Average Medicaid Substance Abuse Treatment Payments in Gainesville, FL: $65.28
Avg. Paid
$65.28
Range
$0.00 – $158.09
Total Claims
71,464
Providers
25
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 Gainesville, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen A. Straubing
4300 Sw 13Th St |
$63.12 | 53,804 | 12,256 |
|
Meridian Behavioral Healthcare, Inc.
4300 Sw 13Th St |
$77.02 | 8,143 | 2,112 |
|
Lisa Gay Burnett
7731 W Newberry Rd |
$87.22 | 3,608 | 2,086 |
|
John H. Abernethy
4300 Sw 13Th St |
$80.69 | 2,055 | 633 |
|
Patricia Morris Jeter
4300 Sw 13Th St |
$38.32 | 579 | 333 |
|
Deidre L Johnson
4300 Sw 13Th St |
$2.55 | 537 | 368 |
|
Joanne Morgan Gibson
4300 Sw 13Th St |
$88.49 | 398 | 152 |
|
Daniel P Logan
1600 Sw Archer Rd |
$39.78 | 355 | 161 |
|
Metro Treatment Of Florida, Lp
2209 Nw 13Th St |
$59.35 | 313 | 92 |
|
Vanessa Luann Cumber
4300 Sw 13Th St |
$16.56 | 225 | 73 |
|
Kathleen Johnson
4300 Sw 13Th St |
$158.09 | 225 | 104 |
|
Dale Frank Syfert
4300 Sw 13Th St |
$3.89 | 217 | 37 |
|
Stepanie K Jasper
4300 Sw 13Th St |
$20.71 | 162 | 77 |
|
Ashley Romeo
8076 Nw 37Th Rd |
$8.72 | 136 | 100 |
|
Sarah Michel Dooley
4300 Sw 13Th St |
$10.45 | 122 | 42 |
|
Denise L Sanfilippo
1131 Nw 64Th Ter |
$115.92 | 115 | 87 |
|
Carali Mclean
4300 Sw 13Th St |
$0.00 | 111 | 76 |
|
Delora Y Rollins
4300 Sw 13Th St |
$6.88 | 92 | 26 |
|
Jennifer Sebreros
4300 Sw 13Th St |
$38.50 | 78 | 14 |
|
Karen Harris
6440 W Newberry Rd Ste 508 |
$12.46 | 58 | 47 |
|
Christy Mcbee
4300 Sw 13Th St |
$87.67 | 34 | 19 |
|
Linda H Skalsky
4300 Sw 13Th St |
$81.85 | 34 | 14 |
|
Sabrina Noel Wyatt
1600 Sw Archer Rd |
$17.80 | 33 | 30 |
|
Christina Bennett Wiley
6440 W Newberry Rd Ste 508 |
$6.76 | 16 | 15 |
|
Barbara Joeann Allen
1600 Sw Archer Rd |
$10.87 | 14 | 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 Gainesville, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Gainesville, FL is $65.28 per claim, based on 71,464 claims from 25 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 Gainesville, FL?
There are 25 Medicaid providers offering Substance Abuse Treatment related services in Gainesville, FL according to public payment data.
What is the price range for Substance Abuse Treatment in Gainesville, FL?
Medicaid reimbursement for Substance Abuse Treatment in Gainesville, FL ranges from $0.00 to $158.09 per claim, with an average of $65.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $94.34
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Avg $20.44
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Baltimore, MD
Avg $107.97
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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 Gainesville, FL
Blood Work & Lab Tests
Avg $2.72
2,132,563 claims
Office Visit
Avg $44.68
885,779 claims
Emergency Room Visit
Avg $81.28
751,230 claims
X-Ray
Avg $4.46
646,866 claims
Speech Therapy
Avg $20.88
349,074 claims
Urinalysis & Urine Tests
Avg $1.01
338,004 claims
EKG / ECG (Electrocardiogram)
Avg $6.02
236,914 claims
Dental Cleaning & Exam
Avg $32.15
203,652 claims