Average Medicaid Substance Abuse Treatment Payments in Circleville, OH: $95.97
Avg. Paid
$95.97
Range
$5.19 – $212.85
Total Claims
233,777
Providers
110
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 Circleville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hillary D Massie
110 Highland Ave |
$194.53 | 22,466 | 1,569 |
|
Elizabeth Simon
2065 Stoneridge Dr |
$20.04 | 14,759 | 2,230 |
|
Angela Dawn Brown
2065 Stoneridge Dr |
$98.56 | 13,824 | 1,947 |
|
Mark S Buddelmeyer
1875 Stoneridge Dr |
$140.26 | 10,965 | 2,721 |
|
Brandon Joseph Duerler
2065 Stoneridge Dr |
$212.85 | 10,916 | 2,088 |
|
Anthony Imagie-Douglas
1875 Stoneridge Dr |
$191.50 | 8,598 | 1,756 |
|
Allison Michelle Bimuller
2065 Stoneridge Dr |
$143.18 | 8,108 | 1,148 |
|
Trent Nungester
2065 Stoneridge Dr |
$17.23 | 7,943 | 1,507 |
|
Robert Fisher
2065 Stoneridge Dr |
$27.36 | 7,057 | 1,565 |
|
Jessica Denman
2065 Stoneridge Dr |
$137.88 | 5,980 | 1,166 |
|
Joseph Drake
2065 Stoneridge Dr |
$20.91 | 5,875 | 939 |
|
Sami J Stanfield
2065 Stoneridge Dr |
$190.89 | 5,347 | 879 |
|
Dresdan Stephens
105 E Ohio St |
$143.63 | 4,281 | 585 |
|
Amanda Rapp
2065 Stoneridge Dr |
$48.77 | 3,930 | 822 |
|
Michelle Renee Parmer
110 Highland Ave |
$144.34 | 3,757 | 1,053 |
|
Katherine Moughton Gunter
110 Highland Ave |
$143.42 | 3,727 | 474 |
|
Kasey Sparks
2065 Stoneridge Dr |
$17.02 | 3,640 | 547 |
|
Allison Marjorie Rife
110 Highland Ave |
$146.79 | 3,560 | 612 |
|
Lindsay Rae Hamm
2065 Stoneridge Dr |
$5.19 | 3,495 | 261 |
|
Alyson Callahan
2065 Stoneridge Dr |
$58.40 | 3,466 | 582 |
|
Corey Lake
2065 Stoneridge Dr |
$23.37 | 3,415 | 569 |
|
Courtney Inglis
1875 Stoneridge Dr |
$100.16 | 3,373 | 828 |
|
Barbara Smith
2065 Stoneridge Dr |
$39.07 | 2,826 | 776 |
|
Isaiah Tuttle
2065 Stoneridge Dr |
$41.84 | 2,636 | 654 |
|
Jimmie Cottrill
2065 Stoneridge Dr |
$28.22 | 2,593 | 505 |
|
Caitlin Huston
2065 Stoneridge Dr |
$43.50 | 2,509 | 554 |
|
Nicole Richardson
2065 Stoneridge Dr |
$63.76 | 2,506 | 846 |
|
Sean Cawood
319 Logan St |
$96.70 | 2,318 | 476 |
|
Mary Wilson
110 Highland Ave |
$31.99 | 2,308 | 438 |
|
Pickaway Area Recovery Services
110 Highland Ave |
$74.93 | 2,242 | 832 |
|
Natalie Ray
2065 Stoneridge Dr |
$43.41 | 2,198 | 906 |
|
Debra Nelson
2065 Stoneridge Dr |
$23.22 | 2,172 | 288 |
|
Vanna Friedlinghaus
2065 Stoneridge Dr |
$54.65 | 2,055 | 529 |
|
Jessica Van Linge
2065 Stoneridge Dr |
$139.61 | 2,021 | 302 |
|
Nicholas Adam Enix
110 Highland Ave |
$150.80 | 2,014 | 629 |
|
James Eickel
2065 Stoneridge Dr |
$15.61 | 1,980 | 284 |
|
Mark Morbitzer
2065 Stoneridge Dr |
$15.41 | 1,772 | 380 |
|
Matthew Chaffin
145 Morris Rd |
$102.09 | 1,750 | 426 |
|
Raymond Riley
2065 Stoneridge Dr |
$30.17 | 1,747 | 458 |
|
Tera Allen
2065 Stoneridge Dr |
$35.76 | 1,688 | 535 |
|
William Holton
2065 Stoneridge Dr |
$26.47 | 1,635 | 518 |
|
Terry Matthew Stewart
110 Highland Ave |
$128.54 | 1,603 | 590 |
|
Floyd M Jones
145 Morris Rd |
$66.97 | 1,587 | 778 |
|
Christina Rudd
2065 Stoneridge Dr |
$12.52 | 1,561 | 219 |
|
Judson Scott Karshner
327 E Mill St |
$48.96 | 1,428 | 336 |
|
Amanda Marie Lowery
2065 Stoneridge Dr |
$13.96 | 1,384 | 404 |
|
James Benson
2065 Stoneridge Dr |
$57.27 | 1,280 | 417 |
|
Zachary Reed
2065 Stoneridge Dr |
$24.71 | 1,195 | 307 |
|
Tara Hoover
2065 Stoneridge Dr |
$17.75 | 1,125 | 249 |
|
Ryan Gene Burton
2065 Stoneridge Dr |
$22.20 | 998 | 362 |
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 Circleville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Circleville, OH is $95.97 per claim, based on 233,777 claims from 110 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 Circleville, OH?
There are 110 Medicaid providers offering Substance Abuse Treatment related services in Circleville, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Circleville, OH?
Medicaid reimbursement for Substance Abuse Treatment in Circleville, OH ranges from $5.19 to $212.85 per claim, with an average of $95.97. 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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Phoenix, AZ
Avg $94.34
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Springfield, MA
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 Circleville, OH
Office Visit
Avg $45.42
176,112 claims
Blood Work & Lab Tests
Avg $7.58
149,393 claims
Home Health Visit
Avg $49.37
120,913 claims
Emergency Room Visit
Avg $93.22
91,003 claims
Ambulance Transport
Avg $33.09
70,568 claims
Dental Cleaning & Exam
Avg $25.64
53,646 claims
Eye Exam
Avg $20.06
50,090 claims
Psychiatric Evaluation
Avg $71.52
38,808 claims