Average Medicaid Substance Abuse Treatment Payments in Racine, WI: $17.43
Avg. Paid
$17.43
Range
$4.87 – $68.69
Total Claims
97,672
Providers
26
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 Racine, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bonnie M Cohen
5735 Durand Ave |
$10.24 | 51,276 | 10,578 |
|
Kristen M Voss
5735 Durand Ave |
$9.73 | 12,073 | 2,277 |
|
Jerry Morris
1303 Chatham St |
$25.06 | 7,038 | 3,137 |
|
Ashley Drab
5735 Durand Ave |
$9.76 | 6,523 | 2,206 |
|
Orlesia Gay Gooseberry
1501 Albert St |
$68.31 | 4,960 | 1,231 |
|
Carla Yvette Ward
5735 Durand Ave Suite A |
$19.40 | 2,156 | 1,267 |
|
Michelle Englund
1717 Taylor Ave |
$19.86 | 1,965 | 1,004 |
|
Regina A Capelli-Scheidt
7325 Foley Rd |
$17.03 | 1,903 | 1,454 |
|
Ascension All Saints Hospital, Inc
3801 Spring St |
$68.69 | 1,222 | 140 |
|
Sarah Marie Jaeck
2224 Northwestern Ave Ste 112 |
$30.18 | 1,141 | 571 |
|
Darren L Taylor
1717 Taylor Ave |
$42.76 | 1,067 | 612 |
|
Dewita Latrice Chambers
1434 Lincoln St |
$11.11 | 1,006 | 285 |
|
Lorice Jean
1717 Taylor Ave |
$43.56 | 946 | 432 |
|
James A Wagner
524 Main Street |
$42.50 | 918 | 572 |
|
Kathleen B Campeau
1717 Taylor Ave |
$31.21 | 770 | 381 |
|
Patti Hansen
1717 Taylor Ave |
$54.80 | 722 | 401 |
|
Wallace Edward Brandies
1717 Taylor Ave |
$30.92 | 494 | 332 |
|
Jean Marie Pruscha
840 Lake Ave |
$32.39 | 396 | 309 |
|
Nicole Lester
1717 Taylor Ave |
$25.70 | 226 | 121 |
|
Cassandra C Coates
134 Main St Apt 117 |
$18.61 | 199 | 118 |
|
Sasia Lile
1717 Taylor Ave |
$32.45 | 170 | 69 |
|
Cathryn Hammond
3703 Southwood Dr |
$4.87 | 145 | 142 |
|
Elizabeth Ann Polo
1654 Washington Ave |
$12.62 | 143 | 74 |
|
Megan Mundigler
1717 Taylor Ave |
$18.49 | 97 | 61 |
|
Racine County Finance Department
1717 Taylor Ave |
$11.65 | 87 | 59 |
|
Dadra Lockridge
1602 West St |
$15.01 | 29 | 13 |
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 Racine, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Racine, WI is $17.43 per claim, based on 97,672 claims from 26 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 Racine, WI?
There are 26 Medicaid providers offering Substance Abuse Treatment related services in Racine, WI according to public payment data.
What is the price range for Substance Abuse Treatment in Racine, WI?
Medicaid reimbursement for Substance Abuse Treatment in Racine, WI ranges from $4.87 to $68.69 per claim, with an average of $17.43. 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
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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 Racine, WI
Blood Work & Lab Tests
Avg $10.30
644,485 claims
Office Visit
Avg $39.50
493,194 claims
Physical Therapy
Avg $24.72
232,185 claims
Emergency Room Visit
Avg $55.72
205,431 claims
Speech Therapy
Avg $12.59
193,369 claims
Urinalysis & Urine Tests
Avg $9.40
164,590 claims
Non-Emergency Medical Transportation
Avg $10.46
163,491 claims
Personal Care Services
Avg $20.59
151,984 claims