Average Medicaid Substance Abuse Treatment Payments in Winston Salem, NC: $80.43
Avg. Paid
$80.43
Range
$13.59 – $261.90
Total Claims
89,466
Providers
16
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 Winston Salem, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Insight Human Services, Inc.
665 W 4Th St |
$22.17 | 37,703 | 2,640 |
|
Ats Of North Carolina, Llc
1617 S Hawthorne Rd |
$152.58 | 26,847 | 4,487 |
|
Arbor Care Solutions Llc
8025 N Point Blvd Ste 219 |
$120.24 | 8,455 | 1,046 |
|
Assured Community Services, Llc
8025 N Point Blvd Ste 221 |
$93.55 | 6,781 | 792 |
|
Pathways To Self-Reliance
8025 N Point Blvd Ste 283 |
$60.22 | 4,317 | 456 |
|
Rhonda L. Shepherd
4045 University Pkwy Ste 230 |
$15.56 | 1,214 | 868 |
|
Daymark Recovery Servcies Inc
650 Highland Ave Ste 100 |
$45.97 | 1,081 | 807 |
|
David E Carraher
2642 Merry Oaks Trl |
$13.59 | 1,044 | 98 |
|
Top Priority Care Services, Llc.
4401 Providence Ln |
$188.19 | 972 | 133 |
|
Josie Christine Whitmore
2452 Fairlawn Ct |
$31.96 | 386 | 72 |
|
Monarch
4140 Cherry St |
$143.38 | 293 | 66 |
|
Raeford Theodore Pugh
3333 Silas Creek Pkwy |
$37.74 | 215 | 46 |
|
Insight Human Services, Inc.
665 W 4Th St |
$128.88 | 49 | 12 |
|
4Ward Steps Llc
1164 Salem Lake Rd |
$261.90 | 49 | 12 |
|
Daymark Recovery Services Inc
650 Highland Ave Ste 110 |
$94.12 | 34 | 32 |
|
Lani C Simpson
650 Highland Ave |
$83.21 | 26 | 15 |
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 Winston Salem, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Winston Salem, NC is $80.43 per claim, based on 89,466 claims from 16 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 Winston Salem, NC?
There are 16 Medicaid providers offering Substance Abuse Treatment related services in Winston Salem, NC according to public payment data.
What is the price range for Substance Abuse Treatment in Winston Salem, NC?
Medicaid reimbursement for Substance Abuse Treatment in Winston Salem, NC ranges from $13.59 to $261.90 per claim, with an average of $80.43. 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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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 Winston Salem, NC
Office Visit
Avg $56.55
2,112,661 claims
Blood Work & Lab Tests
Avg $9.95
1,100,364 claims
Emergency Room Visit
Avg $152.58
1,052,025 claims
Dental Cleaning & Exam
Avg $30.19
626,976 claims
Speech Therapy
Avg $48.12
581,644 claims
X-Ray
Avg $8.19
523,133 claims
Vaccines & Immunizations
Avg $16.89
496,876 claims
Personal Care Services
Avg $105.36
383,584 claims