Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Sheboygan, WI: $10.92

Avg. Paid

$10.92

Range

$6.90 – $37.59

Total Claims

394,657

Providers

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 Sheboygan, WI

Provider	Avg. Paid	Claims	Patients
Cathy J Augustine 615 S 8Th St	$32.34	87	36
John R Nonnweiler 1011 N 8Th St	$25.88	94	51
Mary Joanne Goodman 2842 S Business Dr	$22.20	279	178
Kelly C Deleon 2842 S Business Dr	$31.81	297	222
April Choma 2842 S Business Dr	$11.89	688	326
Katherine Mary Conto 2842 S Business Dr	$6.90	721	204
Paula Jakubowski 3425 Superior Ave	$23.31	755	325
Laura Renee Maki 2842 S Business Dr	$25.23	767	531
Victoria L Patchak 2047 N 12Th St	$16.88	790	481
Christopher Mader 1011 N 8Th St	$17.29	792	475
Megan N Forsythe 2414 Kohler Memorial Dr	$34.41	805	580
Dawn Nicole Ferriol 2842 S Business Dr	$27.08	850	522
Debra Jean Wentz 2414 Kohler Memorial Dr	$20.44	1,093	218
Samantha Nelson 2842 S Business Dr	$19.41	1,096	594
Kaitlyn Hanna Larsen 2842 S Business Dr	$15.12	1,158	471
Christopher Jay Erdman 2842 S Business Dr	$20.59	1,329	657
Steven G Santino 4027 S Business Dr	$37.59	1,911	1,537
Elke Marie Gieseke 2842 S Business Dr	$9.41	3,193	1,659
Valerie Root 2842 S Business Dr	$11.12	4,147	1,178
Stacie M Kussard 2842 S Business Dr	$31.57	4,222	2,344
Todd Allen Juhl 2842 S Business Dr	$11.50	4,583	709
Kristin Leslie Mersberger 2842 S Business Dr	$8.96	4,881	1,478
Autumn Brooke Wendlandt 2842 S Business Dr	$7.92	5,814	2,301
Brianna Rae Martha Hettenhaus 2842 S Business Dr	$10.95	11,660	2,000
Leah Ann Mullens 2842 S Business Dr	$11.07	14,069	4,402
Sasha Leikip 2842 S Business Dr	$9.11	14,844	3,274
Carol Emerick 2842 S Business Dr	$9.03	15,623	3,287
Denise Whitt 2742 S. Business Dr	$10.97	16,273	3,197
Amy Marie Stuckmann 2842 S Business Dr	$9.29	19,524	6,094
Deborah Ann Neitzel 2842 S Business Dr	$10.86	41,762	7,282
Melissa Kordus 2842 S Business Dr	$9.26	41,975	9,943
Jennifer Lynn Brubaker 2842 S Business Dr	$11.02	51,343	12,469
Christine Ann Anderson 2842 S Business Dr	$11.15	52,659	15,968
Andrea Carla Batt 2842 S Business Dr	$9.86	74,573	13,638

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 Sheboygan, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Sheboygan, WI is $10.92 per claim, based on 394,657 claims from 34 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 Sheboygan, WI?

There are 34 Medicaid providers offering Substance Abuse Treatment related services in Sheboygan, WI according to public payment data.

What is the price range for Substance Abuse Treatment in Sheboygan, WI?

Medicaid reimbursement for Substance Abuse Treatment in Sheboygan, WI ranges from $6.90 to $37.59 per claim, with an average of $10.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Substance Abuse Treatment Payments in Sheboygan, WI: $10.92

Providers Offering Substance Abuse Treatment in Sheboygan, WI

What to Expect: Substance Abuse Treatment

Cost Components

Frequently Asked Questions

Substance Abuse Treatment in Other Cities

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Baltimore, MD

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Worcester, MA

Bronx, NY

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Other Procedures in Sheboygan, WI

Behavioral & Mental Health Therapy

Blood Work & Lab Tests

Office Visit

Personal Care Services

Emergency Room Visit

Physical Therapy

Speech Therapy

Home Health Visit