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
Maura Grasshoff 625 W Washington Ave	$15.99	13	12
Matthew S Macwilliams 5109 World Dairy Dr	$44.90	16	13
Michele Bahl 8202 Excelsior Dr	$56.12	17	12
Jonathan W Friske 5109 World Dairy Dr	$56.76	23	17
Katelin Degroot 700 Rayovac Dr.	$83.75	26	12
Brittany Rae Glanzer 3113 E Washington Ave	$35.37	35	18
Kenyatta Brigchelle Vaccaro 3113 E Washington Ave	$2.30	39	38
April L Pulvermacher 151 E Badger Rd Ste A	$15.31	43	28
April Wery 151 E Badger Rd Ste A	$17.81	44	32
Joshua Thomas Paul 1001 Fourier Drive	$35.28	45	39
James Crawford 4222 Milwaukee St Ste 2	$17.67	47	13
Benjamin Silas Hirte 1015 Gammon Ln	$37.76	52	44
Suzanne Sweetnam 210 E Olin Ave	$22.60	54	30
Ryan Anderson 3113 E Washington Ave	$46.96	56	34
Natasha Eve Hillman 151 E Badger Rd	$54.64	57	41
Joshua White 700 Regent St Ste 302	$49.77	59	15
Michael Walmer 625 W Washington Ave	$0.99	59	44
Pamela Garrett 625 W Washington Ave	$1.94	60	37
Marlo M Harmon 5109 World Dairy Dr	$22.51	68	34
Melissa Teela 625 W Washington Ave	$13.46	69	58
Alwyn Foster 2701 International Ln Ste 201	$24.16	72	35
Lee A Erickson 25 Kessel Ct	$16.14	75	55
Taylor Cerminara 210 E Olin Ave	$21.22	79	53
Psychological Addiction Services Llc 3113 E Washington Ave	$0.00	83	30
Carlos Rivera 3113 E Washington Ave	$52.88	83	54
Andrea L Janquart 1102 S Park St	$36.32	88	51
Elisabeth Hying 870 Woodrow St	$12.05	89	70
Ryan John Quint 700 S Park St Ste A	$47.42	98	96
Stephanie Ahrens 1102 S Park St	$66.15	107	66
Tonya Lawfer 1102 S Park St	$9.33	126	72
Carrie Ann Ordonez 5109 World Dairy Dr	$28.77	129	85
Ashley Partello 210 E Olin Ave	$6.59	138	95
Jennifer Heck 1102 S Park St Ste 400	$38.99	143	94
Amanda Baker 3113 E Washington Ave	$4.43	143	74
Traci Lynn Lamb 210 E Olin Ave # 105	$25.76	145	98
Rebecca I Kellum 1015 Gammon Ln	$32.69	147	138
Ann M Oldenburg 1102 S Park St Ste 400	$36.41	150	89
Elizabeth M Schrimpf 440 Science Dr Ste 300	$45.71	159	104
Holly Chialda 210 E Olin Ave	$28.48	166	124
Angela Czegledi 1423 S Park St	$10.21	173	72
Keith E Hampton 5109 World Dairy Dr	$27.61	193	123
Milwaukee Health Services System, Llc 5109 World Dairy Dr	$18.08	199	137
Sarah Chrostowski 2000 Fordem Ave	$20.79	208	156
Kayla Hotz 4802 E Broadway	$10.29	235	167
Jordan J Dennison 49 Kessel Ct	$53.42	238	133
Holly Zimmer 3113 E Washington Ave	$12.12	295	146
Theresa Conybear 210 E Olin Ave	$34.56	319	210
Courtney Darrow 5109 World Dairy Dr	$29.06	336	215
Janine L Williams 5109 World Dairy Dr	$37.20	346	237
Katherine Luebke 210 E Olin Ave	$35.34	346	265

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

Hartford, CT

Phoenix, AZ

Springfield, MA

Baltimore, MD

Portland, OR

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