Average Medicaid Substance Abuse Treatment Payments in Fort Wayne, IN: $88.84
Avg. Paid
$88.84
Range
$0.00 – $457.93
Total Claims
999,164
Providers
20
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 Fort Wayne, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carolyn Warner Greer
1415 Directors Row |
$18.01 | 559,894 | 21,259 |
|
Booth & Company, Inc.
9329 Illinois Rd |
$103.79 | 158,183 | 25,257 |
|
Thomas P Van Den Driessche
3030 Lake Ave |
$38.83 | 122,702 | 11,085 |
|
Avenues Recovery Center Of Fort Wayne, Llc
2626 Fairfield Ave |
$452.20 | 94,403 | 6,669 |
|
Park Center Inc
909 E State Blvd |
$314.56 | 30,979 | 2,111 |
|
Syed R. Mumtaz
909 E State Blvd |
$97.98 | 10,147 | 2,590 |
|
Ahsan Mahmood
1720 Beacon St |
$164.18 | 5,294 | 347 |
|
Larry H. Lambertson
909 E State Blvd |
$241.33 | 3,978 | 558 |
|
Ina S. Carlson
1909 Carew St |
$55.73 | 3,056 | 768 |
|
Brittany Coffee
1720 Beacon St |
$181.20 | 2,083 | 163 |
|
Timothy B Kowaleski
1720 Beacon St |
$263.97 | 1,835 | 114 |
|
Richard L. Hite
909 E State Blvd |
$70.67 | 1,645 | 732 |
|
Kelly Stewart Hutner
11143 Parkview Plaza Dr Ste 320 |
$280.62 | 1,112 | 154 |
|
Margaret Sue Herb
2821 Hillegas Rd |
$457.93 | 1,026 | 1,005 |
|
Melodie A Gavin
909 E State Blvd |
$6.28 | 882 | 102 |
|
John M Musgrave
3470 Stellhorn Rd |
$45.78 | 694 | 159 |
|
Barbara C Gelder
3010 E State Blvd Ste 600 |
$49.04 | 617 | 111 |
|
New Wave Behavior Management, Llc.
4610 Fairfield Ave |
$407.77 | 538 | 320 |
|
Carrie Meyer
1720 Beacon St |
$299.70 | 80 | 14 |
|
Casey Corullo Boersma
12219 Golden Harvest Dr |
$0.00 | 16 | 14 |
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 Fort Wayne, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Fort Wayne, IN is $88.84 per claim, based on 999,164 claims from 20 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 Fort Wayne, IN?
There are 20 Medicaid providers offering Substance Abuse Treatment related services in Fort Wayne, IN according to public payment data.
What is the price range for Substance Abuse Treatment in Fort Wayne, IN?
Medicaid reimbursement for Substance Abuse Treatment in Fort Wayne, IN ranges from $0.00 to $457.93 per claim, with an average of $88.84. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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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 Fort Wayne, IN
Office Visit
Avg $58.43
2,675,831 claims
Blood Work & Lab Tests
Avg $7.81
1,332,302 claims
Emergency Room Visit
Avg $106.03
1,181,321 claims
Psychiatric Evaluation
Avg $62.23
945,008 claims
Case Management Services
Avg $63.38
852,965 claims
Vaccines & Immunizations
Avg $8.10
731,731 claims
X-Ray
Avg $20.01
666,060 claims
Physical Therapy
Avg $33.31
633,712 claims