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 |
|---|---|---|---|
|
James Mashaun Williams
404 N Main St Ste 501 |
$41.72 | 17 | 14 |
|
Ams Of Wisconsin Llc
595 South Washburn St |
$0.00 | 28 | 27 |
|
Tanya Stenz
220 Washington Ave |
$17.34 | 36 | 31 |
|
County Of Winnebago
220 Washington Ave |
$31.00 | 94 | 37 |
|
Samantha Glenn
505 S Washburn St |
$23.54 | 213 | 154 |
|
Johnny Orlando Scott
505 S Washburn St |
$19.87 | 279 | 149 |
|
Sara Utecht
505 S Washburn St |
$56.34 | 325 | 100 |
|
Donald Sweet
502 E New York Ave |
$25.93 | 416 | 78 |
|
Sunshine A Mills
505 S Washburn St |
$24.60 | 420 | 254 |
|
Patrick M Carlson
505 S Washburn St |
$11.28 | 430 | 313 |
|
Emily Jo Grunwald
505 S Washburn St |
$27.70 | 452 | 252 |
|
Renee L Fredette
505 S Washburn St |
$8.90 | 465 | 181 |
|
Ascension Ne Wisconsin, Inc
500 S Oakwood Rd |
$8.63 | 501 | 190 |
|
Victor Brandt
220 Washington Ave |
$27.05 | 502 | 412 |
|
Liisa Marie Bush
505 S Washburn St |
$35.70 | 523 | 293 |
|
Kristin A Jenkins
505 S Washburn St |
$28.46 | 652 | 442 |
|
Timothy Hill
505 S Washburn St |
$19.42 | 897 | 657 |
|
Savanna Lee
505 S Washburn St |
$29.04 | 897 | 486 |
|
Chelsea Fritz
220 Washington Ave |
$23.70 | 923 | 192 |
|
Chandra Shekar
500 S Oakwood Rd |
$4.70 | 1,081 | 362 |
|
Krista Kay Moore
505 S Washburn St |
$21.60 | 1,120 | 720 |
|
Mary Kathryn Burns
515 S Washburn St |
$5.70 | 1,205 | 464 |
|
Steven Gene Ehlke
683 N Main St |
$44.98 | 1,262 | 504 |
|
Rebecca Ann Schroeder
505 S Washburn St |
$6.95 | 1,638 | 559 |
|
Angeline Fischer Gonzales
505 S Washburn St |
$32.54 | 1,740 | 929 |
|
Mandy M Tague
84 Eveline St |
$7.16 | 2,020 | 701 |
|
Charity Brand
505 S Washburn St |
$23.44 | 2,404 | 1,308 |
|
Carin Lynn Orourke
505 S Washburn St |
$12.75 | 4,397 | 2,713 |
|
Mary Kay Benotsch
505 South Washburn Street |
$4.12 | 4,611 | 587 |
|
Shelley Offermann
505 S Washburn St |
$11.44 | 5,938 | 929 |
|
Amy S Loose
505 S Washburn St |
$7.16 | 6,389 | 905 |
|
Andrea L Williams
505 S Washburn St |
$6.95 | 7,712 | 2,098 |
|
Carrie Lee Brouillette
505 S Washburn St |
$8.74 | 12,364 | 1,417 |
|
Elizabeth Anne Crooks
505 S Washburn St |
$10.67 | 14,564 | 5,853 |
|
Dana Koziol
505 S Washburn St |
$9.60 | 15,345 | 3,201 |
|
Jennifer L Yang
505 S Washburn St |
$9.98 | 16,934 | 3,216 |
|
Ashley Cortez
855 W 12Th Ave |
$5.22 | 19,266 | 2,943 |
|
Madison Marie Simpson
505 S Washburn St |
$11.25 | 24,945 | 3,063 |
|
Nicole Ann Kraemer
505 S Washburn St |
$9.26 | 36,038 | 4,668 |
|
Theresa Marie Hart
505 S Washburn St |
$11.63 | 42,194 | 5,977 |
|
Emilie Jansen
505 S Washburn St |
$9.15 | 51,965 | 4,815 |
|
Theresa Schwalbach
505 S Washburn St |
$6.68 | 59,102 | 11,976 |
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
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Avg $20.44
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Avg $107.97
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Avg $38.59
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Avg $34.24
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Other Procedures in Oshkosh, WI
Personal Care Services
Avg $7.20
305,174 claims
Home Health Visit
Avg $46.95
302,423 claims
Office Visit
Avg $34.26
251,844 claims
Blood Work & Lab Tests
Avg $9.80
189,043 claims
Physical Therapy
Avg $22.47
139,479 claims
Emergency Room Visit
Avg $55.31
124,172 claims
Behavioral & Mental Health Therapy
Avg $79.13
123,240 claims
Speech Therapy
Avg $11.73
122,194 claims