Average Medicaid Substance Abuse Treatment Payments in Lakeland, FL: $66.41
Avg. Paid
$66.41
Range
$2.63 – $219.03
Total Claims
2,333
Providers
14
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 Lakeland, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heather Elaine Kaufmann
1815 Crystal Lake Dr |
$32.29 | 891 | 704 |
|
Nicole Jones
348 W Highland Dr |
$65.85 | 867 | 539 |
|
Sean Denis Berry
1324 Lakeland Hills Blvd |
$219.03 | 268 | 126 |
|
Rosa Enis Negron-Munoz
6700 S Florida Ave Ste 33 |
$86.52 | 62 | 62 |
|
Sairah Y Chachad
5950 S Florida Ave |
$22.63 | 42 | 41 |
|
Ayanna N Rolette
5950 S Florida Ave |
$21.56 | 37 | 37 |
|
Lisa Ann Dinh
5950 S Florida Ave |
$22.71 | 29 | 29 |
|
Parmjit Kaur Gill
4304 Highland Park Blvd |
$2.63 | 27 | 27 |
|
Fiorella Queirolo Rodriguez
5950 S Florida Ave |
$24.04 | 27 | 27 |
|
Cara Marjorie Anne Cannon
5950 South Florida Ave. |
$20.03 | 25 | 24 |
|
Yesenia Ramos
5950 S Florida Ave |
$18.35 | 17 | 14 |
|
Shannon M Hinckley
5950 S Florida Ave |
$19.23 | 14 | 13 |
|
Maria Martinez-Ramos
3030 Harden Blvd |
$24.39 | 14 | 14 |
|
Lynn M Repetosky
1825 N Gilmore Avenue |
$35.42 | 13 | 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 Lakeland, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Lakeland, FL is $66.41 per claim, based on 2,333 claims from 14 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 Lakeland, FL?
There are 14 Medicaid providers offering Substance Abuse Treatment related services in Lakeland, FL according to public payment data.
What is the price range for Substance Abuse Treatment in Lakeland, FL?
Medicaid reimbursement for Substance Abuse Treatment in Lakeland, FL ranges from $2.63 to $219.03 per claim, with an average of $66.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $107.97
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Avg $38.59
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Avg $34.24
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Other Procedures in Lakeland, FL
Office Visit
Avg $48.57
789,264 claims
Blood Work & Lab Tests
Avg $1.32
732,559 claims
X-Ray
Avg $3.51
333,658 claims
Behavioral & Mental Health Therapy
Avg $63.79
321,190 claims
Vaccines & Immunizations
Avg $7.23
275,471 claims
Urinalysis & Urine Tests
Avg $1.10
251,368 claims
Emergency Room Visit
Avg $65.84
214,569 claims
Nursing Facility Care
Avg $6.01
199,921 claims