Average Medicaid Substance Abuse Treatment Payments in Martinsburg, WV: $79.49
Avg. Paid
$79.49
Range
$0.00 – $172.43
Total Claims
226,446
Providers
11
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 Martinsburg, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Martinsburg Institute Inc
223 Eagle School Rd |
$100.31 | 113,516 | 25,830 |
|
Eastern Panhandle Mental Health (Rehab)
235 S Water St |
$102.70 | 37,608 | 15,282 |
|
Board Of Child Care, Wv
715 Brown Rd |
$0.00 | 33,026 | 881 |
|
Board Of Child Care Of The United Methodist Church, Inc
27 Campolina Way |
$0.00 | 16,163 | 333 |
|
Berkeley County Council
520 S Raleigh St |
$62.92 | 13,310 | 3,073 |
|
Peter J. Callahan, Pllc
1020 Winchester Ave |
$172.43 | 8,232 | 2,776 |
|
Jonathan M Hartiens
94 Old Mill Rd |
$108.87 | 2,483 | 373 |
|
Board Of Child Care Of The United Methodist Church
715 Brown Rd |
$168.07 | 1,151 | 324 |
|
Lillian Cecile Gebert
400 Foxcroft Ave Ste 104 |
$32.73 | 859 | 547 |
|
Rebecca Lee
2000 Professional Ct Ste C |
$0.00 | 59 | 59 |
|
Christopher Robertson Belden
400 W Martin St |
$46.31 | 39 | 21 |
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 Martinsburg, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Martinsburg, WV is $79.49 per claim, based on 226,446 claims from 11 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 Martinsburg, WV?
There are 11 Medicaid providers offering Substance Abuse Treatment related services in Martinsburg, WV according to public payment data.
What is the price range for Substance Abuse Treatment in Martinsburg, WV?
Medicaid reimbursement for Substance Abuse Treatment in Martinsburg, WV ranges from $0.00 to $172.43 per claim, with an average of $79.49. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Martinsburg, WV
Office Visit
Avg $40.48
523,147 claims
Personal Care Services
Avg $208.80
318,358 claims
Blood Work & Lab Tests
Avg $16.27
300,533 claims
Vaccines & Immunizations
Avg $11.95
135,738 claims
Emergency Room Visit
Avg $125.16
119,616 claims
Psychiatric Evaluation
Avg $44.11
113,145 claims
Urinalysis & Urine Tests
Avg $10.33
83,831 claims
Physical Therapy
Avg $30.27
77,138 claims