Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Madison, WI: $12.67

Avg. Paid

$12.67

Range

$0.00 – $125.02

Total Claims

1,509,772

Providers

199

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 Madison, WI

Provider	Avg. Paid	Claims	Patients
Henrietta C. Nwankwo 5425 Katie Ln	$10.47	124,138	19,246
Flaviano Estrella 5109 World Dairy Dr	$11.54	110,603	25,723
Eufemia Panolino Rakstang 5109 World Dairy Dr	$11.55	105,169	25,245
Sarbjit K Mavi 5109 World Dairy Dr	$11.16	95,544	20,619
Alyssa Lynn Coffey 210 E Olin Ave	$10.59	85,312	12,841
Vic Fauzto A Sibal 5109 World Dairy Dr	$10.18	79,274	15,593
Linda Lee Richardson 5109 World Dairy Dr	$11.11	61,084	17,848
Brianna Bingham 3113 E Washington Ave	$11.35	50,566	3,562
Mischelle Marie Hipenbecker 3113 E Washington Ave	$11.76	50,429	7,518
Judith Decato 210 E Olin Ave	$10.47	42,533	9,047
Julie Baisa 210 E Olin Ave	$11.95	37,882	7,482
Felish Desha Braxton 210 E Olin Ave	$11.05	35,308	10,353
Judy Kukura 5109 World Dairy Dr	$11.72	34,203	7,944
Susan Marie Partello 210 E Olin Ave	$10.02	30,477	11,328
Catherine Schlesner 210 E Olin Ave	$10.71	29,612	7,477
Marie Louise Atkocaitis 3113 East Washington Ave	$10.69	28,033	12,470
Pamela Lyons 25 Kessel Ct	$10.77	22,637	11,996
Dawn G Lawrence 121 Acacia Ln	$8.22	20,365	5,496
Kellie Lewellin 3113 E Washington Ave	$11.51	18,308	3,737
Leslie Naber 210 E Olin Ave	$11.31	18,270	9,025
Tammy Lynn Studzinski 151 E Badger Rd Ste A	$8.93	15,878	2,556
Sherilyn Aures 210 E Olin Ave	$12.00	15,419	6,925
Patty Ann Hawkins 151 E Badger Rd Ste A	$10.50	15,245	3,949
Joyce Fang 3113 E Washington Ave	$11.99	14,248	2,683
Stacey M Hopson 151 E Badger Rd	$10.93	13,522	3,004
Cathy Fidler 5109 World Dairy Dr	$11.80	12,955	2,352
Dane County Human Services 1202 Northport Dr	$24.51	12,586	2,095
Samantha Lynn Hodgman 5109 World Dairy Dr	$10.11	11,614	3,659
Ka Pa Yang 3518 Memorial Dr Bldg 4	$8.20	10,872	2,812
Karmen Lynch 5109 World Dairy Dr	$10.59	10,816	7,054
Theresa Kyriakopoulos 210 E Olin Ave	$11.27	10,391	6,754
Kelly J Coloso 151 E Badger Rd	$12.02	9,203	1,827
Angela Lynne Federman 5109 World Dairy Dr	$10.80	9,046	4,137
Bich Ngoc Tran-Steichen 2917 Wayland Dr	$10.20	8,959	1,401
Paris M James 151 E Badger Rd Ste A	$10.10	8,872	2,493
Stacy Marie Fitzgerald 3113 E Washington Ave	$11.66	8,532	2,231
Amanda Wex 5109 World Dairy Dr	$10.98	7,760	2,638
Rebecca Vander Heiden 210 E Olin Ave	$10.98	7,450	1,841
Tricia Ann Bochte 151 E Badger Rd Ste A	$10.22	7,386	2,992
Jean Benjamin 210 E Olin Ave	$11.26	7,049	2,699
Audrey Blum 151 E Badger Rd	$10.27	6,886	1,518
Mollie Kallas 2000 Fordem Ave	$13.45	6,668	3,263
Maria Michelle Watson 151 E Badger Rd Ste A	$7.53	6,449	2,111
Angela Beahm 210 E Olin Ave	$9.90	6,165	1,205
Christopher P Harkin 1821 S Stoughton Rd	$28.02	5,969	4,212
Emily R Simeon 4802 E Broadway	$9.42	5,357	1,188
Shawn Larae Geishert 3113 E Washington Ave	$11.17	5,356	1,523
Joell Elizabeth Loehr 151 E Badger Rd Ste A	$18.87	4,778	2,076
Patricia M Mccowan Mitchell 210 E Olin Ave	$11.18	4,608	2,464
Shannon Borchardt 210 E Olin Ave	$8.95	4,382	2,184

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 Madison, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Madison, WI is $12.67 per claim, based on 1,509,772 claims from 199 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 Madison, WI?

There are 199 Medicaid providers offering Substance Abuse Treatment related services in Madison, WI according to public payment data.

What is the price range for Substance Abuse Treatment in Madison, WI?

Medicaid reimbursement for Substance Abuse Treatment in Madison, WI ranges from $0.00 to $125.02 per claim, with an average of $12.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Substance Abuse Treatment Payments in Madison, WI: $12.67

Providers Offering Substance Abuse Treatment in Madison, WI

What to Expect: Substance Abuse Treatment

Cost Components

Frequently Asked Questions

Substance Abuse Treatment in Other Cities

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Baltimore, MD

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Worcester, MA

Bronx, NY

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Other Procedures in Madison, WI

Behavioral & Mental Health Therapy

Office Visit

Blood Work & Lab Tests

Emergency Room Visit

X-Ray

Physical Therapy

EKG / ECG (Electrocardiogram)

Dental Cleaning & Exam