Average Medicaid Substance Abuse Treatment Payments in Rhinelander, WI: $28.55
Avg. Paid
$28.55
Range
$7.64 – $55.70
Total Claims
13,027
Providers
9
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 Rhinelander, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roberta Apfel
710 S Oneida Ave |
$7.64 | 3,670 | 500 |
|
Aaron Mielke
158 S Anderson St |
$21.09 | 3,391 | 1,472 |
|
Sandra L Prien
48 W King St |
$55.70 | 2,157 | 757 |
|
Mandeep Singh
2251 North Shore Dr |
$22.35 | 1,016 | 512 |
|
Roberta L Marcus
705 E Timber Dr |
$54.19 | 961 | 536 |
|
Theresa Loduha
705 E Timber Dr |
$51.58 | 886 | 481 |
|
Tanya Hoy
1020 Kabel Ave |
$23.80 | 539 | 345 |
|
Bettie Jo Ilene Ingman Snyder
705 E Timber Dr |
$51.34 | 340 | 158 |
|
Mason P Shallow
Po Box 1550 |
$20.82 | 67 | 35 |
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 Rhinelander, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Rhinelander, WI is $28.55 per claim, based on 13,027 claims from 9 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 Rhinelander, WI?
There are 9 Medicaid providers offering Substance Abuse Treatment related services in Rhinelander, WI according to public payment data.
What is the price range for Substance Abuse Treatment in Rhinelander, WI?
Medicaid reimbursement for Substance Abuse Treatment in Rhinelander, WI ranges from $7.64 to $55.70 per claim, with an average of $28.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Rhinelander, WI
Blood Work & Lab Tests
Avg $10.42
141,434 claims
Office Visit
Avg $38.85
86,998 claims
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Avg $20.10
69,062 claims
Behavioral & Mental Health Therapy
Avg $93.92
51,773 claims
Emergency Room Visit
Avg $45.66
42,208 claims
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Avg $5.24
32,186 claims
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Avg $48.11
31,729 claims
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Avg $18.73
27,354 claims