Average Medicaid Substance Abuse Treatment Payments in Waukesha, WI: $11.31
Avg. Paid
$11.31
Range
$3.78 – $46.80
Total Claims
490,331
Providers
55
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 Waukesha, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelly M Blackburn
2422 N Grandview Blvd |
$9.98 | 119,622 | 19,681 |
|
Kim Martin
2422 N Grandview Blvd |
$10.43 | 56,928 | 8,449 |
|
Jennifer L Reinbold
2422 N Grandview Blvd |
$9.83 | 56,315 | 18,161 |
|
Christine Schmidt
2422 N Grandview Blvd |
$9.79 | 40,965 | 18,542 |
|
Margaret Mary Crarn
2422 North Grandview Blvd |
$10.74 | 38,173 | 10,233 |
|
Karen Wilm
2422 N Grandview Blvd |
$11.30 | 33,567 | 6,963 |
|
Elissa M Derksen
2422 N Grandview Blvd |
$11.59 | 33,038 | 5,509 |
|
Angelica L Smith
1501 Airport Rd |
$9.23 | 17,683 | 4,902 |
|
Lisa Diane Sharkey
2422 N Grandview Blvd |
$10.71 | 16,990 | 2,918 |
|
Nanette M Cambronero
1708 Paramount Ct |
$8.36 | 7,102 | 1,180 |
|
Alexandria Dyszelski
2422 N Grandview Blvd |
$10.81 | 6,221 | 1,212 |
|
Sheri L Best
1870 Davis Ln |
$8.51 | 6,177 | 1,863 |
|
Heather Grier
2422 N Grandview Blvd |
$8.04 | 6,010 | 1,334 |
|
Heidi Marie Lanz
2422 N Grandview Blvd |
$17.12 | 5,542 | 3,559 |
|
Claire C Layton
707 W Moreland Blvd |
$14.74 | 3,863 | 2,040 |
|
Penelope Denise Ashford
325 Sentinel Dr. |
$20.17 | 3,552 | 1,695 |
|
Mark Sinski
2422 N Grandview Blvd |
$26.69 | 3,091 | 2,224 |
|
Stephanie E Peterson
2422 N Grandview Blvd |
$16.17 | 2,923 | 995 |
|
Angela M Gonzalez
2422 N Grandview Blvd |
$13.91 | 2,610 | 1,182 |
|
Jamie Young
2422 N Grandview Blvd |
$7.14 | 2,575 | 702 |
|
Christine L Elmer
2422 N Grandview Blvd |
$10.39 | 2,547 | 751 |
|
Carla Frieda Fuentesbuendia
2422 N Grandview Blvd |
$42.15 | 2,345 | 1,623 |
|
Tressa M Catalani
2422 N Grandview Blvd |
$25.11 | 1,771 | 951 |
|
Brigitte Marie Laabs
2422 N Grandview Blvd |
$12.95 | 1,764 | 891 |
|
Hailey Maye Schuenemann
514 Riverview Ave |
$29.80 | 1,741 | 1,050 |
|
Tajuan Conway
2422 N Grandview Blvd |
$35.16 | 1,740 | 1,204 |
|
Emily Werner
2422 N Grandview Blvd |
$6.96 | 1,643 | 375 |
|
Andrew James Schreier
20700 Watertown Rd |
$34.64 | 1,410 | 883 |
|
Nicole Flannery
217 Wisconsin Ave Ste 202 |
$26.62 | 1,347 | 585 |
|
Amanda Rose Hanna
2422 N Grandview Blvd |
$34.54 | 1,332 | 797 |
|
Amy Molinski
2422 N Grandview Blvd |
$20.84 | 1,196 | 754 |
|
Helen Colleen Thuemling
1835 Cottonwood Dr |
$12.47 | 1,063 | 337 |
|
Sarah Elizabeth Holtz
2000 W Bluemound Rd |
$19.33 | 1,009 | 470 |
|
Iris Health Clinic
255 W Broadway |
$3.78 | 915 | 112 |
|
Melody Williams
255 W Broadway |
$24.00 | 866 | 648 |
|
Jeffrey Alec Duncan
2422 N Grandview Blvd |
$22.41 | 789 | 356 |
|
Maggie Rose Friede
N20W22961 Watertown Rd |
$9.71 | 621 | 554 |
|
Michelle C Edwards
2422 N Grandview Blvd |
$33.23 | 554 | 327 |
|
Catherine Elaine Lewis
514 Riverview Ave |
$42.42 | 544 | 320 |
|
Jaime Michelle Burkeen
2000 W Bluemound Rd |
$19.77 | 414 | 262 |
|
Eric Thorn
2422 N Grandview Blvd |
$20.76 | 387 | 196 |
|
Rosalie Cifaldi
1308 Rockridge Rd Apt 318 |
$30.78 | 224 | 147 |
|
Kim Frantz
2422 N Grandview Blvd |
$29.73 | 217 | 119 |
|
Blia Vang
403 N Grand Ave |
$29.12 | 187 | 131 |
|
Shereese Clark
255 W Broadway |
$37.90 | 178 | 143 |
|
Leah Matthews
514 Riverview Ave |
$10.14 | 137 | 39 |
|
Claudia J Ochalek
2607 N Grandview Blvd |
$16.10 | 102 | 30 |
|
Elizabeth K Kuenzi
2422 N Grandview Blvd |
$35.10 | 97 | 71 |
|
Leslie Fenninger
255 W Broadway |
$31.63 | 95 | 66 |
|
Travis Krahn
2422 N Grandview Blvd |
$15.81 | 46 | 26 |
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 Waukesha, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Waukesha, WI is $11.31 per claim, based on 490,331 claims from 55 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 Waukesha, WI?
There are 55 Medicaid providers offering Substance Abuse Treatment related services in Waukesha, WI according to public payment data.
What is the price range for Substance Abuse Treatment in Waukesha, WI?
Medicaid reimbursement for Substance Abuse Treatment in Waukesha, WI ranges from $3.78 to $46.80 per claim, with an average of $11.31. 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 Waukesha, WI
Blood Work & Lab Tests
Avg $7.92
467,756 claims
Office Visit
Avg $31.79
258,119 claims
Behavioral & Mental Health Therapy
Avg $72.59
211,193 claims
Case Management Services
Avg $64.96
203,991 claims
Personal Care Services
Avg $7.67
135,851 claims
Psychiatric Evaluation
Avg $46.69
133,861 claims
Physical Therapy
Avg $20.76
115,395 claims
X-Ray
Avg $4.21
115,175 claims