Average Medicaid Substance Abuse Treatment Payments in Willimantic, CT: $21.29
Avg. Paid
$21.29
Range
$3.69 – $176.12
Total Claims
468,783
Providers
10
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 Willimantic, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Martin Adam Bloch
289 Windham Rd |
$14.98 | 448,169 | 28,282 |
|
Perception Programs Inc
842 Main St |
$176.12 | 17,322 | 1,128 |
|
Jaime Lee Ley
134 Church St |
$3.69 | 1,649 | 63 |
|
Bernice V Malachi
1310 Main St |
$91.83 | 671 | 140 |
|
Elizabeth Peterson
1310 Main St |
$148.36 | 598 | 132 |
|
Taylor Burgos
54-56 Boston Post Road |
$156.88 | 194 | 72 |
|
Madelyn Straub
54 North St |
$138.46 | 91 | 26 |
|
Jessica Baine
54 North St |
$104.89 | 33 | 12 |
|
Eleanor E Joyce
54-56 Boston Post Road |
$145.62 | 31 | 12 |
|
Jasminka Hasan Grgas
1310 Main St |
$173.62 | 25 | 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 Willimantic, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Willimantic, CT is $21.29 per claim, based on 468,783 claims from 10 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 Willimantic, CT?
There are 10 Medicaid providers offering Substance Abuse Treatment related services in Willimantic, CT according to public payment data.
What is the price range for Substance Abuse Treatment in Willimantic, CT?
Medicaid reimbursement for Substance Abuse Treatment in Willimantic, CT ranges from $3.69 to $176.12 per claim, with an average of $21.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $14.18
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Phoenix, AZ
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
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Willimantic, CT
Emergency Room Visit
Avg $217.25
203,542 claims
Office Visit
Avg $18.46
184,843 claims
Blood Work & Lab Tests
Avg $0.31
153,794 claims
Psychiatric Evaluation
Avg $36.30
151,614 claims
Physical Therapy
Avg $28.23
118,107 claims
X-Ray
Avg $34.96
52,972 claims
Urinalysis & Urine Tests
Avg $0.31
46,234 claims
EKG / ECG (Electrocardiogram)
Avg $4.76
45,409 claims