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Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Wilmington, DE: $14.51

Avg. Paid

$14.51

Range

$0.00 – $146.44

Total Claims

1,110,493

Providers

19

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 Wilmington, DE

Provider Avg. Paid Claims Patients
Sara M Dehoyos

2713 Lancaster Ave

 $0.00 21 14
Franshawn Ricketts

2713 Lancaster Ave

 $0.00 25 23
Laura Patricia Kotowski

2713 Lancaster Ave

 $0.00 71 56
Coras Wellness And Behavioral Health, Llc

1120 Brandywine St

 $10.44 100 16
Kenya T Smoke

100 W 10Th St

 $60.27 113 74
Caitlin Grant

2713 Lancaster Ave

 $0.00 119 91
Dolores Jennifer Thackrah

1812 Newport Gap Pike

 $0.00 124 85
Latasha Malone

2713 Lancaster Ave

 $0.00 128 87
Holistic Elevation Llc

3700 Lancaster Pike Ste 305

 $107.62 176 77
Tyra R Dixon

1600 Rockland Rd

 $54.92 238 176
State Of Delaware Dscyf

1825 Faulkland Rd

 $108.68 493 153
Alexa Brianne Draper

2713 Lancaster Ave

 $0.00 516 109
Essentials Of Recovery De

3700 Lancaster Pike Ste 105

 $146.44 1,128 167
Gaudenzia Inc

604 W 10Th St

 $106.57 2,383 83
Phoenix Center For Health And Wellness Llc

222 Philadelphia Pike Ste 12

 $110.28 2,901 414
Pace, Inc.

5171 W Woodmill Dr

 $118.07 15,739 2,349
Connections Community Support Programs, Inc.

3821 Lancaster Pike

 $3.69 27,997 3,138
Lotus Recovery Center Of Prices Corner

1812 Newport Gap Pike

 $19.34 46,777 4,769
Brandywine Counseling & Community Services, Inc.

2713 Lancaster Ave

 $12.28 1,011,444 68,654

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 Wilmington, DE?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Wilmington, DE is $14.51 per claim, based on 1,110,493 claims from 19 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 Wilmington, DE?

There are 19 Medicaid providers offering Substance Abuse Treatment related services in Wilmington, DE according to public payment data.

What is the price range for Substance Abuse Treatment in Wilmington, DE?

Medicaid reimbursement for Substance Abuse Treatment in Wilmington, DE ranges from $0.00 to $146.44 per claim, with an average of $14.51. 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 Wilmington, DE

Personal Care Services

Avg $113.14

1,523,473 claims

Office Visit

Avg $55.68

1,174,146 claims

Vaccines & Immunizations

Avg $9.43

497,265 claims

Dental Cleaning & Exam

Avg $47.53

375,713 claims

Emergency Room Visit

Avg $187.07

346,985 claims

Physical Therapy

Avg $30.41

305,435 claims

Psychiatric Evaluation

Avg $47.31

297,416 claims

Blood Work & Lab Tests

Avg $19.23

287,397 claims