Average Medicaid Substance Abuse Treatment Payments in Wilmington, NC: $59.14
Avg. Paid
$59.14
Range
$0.00 – $245.43
Total Claims
392,292
Providers
21
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, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Coastal Horizons Center, Inc.
615 Shipyard Blvd |
$22.89 | 210,362 | 10,081 |
|
Reflections Of Hope, L.L.P.
33 Darlington Ave |
$94.28 | 48,451 | 6,430 |
|
Coastal Horizons Center, Inc.
615 Shipyard Blvd |
$163.09 | 37,335 | 7,223 |
|
Metro Treatment Of North Carolina L P
1611 Castle Hayne Rd Bldg C |
$37.28 | 37,174 | 2,427 |
|
Carter Clinic Pa
603 Eastwood Rd |
$102.20 | 20,696 | 2,740 |
|
Physician Alliance For Mental Health, Llc
3208 Oleander Drive |
$53.74 | 10,592 | 1,732 |
|
Rha Health Services, Inc
1920 S 16Th St |
$78.32 | 9,570 | 1,549 |
|
Healing Place Of New Hanover County Inc
1000 Medical Center Drive |
$245.43 | 5,177 | 1,030 |
|
Ase Ltc Llc
5710 Oleander Dr Ste 100 |
$113.96 | 3,360 | 648 |
|
Christopher Heath Ferrell
615 Shipyard Blvd |
$152.66 | 2,951 | 673 |
|
Michael Chukwuma Odibo
1215 Medical Center Dr |
$165.50 | 1,800 | 535 |
|
Coastal Horizons Center Inc.
613 Shipyard Boulevard |
$109.21 | 1,634 | 161 |
|
A Helping Hand Of Wilmington, Llc
5013 Wrightsville Ave |
$134.45 | 1,456 | 219 |
|
Port Health Services
2206 Wrightsville Ave Ste A |
$113.41 | 864 | 91 |
|
Cindy Marie Martinez
5710 Oleander Dr Ste 112 |
$0.00 | 227 | 204 |
|
Patrick Verne Mcconnell
5710 Oleander Dr |
$0.00 | 186 | 144 |
|
Leah Johnson Small
5013 Wrightsville Ave |
$0.00 | 144 | 68 |
|
Shenita Consuela Murray
5710 Oleander Dr Ste 100 |
$136.33 | 115 | 38 |
|
Tesfa-Alem Gebremeskel
2131 S 17Th St |
$145.67 | 105 | 25 |
|
Aaron David Albert
1616 Doctors Cir |
$49.48 | 78 | 18 |
|
Anthony Kechante Njapa
1444 S 17Th St |
$0.00 | 15 | 14 |
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, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Wilmington, NC is $59.14 per claim, based on 392,292 claims from 21 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, NC?
There are 21 Medicaid providers offering Substance Abuse Treatment related services in Wilmington, NC according to public payment data.
What is the price range for Substance Abuse Treatment in Wilmington, NC?
Medicaid reimbursement for Substance Abuse Treatment in Wilmington, NC ranges from $0.00 to $245.43 per claim, with an average of $59.14. 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
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
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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
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Albuquerque, NM
Avg $34.24
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Other Procedures in Wilmington, NC
Office Visit
Avg $55.56
1,298,205 claims
Speech Therapy
Avg $55.85
566,290 claims
Emergency Room Visit
Avg $138.32
511,613 claims
Psychiatric Evaluation
Avg $41.28
438,201 claims
Blood Work & Lab Tests
Avg $11.72
431,588 claims
Dental Cleaning & Exam
Avg $31.04
328,640 claims
Physical Therapy
Avg $63.02
316,863 claims
Vaccines & Immunizations
Avg $13.35
285,108 claims