Average Medicaid Substance Abuse Treatment Payments in Gastonia, NC: $100.79
Avg. Paid
$100.79
Range
$0.00 – $701.57
Total Claims
307,968
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 Gastonia, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mcleod Centers For Wellbeing
549 Cox Rd |
$55.49 | 148,634 | 13,550 |
|
Community Advancement Agency Llc
2020 Remount Rd Ste W-107 |
$118.16 | 33,582 | 3,720 |
|
Broken Pieces Services Llc
2020 Remount Rd |
$142.01 | 27,621 | 3,467 |
|
Metro Treatment Of North Carolina L P
1455 E Franklin Blvd |
$167.04 | 25,273 | 4,671 |
|
Yaw Adjei Owusu-Addo
640 Summit Crossing Pl |
$32.70 | 17,560 | 834 |
|
Infinite Beginnings, Llc
201 W 2Nd Ave Ste A |
$174.61 | 15,959 | 2,688 |
|
Ct18 Group Llc
318 S South St Ste 8 |
$143.32 | 12,214 | 1,219 |
|
Bridging The Gap Of North Carolina
3050 Riverwood Pkwy Ste B |
$215.02 | 6,763 | 695 |
|
Cognitive Priority Llc
543 Cox Rd Ste B8A |
$179.99 | 4,947 | 366 |
|
Monarch
2505 Court Dr |
$95.28 | 4,628 | 1,160 |
|
Life Challenges Of The Carolinas Llc
1017 Vancouver Ln |
$134.85 | 3,126 | 436 |
|
Aspen Investment Group
1089 X Ray Dr |
$701.57 | 2,499 | 414 |
|
Johnny B'S, Llc
2020 Remount Rd |
$163.23 | 2,496 | 118 |
|
Outreach Management Services Llc
1723 Armstrong Park Dr |
$38.69 | 889 | 765 |
|
Ethos Services
432 E Long Ave Ste 2 |
$157.68 | 855 | 37 |
|
Carolina Therapeutic Services, Inc
1528 Union Rd |
$24.05 | 584 | 520 |
|
Anita Hopkins Godwin
1875 Remount Rd |
$0.00 | 136 | 135 |
|
Sunpath Llc
415 W Main Ave |
$131.56 | 133 | 24 |
|
Megan Renee Wright Nguyen
620 Summit Crossing Pl Ste 108A |
$22.39 | 52 | 51 |
|
Nicole Emily Wood
3050 Riverwood Pkwy Ste B |
$21.84 | 17 | 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 Gastonia, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Gastonia, NC is $100.79 per claim, based on 307,968 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 Gastonia, NC?
There are 20 Medicaid providers offering Substance Abuse Treatment related services in Gastonia, NC according to public payment data.
What is the price range for Substance Abuse Treatment in Gastonia, NC?
Medicaid reimbursement for Substance Abuse Treatment in Gastonia, NC ranges from $0.00 to $701.57 per claim, with an average of $100.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $14.18
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Phoenix, AZ
Avg $94.34
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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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Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Gastonia, NC
Office Visit
Avg $55.63
914,198 claims
Dental Cleaning & Exam
Avg $29.45
324,975 claims
Behavioral & Mental Health Therapy
Avg $167.99
296,373 claims
Vaccines & Immunizations
Avg $13.08
282,013 claims
Blood Work & Lab Tests
Avg $22.08
273,661 claims
Psychiatric Evaluation
Avg $79.45
271,358 claims
Case Management Services
Avg $201.50
241,594 claims
Emergency Room Visit
Avg $128.41
219,453 claims