Average Medicaid Substance Abuse Treatment Payments in Gaithersburg, MD: $56.88
Avg. Paid
$56.88
Range
$50.51 – $148.80
Total Claims
5,218
Providers
6
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 Gaithersburg, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Family Health Center
6 Montgomery Village Ave |
$50.51 | 4,139 | 1,720 |
|
Emily Priscilla Houck
111 Selby St |
$71.27 | 397 | 244 |
|
Advanced Behavioral Health, Inc.
16220 Frederick Rd Ste 310 |
$71.18 | 291 | 290 |
|
Family Services, Inc
630 E Diamond Ave Ste A-C |
$65.66 | 212 | 207 |
|
Stepping Stone Treatment Program Center
12 E Diamond Ave Ste A |
$148.80 | 150 | 12 |
|
Thomas Mcdonough
610 E Diamond Ave Ste 100 |
$85.62 | 29 | 15 |
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 Gaithersburg, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Gaithersburg, MD is $56.88 per claim, based on 5,218 claims from 6 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 Gaithersburg, MD?
There are 6 Medicaid providers offering Substance Abuse Treatment related services in Gaithersburg, MD according to public payment data.
What is the price range for Substance Abuse Treatment in Gaithersburg, MD?
Medicaid reimbursement for Substance Abuse Treatment in Gaithersburg, MD ranges from $50.51 to $148.80 per claim, with an average of $56.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Gaithersburg, MD
Office Visit
Avg $81.43
583,421 claims
Psychiatric Evaluation
Avg $110.54
412,044 claims
Dental Cleaning & Exam
Avg $40.23
222,806 claims
Ambulance Transport
Avg $44.47
220,202 claims
Physical Therapy
Avg $24.72
184,105 claims
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Avg $28.91
99,780 claims
Molecular & Genetic Testing
Avg $179.29
78,884 claims
Eye Exam
Avg $34.25
57,543 claims