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Based on public Medicaid payment data.

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
Matthew Ryan Deluhery

725 American Ave

$35.35 13 12
Sarah Elizabeth Neerdaels

2422 N Grandview Blvd

$30.30 15 12
Athena Kjell

2607 N Grandview Blvd Ste 110

$15.74 20 16
Clifton O Davis

2422 N Grandview Blvd

$46.80 21 13
Conrad Wynstra

2422 N Grandview Blvd

$12.24 34 21
Travis Krahn

2422 N Grandview Blvd

$15.81 46 26
Leslie Fenninger

255 W Broadway

$31.63 95 66
Elizabeth K Kuenzi

2422 N Grandview Blvd

$35.10 97 71
Claudia J Ochalek

2607 N Grandview Blvd

$16.10 102 30
Leah Matthews

514 Riverview Ave

$10.14 137 39
Shereese Clark

255 W Broadway

$37.90 178 143
Blia Vang

403 N Grand Ave

$29.12 187 131
Kim Frantz

2422 N Grandview Blvd

$29.73 217 119
Rosalie Cifaldi

1308 Rockridge Rd Apt 318

$30.78 224 147
Eric Thorn

2422 N Grandview Blvd

$20.76 387 196
Jaime Michelle Burkeen

2000 W Bluemound Rd

$19.77 414 262
Catherine Elaine Lewis

514 Riverview Ave

$42.42 544 320
Michelle C Edwards

2422 N Grandview Blvd

$33.23 554 327
Maggie Rose Friede

N20W22961 Watertown Rd

$9.71 621 554
Jeffrey Alec Duncan

2422 N Grandview Blvd

$22.41 789 356
Melody Williams

255 W Broadway

$24.00 866 648
Iris Health Clinic

255 W Broadway

$3.78 915 112
Sarah Elizabeth Holtz

2000 W Bluemound Rd

$19.33 1,009 470
Helen Colleen Thuemling

1835 Cottonwood Dr

$12.47 1,063 337
Amy Molinski

2422 N Grandview Blvd

$20.84 1,196 754
Amanda Rose Hanna

2422 N Grandview Blvd

$34.54 1,332 797
Nicole Flannery

217 Wisconsin Ave Ste 202

$26.62 1,347 585
Andrew James Schreier

20700 Watertown Rd

$34.64 1,410 883
Emily Werner

2422 N Grandview Blvd

$6.96 1,643 375
Tajuan Conway

2422 N Grandview Blvd

$35.16 1,740 1,204
Hailey Maye Schuenemann

514 Riverview Ave

$29.80 1,741 1,050
Brigitte Marie Laabs

2422 N Grandview Blvd

$12.95 1,764 891
Tressa M Catalani

2422 N Grandview Blvd

$25.11 1,771 951
Carla Frieda Fuentesbuendia

2422 N Grandview Blvd

$42.15 2,345 1,623
Christine L Elmer

2422 N Grandview Blvd

$10.39 2,547 751
Jamie Young

2422 N Grandview Blvd

$7.14 2,575 702
Angela M Gonzalez

2422 N Grandview Blvd

$13.91 2,610 1,182
Stephanie E Peterson

2422 N Grandview Blvd

$16.17 2,923 995
Mark Sinski

2422 N Grandview Blvd

$26.69 3,091 2,224
Penelope Denise Ashford

325 Sentinel Dr.

$20.17 3,552 1,695
Claire C Layton

707 W Moreland Blvd

$14.74 3,863 2,040
Heidi Marie Lanz

2422 N Grandview Blvd

$17.12 5,542 3,559
Heather Grier

2422 N Grandview Blvd

$8.04 6,010 1,334
Sheri L Best

1870 Davis Ln

$8.51 6,177 1,863
Alexandria Dyszelski

2422 N Grandview Blvd

$10.81 6,221 1,212
Nanette M Cambronero

1708 Paramount Ct

$8.36 7,102 1,180
Lisa Diane Sharkey

2422 N Grandview Blvd

$10.71 16,990 2,918
Angelica L Smith

1501 Airport Rd

$9.23 17,683 4,902
Elissa M Derksen

2422 N Grandview Blvd

$11.59 33,038 5,509
Karen Wilm

2422 N Grandview Blvd

$11.30 33,567 6,963

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

Other Procedures in Waukesha, WI