Average Medicaid Substance Abuse Treatment Payments in Santa Cruz, CA: $32.01
Avg. Paid
$32.01
Range
$0.00 – $327.20
Total Claims
703,736
Providers
17
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 Santa Cruz, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Diana Maria Mokaya
1080 Emeline Ave |
$7.75 | 127 | 81 |
|
Miki R Joy
615 Ocean St |
$23.83 | 142 | 140 |
|
New Life Community Services, Inc.
707 Fair Ave |
$327.20 | 187 | 71 |
|
Janus Of Santa Cruz
265 Water St |
$170.00 | 206 | 194 |
|
Flavio Cornejo
550A Water St |
$36.00 | 255 | 255 |
|
County Of Santa Cruz
1080 Emeline Ave |
$34.11 | 318 | 318 |
|
Encompass Community Services
380 Encinal St Ste 200 |
$298.62 | 445 | 136 |
|
Barbara Lampert
1400 Emeline Ave |
$40.43 | 454 | 66 |
|
Front St. Inc.
1201 Shaffer Rd |
$80.32 | 726 | 245 |
|
Amber Aziz Ebrahimnejad
8030 Soquel Ave Ste 104 |
$0.00 | 845 | 410 |
|
Deidre Gordon
126 Front St # A |
$175.70 | 1,557 | 1,053 |
|
Encompass Community Services
125 Rigg St And 121 Weeks Ave |
$132.59 | 2,775 | 1,082 |
|
Santa Cruz County
1400 Emeline Ave |
$166.94 | 3,919 | 1,786 |
|
Encompass Community Services
380 Encinal St Ste 200 |
$150.69 | 6,051 | 2,897 |
|
Janus Of Santa Cruz
200 7Th Ave Ste 150 |
$256.22 | 17,515 | 4,074 |
|
Rikki Rap Inc.
8030 Soquel Ave Ste 103 |
$167.47 | 19,655 | 5,168 |
|
Janus Of Santa Cruz
1000A & 1010C Emeline Ave |
$18.82 | 648,559 | 43,757 |
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 Santa Cruz, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Santa Cruz, CA is $32.01 per claim, based on 703,736 claims from 17 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 Santa Cruz, CA?
There are 17 Medicaid providers offering Substance Abuse Treatment related services in Santa Cruz, CA according to public payment data.
What is the price range for Substance Abuse Treatment in Santa Cruz, CA?
Medicaid reimbursement for Substance Abuse Treatment in Santa Cruz, CA ranges from $0.00 to $327.20 per claim, with an average of $32.01. 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 Santa Cruz, CA
Office Visit
Avg $33.23
980,453 claims
Psychiatric Evaluation
Avg $65.40
298,214 claims
Emergency Room Visit
Avg $85.44
235,236 claims
Behavioral & Mental Health Therapy
Avg $272.72
195,735 claims
Blood Work & Lab Tests
Avg $11.46
185,254 claims
Non-Emergency Medical Transportation
Avg $31.30
175,051 claims
X-Ray
Avg $12.48
166,316 claims
Eye Exam
Avg $26.81
99,991 claims