Average Medicaid Substance Abuse Treatment Payments in Mount Pleasant, WI: $11.81
Avg. Paid
$11.81
Range
$7.59 – $45.77
Total Claims
221,842
Providers
34
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 Mount Pleasant, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mackenzie Ryan Pauer
5735 Durand Ave |
$10.49 | 37,857 | 7,008 |
|
Lori Beth Cruz
5735 Durand Ave |
$11.43 | 27,339 | 7,653 |
|
Jamie L Stropes
5735 Durand Ave |
$10.87 | 26,470 | 6,471 |
|
Colette B Trotta
5735 Durand Ave |
$10.21 | 17,615 | 3,577 |
|
Yvonne R Schlosser
5735 Durand Ave |
$9.87 | 16,414 | 3,922 |
|
Michelle Brown
5735 Durand Ave |
$11.05 | 16,371 | 3,575 |
|
Joseph T Makowka
5735 Durand Ave Ste A |
$11.07 | 13,418 | 2,446 |
|
Stephanie M Segundo
5735 Durand Ave |
$10.73 | 10,468 | 4,421 |
|
Maria-Gretchen Fabroa Wagner-Richardson
5735 Durand Ave |
$9.65 | 9,917 | 3,064 |
|
Lanice Mcdonald
5735 Durand Ave Ste A |
$10.79 | 9,168 | 2,337 |
|
Natasha N Vandervere
5735 Durand Ave |
$8.69 | 6,670 | 2,024 |
|
Terri Lee Wallow
5735 Durand Ave |
$19.06 | 4,428 | 1,705 |
|
Caroline Daniela Bonilla
5735 Durand Ave |
$28.47 | 4,072 | 1,570 |
|
Doreen Jane Uick
5735 Durand Ave |
$10.02 | 3,870 | 1,104 |
|
Danielle L James
5735 Durand Ave |
$11.45 | 2,950 | 1,123 |
|
Andrews King
5735 Durand Ave |
$24.65 | 2,490 | 1,244 |
|
Shamekia Harrell
5735 Durand Ave |
$33.18 | 1,677 | 789 |
|
Kathy Harris
5735 Durand Ave |
$11.18 | 1,456 | 264 |
|
Nicole Bergevain
5735 Durand Ave |
$7.59 | 1,387 | 629 |
|
Shelly R Erickson
5735 Durand Ave |
$45.77 | 1,187 | 695 |
|
Gabrielle N Young
5735 Durand Ave |
$9.11 | 1,114 | 664 |
|
Bryanna Schlenker
5735 Durand Ave |
$21.25 | 949 | 446 |
|
Brandy Harris
5735 Durand Ave |
$12.12 | 936 | 621 |
|
Floyd Harmon
5735 Durand Ave |
$36.29 | 931 | 444 |
|
Dana C Clark
5735 Durand Ave |
$8.55 | 710 | 265 |
|
Lateasha Nicole
5735 Durand Ave |
$28.58 | 542 | 197 |
|
Amanda Maria Rodriguez
5735 Durand Ave |
$14.55 | 427 | 304 |
|
Dawn Marie Larkin
5735 Durand Ave Ste A |
$10.38 | 325 | 197 |
|
Kaley Haarbauer
5735 Durand Ave |
$10.01 | 284 | 248 |
|
Janis Putirskis
5735 Durand Ave |
$8.37 | 260 | 201 |
|
Rachael Kozinski
3801 Spring St |
$28.53 | 57 | 47 |
|
Chelsea Faye Filter
3801 Spring St |
$20.79 | 51 | 28 |
|
Adrian Kenneth Stull
13250 Washington Ave |
$26.05 | 19 | 15 |
|
Angela K Gleisner
8400 Washington Ave |
$32.63 | 13 | 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 Mount Pleasant, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Mount Pleasant, WI is $11.81 per claim, based on 221,842 claims from 34 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 Mount Pleasant, WI?
There are 34 Medicaid providers offering Substance Abuse Treatment related services in Mount Pleasant, WI according to public payment data.
What is the price range for Substance Abuse Treatment in Mount Pleasant, WI?
Medicaid reimbursement for Substance Abuse Treatment in Mount Pleasant, WI ranges from $7.59 to $45.77 per claim, with an average of $11.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $20.44
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Avg $107.97
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Avg $21.52
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Avg $38.59
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Avg $34.24
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Other Procedures in Mount Pleasant, WI
Physical Therapy
Avg $38.42
251,161 claims
Office Visit
Avg $34.63
182,605 claims
Dental Cleaning & Exam
Avg $29.11
144,689 claims
Speech Therapy
Avg $41.05
124,087 claims
Emergency Room Visit
Avg $52.13
61,592 claims
Dental Filling
Avg $79.47
53,936 claims
Psychiatric Evaluation
Avg $44.78
27,847 claims
Vaccines & Immunizations
Avg $4.76
25,675 claims