Average Medicaid Substance Abuse Treatment Payments in Milwaukee, WI: $16.12
Avg. Paid
$16.12
Range
$0.00 – $412.01
Total Claims
1,287,629
Providers
260
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 Milwaukee, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrew Lau
10625 W North Ave Ste 102 |
$35.35 | 12 | 12 |
|
Susan J Wilson
10625 W North Ave |
$35.35 | 13 | 13 |
|
Arthur G Moore
10625 W North Ave Ste 102 |
$29.93 | 13 | 12 |
|
Freddie J. Mertzig
3237 S 16Th St |
$32.63 | 13 | 13 |
|
Nishant Pillai
3201 S 16Th St |
$30.30 | 14 | 12 |
|
Sohail M Majeed
3200 W Highland Blvd |
$12.80 | 15 | 12 |
|
Jessica E Schutta
3237 S 16Th St |
$33.14 | 16 | 13 |
|
Jasmine Brisby
1111 S 6Th St |
$23.25 | 16 | 13 |
|
Heidi J Toth
10625 W North Ave |
$15.54 | 18 | 14 |
|
Kenya R Robertson
4573 N 29Th St |
$17.68 | 20 | 14 |
|
Derek R Thruman
1610 Miller Park Way |
$18.93 | 24 | 17 |
|
Debra Danoski
3707 N Richards St |
$39.49 | 25 | 12 |
|
Terri Lambert-Jones
1225 W Historic Mitchell St Ste 223 |
$0.00 | 25 | 19 |
|
Melanie Figueroa
1635 W National Ave |
$10.30 | 27 | 20 |
|
Jamie Elaine Keller
4800 S 10Th St |
$60.06 | 28 | 12 |
|
Emily A Rembert
10625 W North Ave Ste 102 |
$34.17 | 30 | 29 |
|
Levi M Preston
2677 N 40Th St |
$27.46 | 32 | 26 |
|
Krystalyn Goode
2625 N Weil Street |
$6.10 | 33 | 13 |
|
Enedino Arestegui
1111 S 6Th St |
$6.75 | 35 | 15 |
|
Patricia Howard
4800 S 10Th St |
$27.13 | 35 | 15 |
|
Milwaukee Health Services System, Llc
4800 S. 10Th Street |
$0.00 | 37 | 24 |
|
Austin Paul Damaschke
5000 W Chambers St |
$32.48 | 37 | 35 |
|
S M I L E Inc
4222 W Capitol Dr Ste 308 |
$32.99 | 38 | 12 |
|
Larry E Lacrosse
10625 W North Ave |
$21.40 | 38 | 24 |
|
Lakeesha Shontell Robinson
3853 N 54Th Blvd |
$4.55 | 40 | 31 |
|
Nathan P. Bell
10625 W North Ave Ste 102 |
$19.53 | 40 | 27 |
|
Shermeka A Mercer
3707 N Richards St |
$14.19 | 40 | 25 |
|
Kadeitra Monteil Winters-Wallace
10150 W National Ave Ste 307 |
$24.46 | 41 | 33 |
|
Carl Allen
3707 N Richards St |
$18.40 | 42 | 30 |
|
Bradley A Peterson
10625 W North Ave Ste 102 |
$29.73 | 44 | 38 |
|
Megan Kathleen Crow
3237 S 16Th St |
$34.63 | 49 | 46 |
|
Annette L Veasey
4222 W Capitol Dr Ste 308 |
$0.00 | 56 | 12 |
|
Cheree Epperson
8500 W North Ave |
$20.36 | 58 | 44 |
|
Adrian E Jones
6737 W Washington St |
$18.81 | 61 | 35 |
|
Therese Ann Johnson
3267 S 16Th Street |
$33.88 | 72 | 72 |
|
Brenda King
4261 N Teutonia Ave |
$31.87 | 84 | 66 |
|
Briana Quanae Johnson
1610 Miller Park Way |
$9.71 | 86 | 65 |
|
Geletta Ball
2821 N 4Th St |
$13.64 | 92 | 53 |
|
Tonyetta L Ross
5330 W Villard Ave |
$32.38 | 92 | 64 |
|
Ryan John Mcfarland
3090 N 53Rd St |
$30.90 | 100 | 62 |
|
Caitlyn Hummel
10012 W Capitol Dr |
$19.49 | 101 | 100 |
|
Vin Baker Recovery Llc
4757 N 76Th St |
$202.21 | 102 | 98 |
|
Johnny P Yang
3707 N Richards St |
$18.85 | 103 | 72 |
|
Matthew W Treat
10625 W North Ave |
$20.92 | 114 | 67 |
|
Anthony L Hale
8532 W Capitol Dr Ste 201 |
$26.96 | 119 | 102 |
|
David Anton Gilmore
3707 N Richards St |
$14.47 | 140 | 64 |
|
Otis Lockett,
230 W Wells St |
$55.89 | 141 | 65 |
|
Darrell Delmar Edwards
3707 N Richards St |
$16.54 | 142 | 84 |
|
Geneva Fuller
1610 Miller Park Way |
$12.12 | 143 | 96 |
|
Milwaukee Health Services System, Llc
4800 S 10Th St Unit 1 |
$0.00 | 148 | 108 |
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 Milwaukee, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Milwaukee, WI is $16.12 per claim, based on 1,287,629 claims from 260 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 Milwaukee, WI?
There are 260 Medicaid providers offering Substance Abuse Treatment related services in Milwaukee, WI according to public payment data.
What is the price range for Substance Abuse Treatment in Milwaukee, WI?
Medicaid reimbursement for Substance Abuse Treatment in Milwaukee, WI ranges from $0.00 to $412.01 per claim, with an average of $16.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Milwaukee, WI
Blood Work & Lab Tests
Avg $12.08
6,063,751 claims
Office Visit
Avg $50.47
5,280,772 claims
Emergency Room Visit
Avg $64.11
3,433,334 claims
Behavioral & Mental Health Therapy
Avg $97.09
2,167,359 claims
Case Management Services
Avg $88.79
1,899,271 claims
X-Ray
Avg $5.82
1,618,246 claims
Physical Therapy
Avg $31.00
1,562,867 claims
Urinalysis & Urine Tests
Avg $7.57
1,368,239 claims