Average Medicaid Substance Abuse Treatment Payments in Richmond, VA: $53.32
Avg. Paid
$53.32
Range
$0.00 – $967.06
Total Claims
2,490,009
Providers
81
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 Richmond, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pinnacle Treatment Centers Va-I, Llc
4906 Radford Ave |
$10.31 | 777,541 | 58,117 |
|
Metro Treatment Of Virginia Lp
3021 Mechanicsville Tpke |
$9.17 | 734,833 | 41,222 |
|
Sellati & Co., Inc.
4926 W Broad St |
$13.50 | 458,670 | 26,260 |
|
Richmond Behavioral Health Authority
107 S 5Th St |
$232.70 | 261,516 | 140,874 |
|
Human Resources Inc
15 W Cary St |
$34.75 | 46,384 | 15,876 |
|
River City Comprehensive Counseling Services, Llc
2604 N Parham Rd |
$155.37 | 35,204 | 8,212 |
|
Hype Counseling Services Llc
3333 W Marshall St |
$235.38 | 33,907 | 3,411 |
|
Virginia Family Services
4912 W Marshall St Ste C |
$230.01 | 22,994 | 2,837 |
|
Born To Be Great Ii
3904 Old Hopkins Rd |
$125.67 | 16,265 | 2,051 |
|
Onesource Community Mental Health Services Of Va, Inc.
7806 Forest Hill Ave |
$967.06 | 15,083 | 3,425 |
|
River City Residential Services, Llc
2106 Hungary Rd |
$180.50 | 11,387 | 2,049 |
|
River City Comprehensive Counseling Services, Llc
2604 N Parham Rd |
$238.48 | 10,809 | 2,396 |
|
Civitas Health Services, Inc.
5663 S Laburnum Ave |
$224.21 | 6,973 | 636 |
|
The New Y Capp Inc
1500 Brook Road |
$251.57 | 6,609 | 1,011 |
|
Unconditional Care & Supportive Services, Inc
909 E Main St |
$203.70 | 5,978 | 842 |
|
Peter B Breslin
5540 Falmouth St Ste 103 |
$21.59 | 5,656 | 3,461 |
|
Abraham Youth & Family Services Llc
1510 Willow Lawn Dr |
$222.86 | 3,880 | 456 |
|
Starcity Behavioral Health Llc
5511 Staples Mill Rd Ste 300 |
$230.95 | 3,060 | 455 |
|
Donna Hayden
1900 Byrd Ave Ste 200 |
$21.22 | 2,479 | 1,506 |
|
Hype Counseling Services Llc
2421 Westwood Ave Ste F |
$255.26 | 2,424 | 217 |
|
Craig W Swainey
1250 E Marshall St |
$30.97 | 1,920 | 963 |
|
Judith M. Schmidt
4906 Radford Ave |
$26.24 | 1,698 | 832 |
|
Paul B Brasler
1503 Santa Rosa Rd |
$22.48 | 1,675 | 771 |
|
Cheryl Ann Boggs
1201 Broad Rock Blvd |
$13.85 | 1,429 | 695 |
|
Brothers Keeper Inc
4110 Fitzhugh Ave |
$208.97 | 1,305 | 202 |
|
Soaring For Change Counseling Services, Llc
3320 Plowfield Ct |
$224.57 | 1,288 | 137 |
|
Family Counseling Center For Recovery
4906 Radford Ave |
$143.65 | 1,247 | 398 |
|
Margaret Ann Roma
1201 Broad Rock Blvd |
$22.26 | 1,228 | 521 |
|
Peter Breslin Md Llc
5540 Falmouth St Ste 103 |
$22.49 | 928 | 570 |
|
The Daily Planet Inc
517 W Grace St |
$23.25 | 883 | 373 |
|
Rachel Flynn
112 N Arthur Ashe Blvd |
$19.71 | 883 | 532 |
|
Hunter Lee Tyree
2211 W Cary St Apt A |
$16.38 | 844 | 677 |
|
Key Independent Development Services
509 N Henry St |
$571.86 | 822 | 204 |
|
Nicholas A Stansfield
3908 Nine Mile Rd |
$45.33 | 784 | 441 |
|
James Kaleolani Pulido Terry
5511 Staples Mill Rd |
$196.10 | 755 | 227 |
|
Cynthia T Sherman
2025 E Main St Ste 104 |
$30.61 | 743 | 437 |
|
Samantha Hasenzahl
2301 N Parham Rd Ste 5 |
$32.29 | 722 | 583 |
|
Clementine Sekyere
1213 E Clay St |
$24.25 | 672 | 408 |
|
Apple Gate Health Services, Inc
204 N Hamilton St Ste B |
$23.46 | 649 | 290 |
|
Hands Of Unity Mental Health Skill Building
501 E Franklin St |
$230.19 | 631 | 69 |
|
Can We Talk Llc
1510 Willow Lawn Dr Ste 100 |
$12.86 | 626 | 46 |
|
Miguel Ryan King
900 E Leigh St |
$0.37 | 546 | 231 |
|
Intensive Community Outreach Services Llc
501 E Franklin St |
$176.39 | 377 | 46 |
|
Shannon Leigh Thompson
1250 E Marshall St |
$15.46 | 372 | 229 |
|
Virginia Commonwealth University Health System Authority
1250 E Marshall St |
$7.05 | 354 | 243 |
|
James Matthew Gardner
1510 N 28Th St Ste 101 |
$273.19 | 343 | 209 |
|
Taylor Garrett Neeley
517 W Grace St |
$20.60 | 326 | 162 |
|
Christopher Paul Kogut
1250 E Marshall St |
$19.26 | 325 | 134 |
|
Milestone Counseling Services Llc
2205 Perl Rd |
$290.84 | 317 | 277 |
|
Loren Walden Lee
107 S 5Th St |
$16.72 | 302 | 180 |
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 Richmond, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Richmond, VA is $53.32 per claim, based on 2,490,009 claims from 81 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 Richmond, VA?
There are 81 Medicaid providers offering Substance Abuse Treatment related services in Richmond, VA according to public payment data.
What is the price range for Substance Abuse Treatment in Richmond, VA?
Medicaid reimbursement for Substance Abuse Treatment in Richmond, VA ranges from $0.00 to $967.06 per claim, with an average of $53.32. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Richmond, VA
Blood Work & Lab Tests
Avg $4.30
4,017,522 claims
Non-Emergency Medical Transportation
Avg $26.22
2,907,745 claims
Office Visit
Avg $68.82
2,636,996 claims
Behavioral & Mental Health Therapy
Avg $179.96
2,168,703 claims
Emergency Room Visit
Avg $137.78
2,065,177 claims
X-Ray
Avg $7.41
1,597,204 claims
Physical Therapy
Avg $84.50
1,259,338 claims
Home Health Visit
Avg $104.93
1,204,643 claims