Average Medicaid Behavioral & Mental Health Therapy Payments in Troy, OH: $54.05
Avg. Paid
$54.05
Range
$21.25 – $123.80
Total Claims
27,814
Providers
23
Typical Payment Range
Typical Medicaid Behavioral & Mental Health Therapy payments fall between $52.14 and $116.48 per claim (median: $79.35). The top 10% of payments exceed $178.23.
Based on per-provider averages across all Medicaid claims in this category.
Psychotherapy and behavioral health services for mental health conditions, including individual therapy, group therapy, and family therapy.
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 Behavioral & Mental Health Therapy in Troy, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mary Anne Godwin
1059 N Market St |
$48.19 | 5,217 | 4,064 |
|
Susan Flamm
550 Summit Ave |
$52.73 | 5,193 | 4,075 |
|
Angela Rouse
580 Staunton Commons Dr Apt E2 |
$44.65 | 3,451 | 883 |
|
Samantha Jo Nichole Krieger
550 Summit Ave |
$67.51 | 3,056 | 1,304 |
|
Martha Harris-Luken
3130 N County Road 25A |
$61.22 | 2,011 | 869 |
|
Jennifer M Collins
1013 S Mulberry St |
$49.18 | 1,476 | 993 |
|
Jennifer Sue Decker
550 Summit Ave |
$21.25 | 1,282 | 722 |
|
Matthew J Schieltz
232 W Dakota St |
$68.36 | 1,218 | 377 |
|
Kathryn Plaisier
2 E West St |
$73.46 | 1,042 | 476 |
|
Stephanie M Yaney
550 Summit Ave |
$74.36 | 667 | 266 |
|
Domina M Matthews Page
1059 N Market St |
$32.09 | 592 | 281 |
|
Kasarah Adkins
550 Summit Ave |
$34.28 | 502 | 389 |
|
Jessica Pemberton
2 E West St |
$78.83 | 469 | 227 |
|
Patricia Jo Boram
550 Summit Ave |
$38.29 | 425 | 352 |
|
Mackenzie Nosker
2586 Peebles Rd |
$123.80 | 402 | 97 |
|
Kimberly Eller
1100 Wayne St |
$42.44 | 157 | 39 |
|
Jennifer Knisley
61 S Stanfield Rd |
$88.37 | 153 | 88 |
|
Kelsey Goubeaux
2000 W Stanfield Rd |
$56.05 | 147 | 63 |
|
Breanna Ariel Spillman
61 S Stanfield Rd |
$62.43 | 146 | 40 |
|
Megan Calicoat
1059 N Market St |
$36.06 | 75 | 72 |
|
Denise Hawkins
1385 Stonycreek Rd Ste F2 |
$29.52 | 67 | 47 |
|
Marissa Anne Anne Sharpe
1365 Trade Sq W Apt A |
$84.13 | 36 | 13 |
|
Melinda Robison
550 Summit Ave |
$29.54 | 30 | 15 |
What to Expect: Behavioral & Mental Health Therapy
Therapy sessions typically last 45-60 minutes. You'll meet with a licensed therapist to discuss your thoughts, feelings, and behaviors. Common approaches include cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and psychodynamic therapy. Sessions are usually weekly. Group therapy sessions are 60-90 minutes with 6-12 participants.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $108.55 | 78,677,933 | 13,968 |
| H2019 | Ther behav svc, per 15 min | $107.35 | 69,547,577 | 28,270 |
| H2014 | Skills train and dev, 15 min | $111.31 | 60,726,091 | 6,266 |
| H0036 | Comm psy face-face per 15min | $80.37 | 56,498,126 | 22,470 |
| H0032 | Mh svc plan dev by non-md | $122.09 | 20,015,725 | 13,104 |
| H2012 | Behav hlth day treat, per hr | $129.23 | 15,388,000 | 3,225 |
| H0035 | Mh partial hosp tx under 24h | $127.90 | 14,129,079 | 904 |
| H0031 | Mh health assess by non-md | $118.38 | 10,496,976 | 9,197 |
| H2020 | Ther behav svc, per diem | $165.09 | 7,996,240 | 4,688 |
| H2011 | Crisis interven svc, 15 min | $281.72 | 6,613,568 | 3,992 |
| H0037 | Comm psy sup tx pgm per diem | $183.46 | 5,103,231 | 382 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Behavioral & Mental Health Therapy cost in Troy, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Behavioral & Mental Health Therapy in Troy, OH is $54.05 per claim, based on 27,814 claims from 23 providers. Typical payments fall between $52.14 and $116.48. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Behavioral & Mental Health Therapy in Troy, OH?
There are 23 Medicaid providers offering Behavioral & Mental Health Therapy related services in Troy, OH according to public payment data.
What is the price range for Behavioral & Mental Health Therapy in Troy, OH?
Medicaid reimbursement for Behavioral & Mental Health Therapy in Troy, OH ranges from $21.25 to $123.80 per claim, with an average of $54.05. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Behavioral & Mental Health Therapy in Other Cities
Washington, DC
Avg $86.63
8,402,752 claims · 1641 providers
Miami, FL
Avg $96.96
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Phoenix, AZ
Avg $123.66
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Clinton, MO
Avg $0.01
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Los Angeles, CA
Avg $203.16
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Columbus, OH
Avg $86.62
2,709,784 claims · 2349 providers
Cleveland, OH
Avg $95.38
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Toledo, OH
Avg $95.61
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Other Procedures in Troy, OH
Office Visit
Avg $52.31
193,597 claims
Blood Work & Lab Tests
Avg $1.94
112,897 claims
Emergency Room Visit
Avg $104.04
88,506 claims
X-Ray
Avg $6.69
86,965 claims
Physical Therapy
Avg $20.77
72,312 claims
Substance Abuse Treatment
Avg $27.98
56,540 claims
Psychiatric Evaluation
Avg $75.29
42,056 claims
CT Scan (Computed Tomography)
Avg $115.45
35,265 claims