Average Medicaid Substance Abuse Treatment Payments in Vero Beach, FL: $104.57
Avg. Paid
$104.57
Range
$15.70 – $139.70
Total Claims
21,564
Providers
21
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 Vero Beach, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jessica Lee Dooley
129 38Th Ct |
$28.16 | 12 | 12 |
|
Jerri Ann Moore-Dencause
1400 27Th St |
$137.01 | 16 | 12 |
|
Herns Luxana
4675 28Th Ct |
$44.31 | 33 | 27 |
|
Amy Perez
1553 Us Highway 1 |
$52.54 | 107 | 93 |
|
Kathy Ann Sheets
1400 27Th St |
$128.88 | 119 | 80 |
|
Dorcia E. Wilson-Brown
1553 Us Highway 1 |
$106.26 | 130 | 124 |
|
Jamie Cross
3723 10Th Ct |
$74.89 | 208 | 159 |
|
Maria Del Rosario Zornosa
4675 28Th Ct |
$117.35 | 274 | 177 |
|
Dian Picou
1553 Us Highway 1 |
$138.01 | 578 | 549 |
|
Pamela Rudolph Campisi
1545 9Th St Sw |
$73.74 | 673 | 493 |
|
Tara Ciabattari
1545 9Th St Sw |
$139.70 | 750 | 601 |
|
Marlene Ann Marie Aking
1545 9Th St Sw |
$121.47 | 811 | 763 |
|
Monique Haan
1553 Us Highway 1 |
$115.44 | 836 | 539 |
|
Danielle N Lodics
4675 28Th Ct |
$127.22 | 1,047 | 949 |
|
Michael P Ferrentino
1553 Us Highway 1 |
$133.33 | 1,147 | 873 |
|
Amy Elizabeth Fodor
1545 9Th St Sw |
$131.42 | 1,400 | 1,004 |
|
Victoria Sharp
1553 Us Highway 1 |
$120.44 | 1,954 | 1,400 |
|
Randy Stigliano
3745 11Th Cir Ste 105 |
$15.70 | 2,325 | 270 |
|
Mercedes S. Borromeo
4675 28Th Ct |
$132.15 | 2,601 | 2,356 |
|
Metro Treatment Of Florida, Lp
6480 20Th St Ste 101-102 |
$64.85 | 2,866 | 892 |
|
Yadira Padin-Rojas
1545 9Th St Sw |
$127.18 | 3,677 | 3,334 |
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 Vero Beach, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Vero Beach, FL is $104.57 per claim, based on 21,564 claims from 21 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 Vero Beach, FL?
There are 21 Medicaid providers offering Substance Abuse Treatment related services in Vero Beach, FL according to public payment data.
What is the price range for Substance Abuse Treatment in Vero Beach, FL?
Medicaid reimbursement for Substance Abuse Treatment in Vero Beach, FL ranges from $15.70 to $139.70 per claim, with an average of $104.57. 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 Vero Beach, FL
Office Visit
Avg $46.90
202,884 claims
Blood Work & Lab Tests
Avg $6.98
158,828 claims
Dental Cleaning & Exam
Avg $29.29
129,761 claims
Speech Therapy
Avg $34.23
81,667 claims
Behavioral & Mental Health Therapy
Avg $67.97
79,539 claims
Physical Therapy
Avg $51.52
79,472 claims
Vaccines & Immunizations
Avg $7.38
78,478 claims
Durable Medical Equipment (DME)
Avg $8.65
65,588 claims