Average Medicaid Substance Abuse Treatment Payments in Cincinnati, OH: $55.29
Avg. Paid
$55.29
Range
$0.00 – $400.00
Total Claims
2,244,339
Providers
679
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 Cincinnati, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Allison Michael Phelps
5122 Glencrossing Way |
$54.94 | 188,562 | 24,362 |
|
Michele R Shields
311 Martin Luther King Dr E |
$15.73 | 180,855 | 24,249 |
|
Kelley Cowdrey
3036 Portsmouth Ave |
$15.66 | 127,204 | 19,792 |
|
Roberto R Soria
311 Martin Luther King Dr E |
$26.30 | 116,389 | 4,972 |
|
Christine Marie Wilder
3131 Harvey Ave |
$19.20 | 104,835 | 11,853 |
|
Nabila Babar
311 Martin Luther King Dr E |
$59.86 | 70,967 | 9,661 |
|
Denise L Coman
6527 Colerain Ave |
$15.83 | 53,810 | 9,488 |
|
Jennie Hahn
3131 Harvey Ave |
$22.18 | 49,413 | 11,939 |
|
Tomika Johnson
311 Martin Luther King Dr |
$16.34 | 47,579 | 7,335 |
|
Keith A Rosing
2139 Auburn Ave |
$88.20 | 45,754 | 10,162 |
|
James Edward Sturmi
446 Morgan St |
$27.80 | 42,489 | 3,289 |
|
Gina A Parsley
3959 Drew Ave |
$15.69 | 40,494 | 4,679 |
|
Genetta Latice Thomas
1423 Dantzler Dr Apt I |
$15.23 | 39,082 | 5,214 |
|
Elizabeth Marie Tiffany
9435 Waterstone Blvd Ste 140 |
$16.19 | 38,668 | 7,523 |
|
Michael Robert Andre Collins
434 Forest Ave |
$152.22 | 33,119 | 4,425 |
|
Regina Reese Jordan
311 Martin Luther King Dr E |
$16.16 | 31,817 | 6,720 |
|
Kittie D Brooks
1501 Madison Rd |
$17.89 | 30,212 | 3,251 |
|
David Symmes Williams
311 Straight St |
$237.39 | 28,067 | 2,352 |
|
Benjamin Lemmon
7162 Reading Rd |
$123.16 | 25,779 | 2,981 |
|
Justine Sveen
311 Martin Luther King Dr E |
$15.76 | 25,398 | 4,844 |
|
Deborah L Frankowski
446 Morgan St |
$264.91 | 23,571 | 1,983 |
|
Ashlee J Hackle
311 Martin Luther King Dr E |
$16.03 | 22,804 | 2,854 |
|
Anne Autry
3131 Harvey Ave |
$16.18 | 22,243 | 5,906 |
|
Tracy Brown
2600 Victory Pkwy |
$204.64 | 21,588 | 1,588 |
|
Leah Marissa Budin
909 Sycamore St |
$19.84 | 19,327 | 12,124 |
|
Peter Alan Boxer
1101 Summit Rd |
$208.36 | 18,748 | 1,503 |
|
Morgan Leigh Gibson
2211 Fulton Ave |
$201.68 | 18,443 | 1,569 |
|
Moroni Daniel Lane
446 Morgan St |
$21.44 | 16,670 | 10,397 |
|
Dionne Denson
311 Martin Luther King Dr E |
$17.93 | 16,136 | 1,769 |
|
Belinda C. Allen
6527 Colerain Ave |
$22.86 | 13,612 | 8,403 |
|
Cheryl Ann Mcdonald
801 Evans St Ste 104 |
$137.95 | 13,570 | 1,400 |
|
Brightview, Llc
446 Morgan St |
$51.68 | 12,629 | 6,575 |
|
Carolyn Jeanette Wilson
311 Albert Sabin Way |
$15.77 | 12,253 | 3,484 |
|
Raichell Lambert
311 Martin Luther King Dr E |
$12.92 | 11,866 | 1,266 |
|
Tyree Sherrer
300 Lytle St |
$9.55 | 11,319 | 1,046 |
|
Alicia Marie Givan
6814 Leeds Ln W |
$13.36 | 10,563 | 655 |
|
The Crossroads Center
311 Martin Luther King Dr E |
$21.67 | 9,445 | 1,173 |
|
Roshauna Lindsey
42 East Crescentville Road |
$17.34 | 9,160 | 540 |
|
Pamela Jean Hanson
1401 Steffen Ave |
$10.84 | 9,118 | 528 |
|
Christina Marie Gregory
5122 Glencrossing Way |
$9.16 | 9,047 | 657 |
|
Krista Lawrence
3009 Burnet Ave |
$15.67 | 8,791 | 2,089 |
|
Talbert House, Inc
2621 Victory Pkwy |
$39.14 | 8,232 | 1,817 |
|
Danielle Rayanne Hail
311 Martin Luther King Dr E |
$10.96 | 8,183 | 921 |
|
Amy Wawrowski
446 Morgan St |
$20.45 | 7,772 | 5,055 |
|
Melanie Danielle Evans
5500 Verulam Ave |
$208.06 | 7,504 | 1,091 |
|
Erica Renee Anderson
5711 Kenneth Ave |
$16.29 | 6,897 | 1,068 |
|
Molly Elizabeth Ganz
446 Morgan St |
$82.07 | 6,673 | 2,632 |
|
Kelli Marie Achberger
6527 Colerain Ave |
$44.96 | 6,554 | 4,466 |
|
Nathan Pubentz
3009 Burnet Ave |
$235.53 | 6,276 | 2,080 |
|
Rebecca Davis
6527 Colerain Ave |
$38.04 | 5,874 | 4,023 |
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 Cincinnati, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Cincinnati, OH is $55.29 per claim, based on 2,244,339 claims from 679 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 Cincinnati, OH?
There are 679 Medicaid providers offering Substance Abuse Treatment related services in Cincinnati, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Cincinnati, OH?
Medicaid reimbursement for Substance Abuse Treatment in Cincinnati, OH ranges from $0.00 to $400.00 per claim, with an average of $55.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
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
7,464,932 claims · 477 providers
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
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Cincinnati, OH
Blood Work & Lab Tests
Avg $7.16
12,933,390 claims
Office Visit
Avg $57.26
6,244,164 claims
Emergency Room Visit
Avg $94.36
2,312,527 claims
Home Health Visit
Avg $67.23
2,297,701 claims
Behavioral & Mental Health Therapy
Avg $87.07
2,275,452 claims
Psychiatric Evaluation
Avg $79.56
1,780,978 claims
Urinalysis & Urine Tests
Avg $2.81
1,707,210 claims
X-Ray
Avg $8.24
1,582,408 claims