Average Medicaid Substance Abuse Treatment Payments in Oceanside, CA: $79.55
Avg. Paid
$79.55
Range
$0.00 – $146.29
Total Claims
137,403
Providers
16
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 Oceanside, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mission Treatment Services, Inc.
1905 Apple St Ste 3 |
$43.11 | 72,886 | 11,497 |
|
Mcalister Institute For Treatment & Education, Inc.
1701 Mission Ave Ste 310 |
$134.14 | 34,292 | 8,131 |
|
Healthright360
3355 Mission Ave Ste 239 |
$107.84 | 11,941 | 2,158 |
|
Mcalister Institute For Treatment & Education, Inc.
3355 Mission Ave |
$134.90 | 7,749 | 1,217 |
|
Mcalister Institute For Treatment & Education, Inc.
3921 Waring Rd |
$143.71 | 2,891 | 648 |
|
Jaime Lacara Aglugub
2171 S El Camino Real |
$0.04 | 2,275 | 1,410 |
|
Mental Health Systems, Inc.
1100 Sportfisher Dr |
$143.75 | 1,686 | 856 |
|
Mental Health Systems, Inc.
2122 S El Camino Real Ste 102 |
$146.29 | 1,149 | 581 |
|
Sarah Papalia
4318 Mission Ave |
$0.00 | 880 | 848 |
|
Denise Gomez
605 Crouch St Bldg C |
$0.00 | 526 | 524 |
|
Roozchehr Safi
605 Crouch St |
$0.00 | 445 | 436 |
|
Mental Health Systems, Inc.
1701 Mission Ave Ste 230 |
$110.11 | 230 | 143 |
|
Rupert Marasigan Ramirez
3353 Las Vegas Dr |
$0.00 | 183 | 156 |
|
Jody Pratt-Harrington
1100 Sportfisher Dr |
$28.09 | 160 | 87 |
|
Ilsong Jason Chong
605 Crouch St Bldg C |
$0.00 | 85 | 84 |
|
Dayanthi Kurukulasuriya
605 Crouch St |
$0.00 | 25 | 25 |
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 Oceanside, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Oceanside, CA is $79.55 per claim, based on 137,403 claims from 16 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 Oceanside, CA?
There are 16 Medicaid providers offering Substance Abuse Treatment related services in Oceanside, CA according to public payment data.
What is the price range for Substance Abuse Treatment in Oceanside, CA?
Medicaid reimbursement for Substance Abuse Treatment in Oceanside, CA ranges from $0.00 to $146.29 per claim, with an average of $79.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Oceanside, CA
Office Visit
Avg $21.55
826,862 claims
Blood Work & Lab Tests
Avg $6.51
639,238 claims
Speech Therapy
Avg $15.68
252,046 claims
Vaccines & Immunizations
Avg $0.83
218,629 claims
Emergency Room Visit
Avg $90.58
217,809 claims
Urinalysis & Urine Tests
Avg $9.14
189,352 claims
Dental Cleaning & Exam
Avg $48.09
113,124 claims
EKG / ECG (Electrocardiogram)
Avg $16.45
99,086 claims