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Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Oshkosh, WI: $9.72

Avg. Paid

$9.72

Range

$0.00 – $56.34

Total Claims

342,304

Providers

42

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 Oshkosh, WI

Provider Avg. Paid Claims Patients
Theresa Schwalbach

505 S Washburn St

$6.68 59,102 11,976
Emilie Jansen

505 S Washburn St

$9.15 51,965 4,815
Theresa Marie Hart

505 S Washburn St

$11.63 42,194 5,977
Nicole Ann Kraemer

505 S Washburn St

$9.26 36,038 4,668
Madison Marie Simpson

505 S Washburn St

$11.25 24,945 3,063
Ashley Cortez

855 W 12Th Ave

$5.22 19,266 2,943
Jennifer L Yang

505 S Washburn St

$9.98 16,934 3,216
Dana Koziol

505 S Washburn St

$9.60 15,345 3,201
Elizabeth Anne Crooks

505 S Washburn St

$10.67 14,564 5,853
Carrie Lee Brouillette

505 S Washburn St

$8.74 12,364 1,417
Andrea L Williams

505 S Washburn St

$6.95 7,712 2,098
Amy S Loose

505 S Washburn St

$7.16 6,389 905
Shelley Offermann

505 S Washburn St

$11.44 5,938 929
Mary Kay Benotsch

505 South Washburn Street

$4.12 4,611 587
Carin Lynn Orourke

505 S Washburn St

$12.75 4,397 2,713
Charity Brand

505 S Washburn St

$23.44 2,404 1,308
Mandy M Tague

84 Eveline St

$7.16 2,020 701
Angeline Fischer Gonzales

505 S Washburn St

$32.54 1,740 929
Rebecca Ann Schroeder

505 S Washburn St

$6.95 1,638 559
Steven Gene Ehlke

683 N Main St

$44.98 1,262 504
Mary Kathryn Burns

515 S Washburn St

$5.70 1,205 464
Krista Kay Moore

505 S Washburn St

$21.60 1,120 720
Chandra Shekar

500 S Oakwood Rd

$4.70 1,081 362
Chelsea Fritz

220 Washington Ave

$23.70 923 192
Savanna Lee

505 S Washburn St

$29.04 897 486
Timothy Hill

505 S Washburn St

$19.42 897 657
Kristin A Jenkins

505 S Washburn St

$28.46 652 442
Liisa Marie Bush

505 S Washburn St

$35.70 523 293
Victor Brandt

220 Washington Ave

$27.05 502 412
Ascension Ne Wisconsin, Inc

500 S Oakwood Rd

$8.63 501 190
Renee L Fredette

505 S Washburn St

$8.90 465 181
Emily Jo Grunwald

505 S Washburn St

$27.70 452 252
Patrick M Carlson

505 S Washburn St

$11.28 430 313
Sunshine A Mills

505 S Washburn St

$24.60 420 254
Donald Sweet

502 E New York Ave

$25.93 416 78
Sara Utecht

505 S Washburn St

$56.34 325 100
Johnny Orlando Scott

505 S Washburn St

$19.87 279 149
Samantha Glenn

505 S Washburn St

$23.54 213 154
County Of Winnebago

220 Washington Ave

$31.00 94 37
Tanya Stenz

220 Washington Ave

$17.34 36 31
Ams Of Wisconsin Llc

595 South Washburn St

$0.00 28 27
James Mashaun Williams

404 N Main St Ste 501

$41.72 17 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 Oshkosh, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Oshkosh, WI is $9.72 per claim, based on 342,304 claims from 42 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 Oshkosh, WI?

There are 42 Medicaid providers offering Substance Abuse Treatment related services in Oshkosh, WI according to public payment data.

What is the price range for Substance Abuse Treatment in Oshkosh, WI?

Medicaid reimbursement for Substance Abuse Treatment in Oshkosh, WI ranges from $0.00 to $56.34 per claim, with an average of $9.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Substance Abuse Treatment in Other Cities

Other Procedures in Oshkosh, WI