Average Medicaid Behavioral & Mental Health Therapy Payments in Wilmington, OH: $59.61
Avg. Paid
$59.61
Range
$23.88 – $110.03
Total Claims
56,535
Providers
56
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 Wilmington, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carla Coleman
953 S South St |
$38.34 | 9,086 | 1,241 |
|
Nancy A Davis
953 S South St |
$64.71 | 6,449 | 3,132 |
|
Melanie L Overbee
953 S South St |
$87.01 | 4,688 | 1,885 |
|
Samantha J Shewalter
953 S South St |
$73.79 | 3,326 | 919 |
|
Stephanie Lynn Greene
953 S South St |
$79.80 | 2,681 | 949 |
|
Tomi L Chappius
953 S South St |
$50.16 | 2,545 | 1,376 |
|
Michelle L Beach
953 S South St |
$79.59 | 2,511 | 975 |
|
Michelle Lynn Evans
953 S South St |
$27.70 | 2,424 | 1,911 |
|
Bobby Jean Acuff
953 S South St |
$50.54 | 1,874 | 395 |
|
Mercedes Q Jones
953 S South St |
$84.20 | 1,873 | 406 |
|
Mancell Vontrell Lyttle
815 S South St |
$80.65 | 1,652 | 476 |
|
Gloria L Mojica
48 Randolph St |
$43.57 | 1,556 | 212 |
|
Susan Houck
539 Starbuck Rd |
$84.00 | 1,422 | 602 |
|
Lisa Michelle Whalen
953 S South St |
$23.88 | 1,312 | 596 |
|
Brooke N Malicote
953 S South St |
$34.52 | 985 | 739 |
|
Pamela Sue Whalen
602 S South St |
$71.43 | 924 | 485 |
|
Olivia T Bear
953 S South St |
$55.77 | 822 | 480 |
|
Darlene J Pitzer
602 S South St |
$106.07 | 768 | 255 |
|
Jessie E Damron
602 S South St |
$87.58 | 746 | 284 |
|
Kalub Maliki Dailey
48 Randolph St |
$35.91 | 741 | 257 |
|
Charles W Gee
953 S South St |
$41.69 | 725 | 192 |
|
Wendy Johnston
602 S South St |
$39.95 | 595 | 299 |
|
David Eugene Aeh
953 S South St |
$60.27 | 548 | 189 |
|
Jessica R Wallace
953 S South St |
$70.61 | 484 | 149 |
|
Brittany C Carroll
953 S South St |
$59.94 | 441 | 243 |
|
Amanda Jeanette Lord
602 S South St |
$62.01 | 436 | 228 |
|
Kristi Garman
48 Randolph Street |
$38.26 | 433 | 152 |
|
Amanda S Ruble
21 N South St |
$42.19 | 410 | 168 |
|
Terra Young
48 Randolph St |
$33.63 | 389 | 55 |
|
Brianna M Moore
953 S South St |
$68.81 | 373 | 67 |
|
Erin Collett
48 Randolph St |
$28.08 | 299 | 66 |
|
Amy Nichole Tomlison
48 Randolph St |
$71.83 | 298 | 91 |
|
Connie Green
586 W Main St |
$110.03 | 294 | 151 |
|
Ginger Kaye Lowell
815 S South St |
$40.84 | 261 | 208 |
|
Dana M Tackett
953 S South St |
$81.28 | 208 | 71 |
|
April Renee Hurst
48 Randolph St |
$33.70 | 207 | 37 |
|
Jamie Dixon
21 N South St |
$41.80 | 197 | 27 |
|
Lindsay L Burton
953 S South St |
$33.91 | 192 | 96 |
|
Marsha Sue Martin
485 W Main St |
$83.12 | 155 | 72 |
|
Claudia U Martini
953 S South St |
$58.87 | 134 | 91 |
|
Catherine M Eaves
953 S South St |
$26.36 | 126 | 85 |
|
Charles Wilson
48 Randolph St |
$35.07 | 121 | 43 |
|
Melissa D Osborn
953 S South St |
$60.87 | 109 | 69 |
|
Shannon K Petrey
602 S South St |
$44.96 | 101 | 28 |
|
Elena Bishop
48 Randolph St |
$36.87 | 93 | 29 |
|
Shyla Kayann Sparks
48 Randolph St |
$34.90 | 85 | 12 |
|
Deborah Jean Howard
953 S South St |
$43.35 | 78 | 72 |
|
Meghan Marie Keniston
485 W Main St |
$27.92 | 67 | 48 |
|
Leanna Elizabeth Mullenix
602 S South St |
$29.02 | 64 | 61 |
|
Kamille Allynn Carrigan
48 Randolph Street |
$34.16 | 50 | 12 |
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 Wilmington, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Behavioral & Mental Health Therapy in Wilmington, OH is $59.61 per claim, based on 56,535 claims from 56 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 Wilmington, OH?
There are 56 Medicaid providers offering Behavioral & Mental Health Therapy related services in Wilmington, OH according to public payment data.
What is the price range for Behavioral & Mental Health Therapy in Wilmington, OH?
Medicaid reimbursement for Behavioral & Mental Health Therapy in Wilmington, OH ranges from $23.88 to $110.03 per claim, with an average of $59.61. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Behavioral & Mental Health Therapy in Other Cities
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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
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Cleveland, OH
Avg $95.38
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Toledo, OH
Avg $95.61
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Other Procedures in Wilmington, OH
Substance Abuse Treatment
Avg $31.25
463,030 claims
Office Visit
Avg $43.62
249,036 claims
Blood Work & Lab Tests
Avg $6.04
117,739 claims
Emergency Room Visit
Avg $81.92
99,588 claims
Vaccines & Immunizations
Avg $10.10
50,209 claims
Urinalysis & Urine Tests
Avg $2.11
35,003 claims
Psychiatric Evaluation
Avg $64.98
33,845 claims
EKG / ECG (Electrocardiogram)
Avg $4.42
30,833 claims