Average Medicaid Substance Abuse Treatment Payments in Winchester, VA: $15.29
Avg. Paid
$15.29
Range
$0.71 – $212.04
Total Claims
704,284
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 Winchester, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adrianne Beach
21 W Cecil St |
$24.00 | 12 | 12 |
|
Timothy D. May
1014 Amherst St |
$56.47 | 17 | 12 |
|
Holly Morash
500 Pegasus Ct # 500 |
$0.71 | 34 | 27 |
|
Lauren Marie Howerdd
20B Ricketts Dr |
$84.26 | 47 | 24 |
|
Carolyn Jane Rockwell
500 Pegasus Ct |
$22.02 | 59 | 42 |
|
April Dawn Dutton
500 Pegasus Ct |
$25.32 | 84 | 59 |
|
Kelly A Lopez
200 Faraday Plz |
$87.32 | 93 | 81 |
|
Meenakshi Gopal
812 Amherst St |
$20.26 | 99 | 84 |
|
Jenine Camejo
36 Ricketts Dr |
$212.04 | 167 | 158 |
|
Nicole Martz
500 Pegasus Ct |
$11.18 | 307 | 238 |
|
Marcia Anne Fairbanks
500 Pegasus Ct |
$12.73 | 754 | 523 |
|
Maria Elena Zirkle
20B Ricketts Dr |
$158.24 | 1,657 | 1,190 |
|
Andrew Roger Walls
200 Faraday Plz |
$58.99 | 2,106 | 1,227 |
|
Winchester Community Mental Health Center, Inc.
36 Ricketts Dr |
$129.04 | 4,726 | 2,314 |
|
The Recovery Connection Llc
320 Westside Station Dr |
$207.05 | 5,038 | 827 |
|
Edward S Kurz
1840 Amherst St |
$55.47 | 14,112 | 4,317 |
|
Galax Treatment Center, Llc
290 Front Royal Pike |
$12.22 | 53,721 | 4,417 |
|
Crossroads Treatment Center Of Winchester, Pc
500 Pegasus Court Business Center |
$13.00 | 300,655 | 33,574 |
|
Ars Of Virginia Llc
210 Front Royal Pike |
$10.33 | 320,596 | 27,619 |
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 Winchester, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Winchester, VA is $15.29 per claim, based on 704,284 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 Winchester, VA?
There are 19 Medicaid providers offering Substance Abuse Treatment related services in Winchester, VA according to public payment data.
What is the price range for Substance Abuse Treatment in Winchester, VA?
Medicaid reimbursement for Substance Abuse Treatment in Winchester, VA ranges from $0.71 to $212.04 per claim, with an average of $15.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $107.97
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Avg $38.59
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Avg $34.24
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Other Procedures in Winchester, VA
Blood Work & Lab Tests
Avg $7.04
747,108 claims
Office Visit
Avg $50.11
648,385 claims
Home Health Visit
Avg $95.73
307,004 claims
X-Ray
Avg $8.04
266,540 claims
Emergency Room Visit
Avg $131.99
231,446 claims
Physical Therapy
Avg $76.55
220,531 claims
Non-Emergency Medical Transportation
Avg $68.54
193,619 claims
Psychiatric Evaluation
Avg $67.60
185,967 claims