Average Medicaid Substance Abuse Treatment Payments in Lynchburg, VA: $88.03
Avg. Paid
$88.03
Range
$0.24 – $325.11
Total Claims
916,923
Providers
30
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 Lynchburg, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Virginia Treatment Center, Llc
4000 Murray Pl |
$11.13 | 536,872 | 45,434 |
|
Horizon Behavioral Health
2215 Langhorne Rd |
$325.11 | 208,282 | 190,648 |
|
Brightview Llc
3704 Old Forest Rd |
$24.54 | 126,263 | 37,675 |
|
Christopher B Vonelten
2137 Lakeside Dr Ste 100 |
$33.05 | 20,032 | 13,487 |
|
Centra Health Inc
3300 Rivermont Avenue |
$317.78 | 7,402 | 470 |
|
The Madeline Centre Incorporated
18697 Forest Rd |
$70.81 | 4,698 | 3,268 |
|
Rachel Giles
3704 Old Forest Rd |
$40.82 | 3,647 | 2,341 |
|
Marianne Powell
2215 Langhorne Rd |
$70.55 | 1,562 | 674 |
|
Justin Travis Cross
105 Chadwick Dr |
$27.51 | 1,510 | 1,290 |
|
Meredith Camilleri
617 Jackson St |
$25.56 | 1,289 | 583 |
|
Amy Rugh
620 Court St |
$32.86 | 908 | 529 |
|
Brent Allison Mccraw
1892 Graves Mill Rd Unit A |
$40.14 | 743 | 533 |
|
Chelsea Marie Eichelberger
3300 Rivermont Ave |
$34.83 | 726 | 551 |
|
Amy Travis
2215 Langhorne Rd |
$104.91 | 396 | 159 |
|
Ghada M Alsayed
2323 Memorial Ave |
$0.24 | 351 | 345 |
|
Deborah Hall Berkley
18697 Forest Rd |
$75.65 | 341 | 222 |
|
Sanket Rajaram Dhat
3300 Rivermont Ave |
$33.35 | 319 | 247 |
|
Amanda Brooks Glover
18697 Forest Rd |
$52.45 | 311 | 280 |
|
Brian Mark Clemmons
3704 Old Forest Rd |
$27.19 | 246 | 163 |
|
Nyomi S Roth
2250 Murrell Rd Ste B3 |
$41.15 | 167 | 105 |
|
Rhonda Fuller Turner
2215 Langhorne Rd |
$24.92 | 156 | 98 |
|
Gregory Mears
1000 Jefferson St. |
$30.91 | 151 | 125 |
|
Michael E. Judd
3300 Rivermont Ave |
$28.72 | 146 | 93 |
|
Centra Medical Group, Llc
3300 Rivermont Ave |
$45.76 | 106 | 76 |
|
Sean Hammett
2215 Langhorne Rd |
$166.26 | 103 | 25 |
|
Teresa R Gibson
2402 Atherholt Rd |
$21.03 | 75 | 38 |
|
Tonya Zwain
2600 Memorial Ave Ste 104 |
$169.08 | 63 | 63 |
|
Todd Benjamin Bernsohn
3704 Old Forest Rd |
$113.06 | 27 | 27 |
|
Laura Ann Cahill
511 Homewood Dr |
$24.42 | 19 | 13 |
|
Lillian Carter
3704 Old Forest Rd |
$113.60 | 12 | 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 Lynchburg, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Lynchburg, VA is $88.03 per claim, based on 916,923 claims from 30 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 Lynchburg, VA?
There are 30 Medicaid providers offering Substance Abuse Treatment related services in Lynchburg, VA according to public payment data.
What is the price range for Substance Abuse Treatment in Lynchburg, VA?
Medicaid reimbursement for Substance Abuse Treatment in Lynchburg, VA ranges from $0.24 to $325.11 per claim, with an average of $88.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $34.24
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Other Procedures in Lynchburg, VA
Blood Work & Lab Tests
Avg $7.19
965,700 claims
Office Visit
Avg $57.93
876,061 claims
Emergency Room Visit
Avg $108.68
486,853 claims
Psychiatric Evaluation
Avg $86.77
362,722 claims
Physical Therapy
Avg $72.42
327,473 claims
Behavioral & Mental Health Therapy
Avg $172.15
316,716 claims
Home Health Visit
Avg $69.63
239,863 claims
X-Ray
Avg $7.79
235,893 claims