Average Medicaid Substance Abuse Treatment Payments in Merrillville, IN: $47.16
Avg. Paid
$47.16
Range
$16.71 – $448.18
Total Claims
798,378
Providers
6
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 Merrillville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Oranu G Ibekie
1574 E 85Th Ave |
$18.99 | 741,524 | 30,237 |
|
Pinnacle Treatment Centers In-1, Llc D/B/A Recovery Works Merrillville
201 W 89Th Ave |
$448.18 | 45,173 | 3,703 |
|
Southlake Community Mental Health Center, Inc
8555 Taft St |
$290.78 | 11,362 | 860 |
|
Carl Stephen Moisoff
8500 Broadway St |
$46.46 | 230 | 101 |
|
Joseph Blackwell
6049 Broadway |
$154.94 | 77 | 24 |
|
Jared Eaton
1441 E 84Th Pl |
$16.71 | 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 Merrillville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Merrillville, IN is $47.16 per claim, based on 798,378 claims from 6 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 Merrillville, IN?
There are 6 Medicaid providers offering Substance Abuse Treatment related services in Merrillville, IN according to public payment data.
What is the price range for Substance Abuse Treatment in Merrillville, IN?
Medicaid reimbursement for Substance Abuse Treatment in Merrillville, IN ranges from $16.71 to $448.18 per claim, with an average of $47.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Merrillville, IN
Office Visit
Avg $54.67
626,977 claims
Blood Work & Lab Tests
Avg $5.00
262,934 claims
Psychiatric Evaluation
Avg $70.12
234,092 claims
Eye Exam
Avg $43.63
161,213 claims
Physical Therapy
Avg $35.48
134,950 claims
Durable Medical Equipment (DME)
Avg $28.49
111,037 claims
Nursing Facility Care
Avg $10.54
87,122 claims
EKG / ECG (Electrocardiogram)
Avg $8.42
72,379 claims