 W Scott St |
$7.54 | 2,765 | 646 |
|
Bethany Krofta
23 W Scott St # At |
$20.36 | 2,273 | 1,485 |
|
Danielle Lisney
23 W Scott St |
$6.07 | 1,894 | 300 |
|
Kathy Hoover
23 W Scott St |
$27.03 | 1,884 | 1,360 |
|
Brittney Schommer
23 W Scott St |
$10.82 | 1,876 | 1,017 |
|
Mollea Roseanna Greylord
423 Pine Tree Dr |
$25.13 | 1,683 | 1,059 |
|
Valerie Turpin
23 W Scott St |
$7.76 | 1,508 | 367 |
|
Kay L Christianson
23 W Scott St |
$21.92 | 909 | 694 |
|
Gregory Arndt
459 E 1St St |
$9.80 | 883 | 674 |
|
Amy Reza
430 E Division St |
$19.03 | 821 | 543 |
|
Jennifer Laning
459 E 1St St |
$8.28 | 781 | 486 |
|
Amy S Johannes
1044 S Park Ave |
$5.03 | 771 | 487 |
|
Teresa R Giese
23 W Scott St |
$5.90 | 729 | 233 |
|
Jill Marie Bethe
23 W Scott St |
$9.38 | 687 | 133 |
|
Eveline Grace Waters
132 14Th St |
$10.86 | 615 | 189 |
|
Alicia Neitzel
23 W Scott St |
$17.28 | 613 | 414 |
|
Kodi Denise Barthels
23 W Scott St |
$19.29 | 545 | 315 |
|
Melanie Foust
459 E 1St St |
$6.52 | 421 | 305 |
|
Leslie Mae Raddatz
23 W Scott St |
$23.03 | 283 | 171 |
|
Jennifer L Kraus
459 E 1St St |
$33.54 | 267 | 36 |
|
Kelsey Burg
459 E 1St St |
$7.76 | 249 | 138 |
|
Lynn Klapperich
459 E 1St St |
$4.05 | 230 | 199 |
|
Jeanne Hellman
459 E 1St St |
$31.97 | 147 | 24 |
|
Matthew J Trecroci
459 E 1St St |
$7.25 | 125 | 39 |
|
Fond Du Lac County
459 E 1St St |
$0.25 | 110 | 85 |
|
Premier Care Of Wisconsin, Llc.
23 W Scott St |
$0.00 | 65 | 47 |
|
Kellan Christian Henning
23 W Scott St |
$14.31 | 41 | 28 |
|
Sarah Shockley
459 E 1St St |
$5.95 | 25 | 24 |
|
Kellie Jean Diels
459 E 1St St |
$6.81 | 25 | 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 Fond Du Lac, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Fond Du Lac, WI is $10.48 per claim, based on 448,434 claims from 42 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 Fond Du Lac, WI?
There are 42 Medicaid providers offering Substance Abuse Treatment related services in Fond Du Lac, WI according to public payment data.
What is the price range for Substance Abuse Treatment in Fond Du Lac, WI?
Medicaid reimbursement for Substance Abuse Treatment in Fond Du Lac, WI ranges from $0.00 to $33.54 per claim, with an average of $10.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Fond Du Lac, WI
Blood Work & Lab Tests
Avg $8.83
327,918 claims
Office Visit
Avg $30.99
187,764 claims
Emergency Room Visit
Avg $46.88
110,069 claims
Physical Therapy
Avg $17.98
104,978 claims
Case Management Services
Avg $237.57
102,660 claims
Personal Care Services
Avg $7.13
98,362 claims
Speech Therapy
Avg $11.33
84,147 claims
Psychiatric Evaluation
Avg $35.02
76,059 claims