Average Medicaid Substance Abuse Treatment Payments in Rocky Mount, NC: $35.29
Avg. Paid
$35.29
Range
$2.89 – $204.17
Total Claims
134,569
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 Rocky Mount, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kan Enterprise Inc
600 N Grace St |
$204.17 | 110 | 12 |
|
Port Health Services
132 Foy Dr |
$134.93 | 129 | 27 |
|
Macta, Llc
450 S Wesleyan Blvd |
$178.83 | 195 | 13 |
|
Starting Pointe, Inc.
301 South Church Street |
$134.47 | 424 | 79 |
|
Le Chris Adult Day Care Of Rocky Mount, Inc.
130 Jones Rd |
$186.60 | 546 | 60 |
|
Tri-County Industries, Inc.
1250 Atlantic Ave |
$31.31 | 623 | 132 |
|
Integrity Health Services Of Nc Llc
3208 Sunset Ave Ste B |
$157.19 | 5,420 | 430 |
|
Anna Marie Crist
104 Zebulon Ct |
$2.89 | 23,995 | 3,401 |
|
Rocky Mount Treatment Center Llc
104 Zebulon Ct |
$34.66 | 103,127 | 5,738 |
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 Rocky Mount, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Rocky Mount, NC is $35.29 per claim, based on 134,569 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 Rocky Mount, NC?
There are 9 Medicaid providers offering Substance Abuse Treatment related services in Rocky Mount, NC according to public payment data.
What is the price range for Substance Abuse Treatment in Rocky Mount, NC?
Medicaid reimbursement for Substance Abuse Treatment in Rocky Mount, NC ranges from $2.89 to $204.17 per claim, with an average of $35.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $34.24
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Other Procedures in Rocky Mount, NC
Office Visit
Avg $53.06
549,209 claims
Blood Work & Lab Tests
Avg $9.98
235,912 claims
Dental Cleaning & Exam
Avg $30.40
138,905 claims
Vaccines & Immunizations
Avg $14.01
129,482 claims
Emergency Room Visit
Avg $114.71
100,682 claims
Prescription Medications
Avg $3.03
79,261 claims
Case Management Services
Avg $61.65
76,047 claims
Urinalysis & Urine Tests
Avg $3.53
69,373 claims