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 |
|---|---|---|---|
|
Sheryl Mcgowan
319 Logan St |
$109.35 | 17 | 17 |
|
Max Robert Ray
1434 N Court St |
$132.78 | 21 | 14 |
|
Adam Chaffin
1875 Stoneridge Dr |
$12.61 | 22 | 14 |
|
Mckenzie Noelle Dewese
101 1/2 W Main St |
$21.79 | 26 | 13 |
|
Tatiana Mitchell
145 Morris Rd |
$149.88 | 31 | 12 |
|
Mallorie Dennelle Garrett
2065 Stoneridge Dr |
$75.45 | 36 | 15 |
|
Charles D Bennett
2065 Stoneridge Dr |
$85.87 | 36 | 12 |
|
Kailee Mishelle Gardner
101 1/2 W Main St |
$23.94 | 40 | 12 |
|
Sara Sharp
2065 Stoneridge Dr |
$37.17 | 41 | 12 |
|
Kaci Mae Danison
110 Highland Ave |
$11.98 | 62 | 31 |
|
Brandy Dunkle
2065 Stoneridge Dr |
$16.45 | 73 | 37 |
|
Suzanne Pelletier-Walker
2065 Stoneridge Dr |
$60.12 | 78 | 47 |
|
Deborah M Gray
145 Morris Rd |
$55.00 | 115 | 56 |
|
Thomas Matthew Gillespie
110 Highland Ave |
$51.67 | 123 | 81 |
|
Kaylynne Terry
2065 Stoneridge Dr |
$19.87 | 133 | 56 |
|
Abbie B Losey
2065 Stoneridge Dr |
$198.42 | 152 | 106 |
|
Jodi Lynn Clutter
1434 N. Court St. |
$138.00 | 164 | 24 |
|
Mckenna Layne
2065 Stoneridge Dr |
$62.73 | 173 | 61 |
|
Taryn Goble
110 Highland Ave |
$48.48 | 185 | 75 |
|
Tiera Michelle Moore
110 Highland Ave |
$35.73 | 187 | 97 |
|
Stephanie Lynn Heaston
110 Highland Ave |
$27.73 | 217 | 152 |
|
Kathy Ann Henderson
110 Highland Ave |
$89.53 | 226 | 115 |
|
Full Circle Recovery Of Circleville
2065 Stoneridge Dr |
$81.95 | 238 | 57 |
|
Michelle Duerler
2065 Stoneridge Dr |
$70.60 | 249 | 72 |
|
Jacob Taylor
2065 Stoneridge Dr |
$68.50 | 257 | 94 |
|
Jarod R Massie
101 1/2 W Main St |
$123.70 | 263 | 76 |
|
Cassandra Nicole Patterson
327 E Mill St |
$49.26 | 282 | 13 |
|
Amber Nicole Bond
110 Highland Ave |
$26.79 | 283 | 179 |
|
Jimmy Gloyd
2065 Stoneridge Dr |
$32.51 | 286 | 99 |
|
Kyann Kersey
906 N Court St Ste B |
$46.10 | 295 | 150 |
|
Brandy Hurd
2065 Stoneridge Dr |
$36.19 | 340 | 116 |
|
Keshia Marie Conaway
110 Highland Ave |
$165.72 | 350 | 77 |
|
Amy Jeanne Nungester
2065 Stoneridge Dr |
$178.66 | 356 | 184 |
|
Lee Ann Brooks
2065 Stoneridge Dr |
$112.40 | 373 | 218 |
|
Laurie Jean Neff
110 Highland Ave |
$121.08 | 382 | 121 |
|
Phillip Calvin Rutherford
120 W Main St |
$104.46 | 422 | 204 |
|
Leah J Raymer
110 Highland Ave |
$141.38 | 427 | 225 |
|
Emily Lee
2065 Stoneridge Dr |
$62.73 | 459 | 145 |
|
Kristina Lynn Higgins
110 Highland Ave |
$23.23 | 461 | 227 |
|
Jason Lee Hopkins
110 Highland Ave |
$43.41 | 490 | 238 |
|
Michael Joshua Mulvany
327 E Mill St |
$78.98 | 497 | 222 |
|
Kyndle Renee Clark
110 Highland Ave |
$52.83 | 519 | 172 |
|
Teresa Cheadle
24865 Us Highway 23 S |
$24.38 | 525 | 394 |
|
Danielle Renee Hurff
110 Highland Ave |
$30.69 | 528 | 233 |
|
Kenzley Ragland
2065 Stoneridge Dr |
$72.55 | 554 | 171 |
|
Jessica Hegwood
2065 Stoneridge Dr |
$37.19 | 612 | 202 |
|
Brad Allen Mendenhall
110 Highland Ave |
$56.38 | 624 | 265 |
|
Sabrina Ann Kersey
906 N Court St |
$48.08 | 625 | 306 |
|
Jacqueline Brown
2065 Stoneridge Dr |
$32.54 | 652 | 134 |
|
Teresa Lynn Davis
110 Highland Ave |
$46.43 | 673 | 415 |
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