Average Medicaid Substance Abuse Treatment Payments in Mount Vernon, WA: $31.17
Avg. Paid
$31.17
Range
$0.00 – $193.22
Total Claims
61,601
Providers
31
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 Vernon, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rowell Dela Cruz
210 N 17Th St |
$193.22 | 15 | 15 |
|
Scott Darrel Amundsen
1100 S 2Nd St |
$174.56 | 16 | 16 |
|
Ankur Tarun Sanghvi
209 Milwaukee Steet |
$0.00 | 29 | 14 |
|
Eric Posey
1601 E College Way |
$57.84 | 43 | 30 |
|
Charleen Renee Bray
1100 S 2Nd St |
$0.00 | 45 | 14 |
|
Consejo Conseling And Referral Services
1601 E College Way |
$120.77 | 46 | 29 |
|
James Lloyd Meyers
1500 E College Way Ste A |
$140.65 | 65 | 55 |
|
Nicole Marie Ervin
1905 Continental Pl |
$62.21 | 66 | 61 |
|
Emily Koty
1601 E College Way |
$131.90 | 74 | 54 |
|
Brittany Beaudoin
1100 S 2Nd St |
$0.00 | 79 | 24 |
|
Allie Breanna Fowler
1601 E College Way |
$156.41 | 127 | 87 |
|
Todd Berlandi
2105 Continental Pl |
$113.96 | 158 | 130 |
|
Nanette S Noma
2500 E College Way |
$94.84 | 227 | 86 |
|
Izabela Kammerer
314 Pine St Ste 205 |
$104.09 | 286 | 129 |
|
Jackie Elaine Washbish
904 S 3Rd St |
$0.51 | 322 | 250 |
|
Brittany Silva
251 Dallas St |
$111.23 | 342 | 209 |
|
Jeanne K Lanphere
1100 S 2Nd St |
$0.00 | 401 | 110 |
|
Tonya Derina Bieche
2500 E College Way |
$82.35 | 426 | 242 |
|
Sea Mar Community Health Centers
1010 E College Way |
$1.90 | 444 | 364 |
|
Kimberly Saphaire-Dawn Wyatt
209 Milwaukee St |
$0.80 | 497 | 179 |
|
Iris Kathrin Cola
1601 E College Way |
$151.10 | 667 | 607 |
|
Lizeth Vizcaino-Sandoval
1601 E College Way |
$153.59 | 808 | 548 |
|
Carmen Mercedes Dills
1601 E College Way |
$123.92 | 901 | 528 |
|
Becky Hernandez
1601 E College Way |
$140.02 | 1,022 | 636 |
|
Christine L Sundholm
1725 Continental Pl Ste C |
$135.53 | 1,138 | 995 |
|
Joy O'Brien
1005 S 3Rd St |
$112.53 | 1,283 | 627 |
|
Phoenix Recovery House
1601 E College Way |
$4.90 | 1,589 | 686 |
|
Felicia M Petty
1100 S 2Nd St |
$50.93 | 3,519 | 1,928 |
|
Jeffrey William Dyer
1900 N 30Th St |
$60.86 | 5,505 | 2,848 |
|
Phoenix Recovery Services, Llc
1601 E College Way |
$0.09 | 8,706 | 2,110 |
|
Evergreen Recovery Centers
1905 Continental Place |
$12.78 | 32,755 | 1,577 |
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 Vernon, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Mount Vernon, WA is $31.17 per claim, based on 61,601 claims from 31 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 Vernon, WA?
There are 31 Medicaid providers offering Substance Abuse Treatment related services in Mount Vernon, WA according to public payment data.
What is the price range for Substance Abuse Treatment in Mount Vernon, WA?
Medicaid reimbursement for Substance Abuse Treatment in Mount Vernon, WA ranges from $0.00 to $193.22 per claim, with an average of $31.17. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Mount Vernon, WA
Blood Work & Lab Tests
Avg $8.04
612,342 claims
Office Visit
Avg $54.16
521,967 claims
Emergency Room Visit
Avg $97.48
169,367 claims
Vaccines & Immunizations
Avg $10.77
130,964 claims
X-Ray
Avg $15.08
129,151 claims
Urinalysis & Urine Tests
Avg $1.79
128,777 claims
EKG / ECG (Electrocardiogram)
Avg $5.92
91,094 claims
Physical Therapy
Avg $27.22
77,764 claims