Average Medicaid Substance Abuse Treatment Payments in Modesto, CA: $58.76
Avg. Paid
$58.76
Range
$0.00 – $309.91
Total Claims
737,923
Providers
24
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 Modesto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elaine Joy Tubayan Soriano
1510 Florida Ave |
$10.00 | 13 | 13 |
|
Adolescence'S Last Resort
3125 Mchenry Ave |
$298.24 | 17 | 14 |
|
Alexandria Meyers
1011 Sylvan Ave |
$0.00 | 21 | 21 |
|
Family First Medical Care A Professional Corporation
1317 Oakdale Rd Ste 440 |
$2.81 | 24 | 24 |
|
Juliana Loretto
121 Downey Ave |
$194.86 | 27 | 15 |
|
Modesto Gospel Mission
1400 Yosemite Blvd |
$163.65 | 68 | 50 |
|
Nirvana Drug And Alcohol Treatment Institute
1116 Alice St |
$0.00 | 77 | 12 |
|
Emillie De Ocampo
1510 Florida Ave |
$0.00 | 124 | 119 |
|
Nirvana Drug And Alcohol Institute
1028 Reno Ave |
$1.99 | 126 | 30 |
|
County Of Stanislaus
500 N 9Th St Ste D |
$154.18 | 147 | 73 |
|
Bassam Aljomard
1510 Florida Ave |
$1.45 | 222 | 219 |
|
Silvia Margarita Diego
1317 Oakdale Rd |
$18.06 | 320 | 300 |
|
Jessica Dawn Cole
200 E Hackett Rd |
$14.83 | 342 | 273 |
|
Valley Recovery Resources
416 Corson Ave |
$309.91 | 407 | 141 |
|
Zachary Abbott
421 E Morris Ave |
$58.66 | 593 | 264 |
|
Ranjit Shenoy
3612 Dale Rd |
$0.00 | 1,888 | 1,792 |
|
County Of Stanislaus
801 11Th St |
$87.01 | 2,769 | 604 |
|
Stanislaus County Behavioral Health And Recovery Services
190 E. Hackett Road |
$106.06 | 4,947 | 1,274 |
|
County Of Stanislaus
1601 I St., Ste. 200, 2Nd Fl. |
$118.06 | 6,542 | 2,151 |
|
Nirvana Drug And Alcohol
1100 Kansas Ave Ste Bc&D |
$71.27 | 19,307 | 4,732 |
|
Sierra Vista Child & Family Services First Step Perinatal Treatment Pr
1700 Mchenry Village Way |
$63.55 | 22,326 | 4,751 |
|
Center For Human Services
2000 W Briggsmore Ave |
$131.24 | 22,464 | 8,722 |
|
Aegis Treatment Centers, Llc
1235 Mchenry Ave |
$104.09 | 274,816 | 88,658 |
|
County Of Stanislaus
800 Scenic Dr |
$19.08 | 380,336 | 26,746 |
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 Modesto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Modesto, CA is $58.76 per claim, based on 737,923 claims from 24 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 Modesto, CA?
There are 24 Medicaid providers offering Substance Abuse Treatment related services in Modesto, CA according to public payment data.
What is the price range for Substance Abuse Treatment in Modesto, CA?
Medicaid reimbursement for Substance Abuse Treatment in Modesto, CA ranges from $0.00 to $309.91 per claim, with an average of $58.76. 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 Modesto, CA
Office Visit
Avg $28.79
2,335,494 claims
Blood Work & Lab Tests
Avg $7.39
1,231,704 claims
Physical Therapy
Avg $26.45
700,100 claims
Emergency Room Visit
Avg $82.65
624,564 claims
Dental Cleaning & Exam
Avg $51.91
543,449 claims
Urinalysis & Urine Tests
Avg $2.49
526,756 claims
Vaccines & Immunizations
Avg $8.27
517,898 claims
X-Ray
Avg $25.33
516,185 claims