Average Medicaid Substance Abuse Treatment Payments in Williamsburg, VA: $62.47
Avg. Paid
$62.47
Range
$9.62 – $329.37
Total Claims
173,307
Providers
18
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 Williamsburg, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
American Addiction Treatment Center, Inc
5583 Mooretown Rd Ste B |
$9.62 | 108,298 | 7,503 |
|
Andreas Bienert
5477 Mooretown Rd |
$41.02 | 20,206 | 10,354 |
|
Colonial Behavioral Health
1657 Merrimac Trail |
$329.37 | 17,604 | 17,020 |
|
Cynthia Pledger Palmaz
5000 New Point Rd Ste 3202 |
$91.63 | 13,039 | 5,245 |
|
Evolution Recovery Services Llc
4622 Rochambeau Dr |
$209.98 | 6,114 | 968 |
|
Stacey Reid Harris
5000 New Point Rd Ste 3201 |
$94.42 | 1,970 | 998 |
|
Addiction Recovery Center Of Virginia
5000 New Point Rd Ste 3201 |
$92.13 | 1,438 | 669 |
|
Douglas A Brown
5000 New Point Rd Ste 3201 |
$97.99 | 1,077 | 600 |
|
Khara J.B. Randall
1158 Professional Dr Ste N |
$70.46 | 805 | 277 |
|
Ashinna Kaira Cole
5000 New Point Rd Ste 3201 |
$94.77 | 515 | 248 |
|
Karen Lynn Mapp Hall
907 Richmond Rd |
$90.84 | 507 | 156 |
|
Susan Carol Hughes
5000 New Point Rd |
$96.36 | 478 | 213 |
|
Dominique Antawn Mills
247 Mclaws Cir |
$12.28 | 383 | 257 |
|
Jamie Gilbert Shawn
5000 New Point Rd Ste 3201 |
$73.43 | 305 | 170 |
|
Krista Pine
5477 Mooretown Rd |
$28.94 | 283 | 161 |
|
Odessa Ochoa
5477 Mooretown Rd |
$38.93 | 220 | 116 |
|
Youth Challenge Of Hampton Roads Inc
325 Ewell Rd |
$243.00 | 49 | 49 |
|
Monique M. Churchill
6037 Allegheny Rd |
$39.33 | 16 | 12 |
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 Williamsburg, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Williamsburg, VA is $62.47 per claim, based on 173,307 claims from 18 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 Williamsburg, VA?
There are 18 Medicaid providers offering Substance Abuse Treatment related services in Williamsburg, VA according to public payment data.
What is the price range for Substance Abuse Treatment in Williamsburg, VA?
Medicaid reimbursement for Substance Abuse Treatment in Williamsburg, VA ranges from $9.62 to $329.37 per claim, with an average of $62.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $94.34
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Springfield, MA
Avg $20.44
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Baltimore, MD
Avg $107.97
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Portland, OR
Avg $37.53
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Worcester, MA
Avg $21.52
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Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Williamsburg, VA
Office Visit
Avg $67.00
378,404 claims
Emergency Room Visit
Avg $107.16
233,118 claims
Blood Work & Lab Tests
Avg $5.36
175,412 claims
Physical Therapy
Avg $75.04
101,940 claims
Non-Emergency Medical Transportation
Avg $35.14
92,166 claims
Urinalysis & Urine Tests
Avg $1.70
78,948 claims
Psychiatric Evaluation
Avg $80.69
62,585 claims
Behavioral & Mental Health Therapy
Avg $113.70
50,680 claims