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Based on public Medicaid payment data.

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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