Average Medicaid Substance Abuse Treatment Payments in Waldorf, MD: $67.67
Avg. Paid
$67.67
Range
$29.65 – $214.22
Total Claims
119,640
Providers
13
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 Waldorf, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Open Armms, Inc.
2590 Business Park Ct |
$62.51 | 90,995 | 30,196 |
|
Project Chesapeake Llc
21 Industrial Park Dr Ste 104D |
$85.13 | 12,993 | 3,032 |
|
Bridging The Gap Services, Llc
3649 Leonardtown Rd |
$82.01 | 8,817 | 1,535 |
|
Pyramid Walden, Llc
85 High St |
$79.78 | 4,004 | 2,569 |
|
Erika Nicolette Pierce
2265 Stream Vista Pl Apt 208 |
$29.65 | 1,046 | 516 |
|
K&I Healthcare Services
11637 Terrace Dr Ste 201 |
$213.06 | 581 | 570 |
|
H.O.P.E Behavioral Health
3261 Old Washington Rd Ste 3021 |
$79.36 | 513 | 488 |
|
Ram Recovery Llc
3649 Leonardtown Rd |
$81.49 | 332 | 84 |
|
Vesta, Inc.
22 Industrial Park Dr |
$75.88 | 194 | 190 |
|
Maryland Psychiatric Care, Llc
3050 Crain Hwy Unit 1 |
$214.22 | 60 | 57 |
|
K&I Healthcare Services
11637 Terrace Dr Ste 201 |
$86.53 | 59 | 59 |
|
Southern Maryland Community Network Inc
2670 Crain Hwy |
$72.47 | 30 | 29 |
|
Step-Up Empowerment Services, Llc.
2670 Crain Hwy Ste 105&103 |
$88.67 | 16 | 16 |
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 Waldorf, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Waldorf, MD is $67.67 per claim, based on 119,640 claims from 13 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 Waldorf, MD?
There are 13 Medicaid providers offering Substance Abuse Treatment related services in Waldorf, MD according to public payment data.
What is the price range for Substance Abuse Treatment in Waldorf, MD?
Medicaid reimbursement for Substance Abuse Treatment in Waldorf, MD ranges from $29.65 to $214.22 per claim, with an average of $67.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Waldorf, MD
Office Visit
Avg $84.46
399,687 claims
Psychiatric Evaluation
Avg $113.96
279,082 claims
Dental Cleaning & Exam
Avg $38.50
71,085 claims
Blood Work & Lab Tests
Avg $5.88
52,095 claims
Physical Therapy
Avg $18.39
47,700 claims
Vaccines & Immunizations
Avg $15.00
45,812 claims
Eye Exam
Avg $34.46
32,633 claims
EKG / ECG (Electrocardiogram)
Avg $10.32
29,109 claims