Average Medicaid Substance Abuse Treatment Payments in Newport News, VA: $48.32
Avg. Paid
$48.32
Range
$0.00 – $431.18
Total Claims
920,799
Providers
14
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 Newport News, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bhg Xlii, Llc
6000B Jefferson Ave |
$9.65 | 444,456 | 28,768 |
|
American Addiction Treatment Center, Inc
12695 Mcmanus Boulevard |
$9.63 | 383,614 | 25,233 |
|
Pyramid Healthcare, Inc.
245 Chesapeake Ave |
$431.18 | 83,971 | 7,642 |
|
Donna Patricia Clark
12388 Warwick Blvd Ste 302 |
$11.42 | 4,417 | 3,105 |
|
Lisa Harris
2501 Marshall Ave Ste A |
$21.14 | 2,049 | 868 |
|
Eastern Virginia Adult Care, Llc
13193 Warwick Blvd Ste 105 |
$215.78 | 611 | 88 |
|
Carol Anne Purdy
12997 Warwick Blvd |
$16.14 | 545 | 256 |
|
Riverside Hospital Inc
500 J Clyde Morris Blvd |
$88.77 | 508 | 72 |
|
Alexandra Marie Staton
11745 Jefferson Ave Ste 10B |
$26.82 | 349 | 266 |
|
Robert Noyes Lowe
2501 Marshall Ave |
$38.12 | 149 | 100 |
|
Alecia Sheree Ball
733 Thimble Shoals Blvd Ste 170 |
$110.25 | 62 | 59 |
|
Tina Sary
4714 Marshall Ave |
$0.00 | 31 | 31 |
|
Katherine Leigh Hilsinger
12706 Mcmanus Blvd |
$22.10 | 22 | 17 |
|
Tikeama Buckingham
11745 Jefferson Ave Ste 10B |
$95.01 | 15 | 14 |
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 Newport News, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Newport News, VA is $48.32 per claim, based on 920,799 claims from 14 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 Newport News, VA?
There are 14 Medicaid providers offering Substance Abuse Treatment related services in Newport News, VA according to public payment data.
What is the price range for Substance Abuse Treatment in Newport News, VA?
Medicaid reimbursement for Substance Abuse Treatment in Newport News, VA ranges from $0.00 to $431.18 per claim, with an average of $48.32. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
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Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
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Portland, OR
Avg $37.53
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Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Newport News, VA
Home Health Visit
Avg $114.88
1,277,645 claims
Blood Work & Lab Tests
Avg $4.17
1,169,378 claims
Office Visit
Avg $58.44
865,138 claims
Non-Emergency Medical Transportation
Avg $22.47
572,103 claims
X-Ray
Avg $11.00
432,421 claims
Behavioral & Mental Health Therapy
Avg $241.14
414,774 claims
Emergency Room Visit
Avg $133.31
389,878 claims
Physical Therapy
Avg $49.72
339,901 claims