Average Medicaid Substance Abuse Treatment Payments in Kalamazoo, MI: $22.55
Avg. Paid
$22.55
Range
$1.37 – $1,189
Total Claims
1,148,823
Providers
15
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 Kalamazoo, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Family & Children Services
1608 Lake St |
$150.00 | 26 | 26 |
|
Jaclyn Reid
610 S Burdick St |
$1.37 | 45 | 45 |
|
Community Healing Centers
2615 Stadium Dr |
$1,189 | 46 | 44 |
|
Synergy Health Center
625 Harrison St |
$116.90 | 87 | 28 |
|
Recovery Institute Of Southwest Michigan, Inc.
326 W Kalamazoo Ave |
$598.39 | 455 | 114 |
|
Mrc Industries Incorporated
1606 S Burdick St |
$60.18 | 1,160 | 735 |
|
Advocacy Services For Kids
414 E Michigan Ave |
$400.91 | 1,421 | 579 |
|
Western Michigan University Unified Clinics
1000 Oakland Dr Fl 3 |
$127.27 | 2,748 | 2,484 |
|
Kalamazoo Probation Enhancement Program
519 S Park St |
$83.43 | 6,002 | 3,487 |
|
Interact Of Michigan, Inc
610 South Burdick St |
$58.99 | 10,372 | 5,288 |
|
Family Health Center, Inc.
505 E Alcott St |
$1.94 | 13,928 | 12,262 |
|
Bethany House Recovery House
722 S Rose St |
$273.82 | 15,641 | 6,323 |
|
Family Health Center Inc
117 W Paterson Street |
$2.14 | 18,271 | 16,539 |
|
Kalamazoo County Community Mental Health Authority
615 E Crosstown Pkwy |
$184.72 | 39,575 | 21,015 |
|
Victory Clinical Services Llc
401 Howard St |
$11.36 | 1,039,046 | 50,708 |
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 Kalamazoo, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Kalamazoo, MI is $22.55 per claim, based on 1,148,823 claims from 15 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 Kalamazoo, MI?
There are 15 Medicaid providers offering Substance Abuse Treatment related services in Kalamazoo, MI according to public payment data.
What is the price range for Substance Abuse Treatment in Kalamazoo, MI?
Medicaid reimbursement for Substance Abuse Treatment in Kalamazoo, MI ranges from $1.37 to $1,189 per claim, with an average of $22.55. 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
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
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Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
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 Kalamazoo, MI
Blood Work & Lab Tests
Avg $5.52
1,338,243 claims
Office Visit
Avg $46.58
1,300,383 claims
Emergency Room Visit
Avg $95.58
1,136,532 claims
Psychiatric Evaluation
Avg $75.96
559,338 claims
Vaccines & Immunizations
Avg $7.25
440,882 claims
Physical Therapy
Avg $22.98
378,641 claims
Case Management Services
Avg $189.11
334,161 claims
X-Ray
Avg $16.53
313,763 claims