Average Medicaid Substance Abuse Treatment Payments in Fullerton, CA: $36.31
Avg. Paid
$36.31
Range
$0.00 – $161.40
Total Claims
453,868
Providers
11
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 Fullerton, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Western Pacific Med-Corp
218 E Commonwealth Ave |
$33.82 | 438,409 | 51,998 |
|
Korean Community Services
1060 S Brookhurst Rd |
$73.58 | 8,459 | 4,066 |
|
Woodglen Recovery Junction
751 W Orangethorpe Ave |
$161.40 | 6,264 | 1,539 |
|
Woodglen Recovery Junction Incorporated
771 W Orangethorpe Ave |
$50.92 | 356 | 259 |
|
Uma P Rao
1400 N Harbor Blvd |
$0.00 | 292 | 292 |
|
David J Park
2151 N Harbor Blvd |
$0.00 | 18 | 16 |
|
Roy Logarta Panares
2151 N Harbor Blvd |
$0.00 | 17 | 14 |
|
Donald W Henderson
1950 Sunnycrest Dr |
$0.00 | 16 | 16 |
|
Dennis J Buchanan
101 Laguna Rd Ste 100 |
$0.00 | 13 | 13 |
|
Lien Giao Doan
2605 W Orangethorpe Ave |
$8.00 | 12 | 12 |
|
Allen Y Tham
2141 N Harbor Blvd |
$0.00 | 12 | 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 Fullerton, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Fullerton, CA is $36.31 per claim, based on 453,868 claims from 11 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 Fullerton, CA?
There are 11 Medicaid providers offering Substance Abuse Treatment related services in Fullerton, CA according to public payment data.
What is the price range for Substance Abuse Treatment in Fullerton, CA?
Medicaid reimbursement for Substance Abuse Treatment in Fullerton, CA ranges from $0.00 to $161.40 per claim, with an average of $36.31. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $34.24
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Other Procedures in Fullerton, CA
Blood Work & Lab Tests
Avg $4.31
488,267 claims
Office Visit
Avg $41.06
375,817 claims
Behavioral & Mental Health Therapy
Avg $115.64
188,923 claims
Dental Cleaning & Exam
Avg $59.56
174,014 claims
Physical Therapy
Avg $18.15
159,544 claims
X-Ray
Avg $9.77
131,587 claims
Prescription Medications
Avg $12.26
114,497 claims
Urinalysis & Urine Tests
Avg $1.89
110,052 claims