Average Medicaid Substance Abuse Treatment Payments in Wausau, WI: $12.84
Avg. Paid
$12.84
Range
$0.00 – $498.71
Total Claims
545,752
Providers
63
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 Wausau, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Edward Kennedy
210 Washington St |
$10.38 | 123,315 | 20,498 |
|
Angela Kopetzky
210 Washington St |
$10.40 | 79,827 | 13,038 |
|
Jana Reppond
210 Washington St |
$11.07 | 76,797 | 16,172 |
|
Jennie Simms
210 Washington St |
$11.04 | 35,245 | 9,405 |
|
Olivia Heiting
210 Washington St |
$10.80 | 28,888 | 4,029 |
|
Holly Moeller
916 S 10Th St |
$10.62 | 22,264 | 5,073 |
|
Edith Joyce Mott
803 Augusta Ave |
$10.56 | 11,900 | 2,443 |
|
Jessica Baptist
1100 Lake View Dr |
$10.05 | 11,140 | 2,623 |
|
Kathleen Ann Fandre
209 W Washington St |
$10.52 | 10,352 | 3,131 |
|
Kayla Lee
210 Washington St |
$11.37 | 10,328 | 2,972 |
|
Gau Yee Xiong
210 Washington St |
$12.37 | 9,625 | 3,555 |
|
Angel Marie Hanke
6006 Lakeshore Dr |
$12.07 | 9,040 | 1,934 |
|
Suzanne Ackers
210 Washington St |
$10.91 | 9,032 | 1,752 |
|
Kay Aldrian
210 Washington St |
$9.57 | 8,230 | 1,520 |
|
Leona R Gee-Koch
210 Washington St |
$12.00 | 8,041 | 3,925 |
|
Lauren Marceille
210 Washington St |
$30.04 | 6,964 | 3,314 |
|
Tamela Wessling
210 Washington St |
$14.70 | 6,346 | 3,300 |
|
Shawna Kletzine
210 Washington St |
$25.01 | 5,807 | 2,710 |
|
Carla Tautges
209 W Washington St |
$10.34 | 5,120 | 1,263 |
|
Aaron Koeller
210 Washington St |
$36.37 | 5,091 | 3,105 |
|
Heather Marie Lavoie
T1516 County Road Ww |
$11.12 | 4,729 | 2,621 |
|
Michelle R Ruka
210 Washington St |
$31.85 | 4,043 | 2,061 |
|
John Jewel
209 W Washington St |
$10.33 | 3,702 | 1,172 |
|
Veronica Ruiz
630 S 36Th Ave |
$8.37 | 3,687 | 1,909 |
|
Ashley Wilkinson
210 Washington St |
$27.53 | 3,514 | 1,734 |
|
Debra Roberts
731 N 1St St Ste 5000 |
$29.44 | 3,498 | 1,575 |
|
Judith Goretski
209 W Washington St |
$25.24 | 3,226 | 1,664 |
|
Jackie Marie Rietz
413 N 17Th Ave Ste 100 |
$6.07 | 3,100 | 1,786 |
|
Brittany Marie Knox
210 Washington St |
$32.08 | 2,801 | 1,415 |
|
Kathryn Jones
210 Washington St |
$9.99 | 2,500 | 726 |
|
Jacob Rinehart Heil
210 Washington St |
$27.28 | 2,474 | 1,338 |
|
Txawjhwm Yang
209 W Washington St |
$36.21 | 2,381 | 1,314 |
|
Buddy Schubert
1100 Lake View Dr |
$7.69 | 2,266 | 780 |
|
Sunshine Gerrits
209 W Washington St |
$26.10 | 2,087 | 972 |
|
Abby Vang
210 Washington St |
$7.96 | 1,953 | 917 |
|
Curtis J Mallow
741 N 1St St |
$44.65 | 1,846 | 1,282 |
|
Stina M Denk
210 Washington St |
$9.63 | 1,646 | 401 |
|
Susan Johanna Belanger
209B W Washington St |
$28.63 | 1,340 | 584 |
|
Brittney Mengel
1100 Lake View Dr |
$40.13 | 1,153 | 692 |
|
Amelia Kristine Gough
210 Washington St |
$34.87 | 1,001 | 545 |
|
Diane Klopstein
210 Washington St |
$29.43 | 983 | 570 |
|
Milwaukee Health Services System, Llc
210 Washington St. |
$0.00 | 848 | 217 |
|
Karen Klos
1100 Lake View Dr |
$30.62 | 816 | 491 |
|
Tracy Denise Springer
903 N 2Nd St |
$10.47 | 801 | 382 |
|
Sara Irene Johnston
210 Washington St |
$2.32 | 778 | 272 |
|
Tiffany Ann Clairmore
210 Washington St |
$33.94 | 752 | 324 |
|
Brian Christus
209 West Washington Street Suite B. |
$11.44 | 716 | 464 |
|
Dennis R Elmergreen
114 Grand Ave |
$28.70 | 696 | 359 |
|
Charity M Schmidt
210 Washington St |
$43.32 | 492 | 256 |
|
Heather Lutze
115 N 6Th St |
$37.36 | 433 | 278 |
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 Wausau, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Wausau, WI is $12.84 per claim, based on 545,752 claims from 63 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 Wausau, WI?
There are 63 Medicaid providers offering Substance Abuse Treatment related services in Wausau, WI according to public payment data.
What is the price range for Substance Abuse Treatment in Wausau, WI?
Medicaid reimbursement for Substance Abuse Treatment in Wausau, WI ranges from $0.00 to $498.71 per claim, with an average of $12.84. 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 Wausau, WI
Behavioral & Mental Health Therapy
Avg $108.56
685,809 claims
Blood Work & Lab Tests
Avg $8.21
282,160 claims
Office Visit
Avg $35.51
242,386 claims
Dental Cleaning & Exam
Avg $34.47
137,544 claims
Emergency Room Visit
Avg $47.55
118,931 claims
Psychiatric Evaluation
Avg $67.61
110,291 claims
Chiropractic Care
Avg $18.62
101,312 claims
Speech Therapy
Avg $13.71
87,327 claims