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Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Defiance, OH: $115.76

Avg. Paid

$115.76

Range

$40.18 – $201.67

Total Claims

23,372

Providers

31

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 Defiance, OH

Provider Avg. Paid Claims Patients
Robert Cerniglia

511 Perry St

$142.22 4,569 874
Recovery Services Nwo

511 Perry St

$93.88 2,971 732
Alexander Tiffany

511 Perry St

$152.55 2,029 833
Teresa Bauer

1725 Upton St

$128.37 1,527 490
Doak Walker

201 E 2Nd St

$59.88 1,421 453
Earl B Grant

511 Perry St

$88.43 1,368 438
Candace Jones

206 Perry St

$107.38 1,117 215
Cathy Diane Ensign

511 Perry St

$92.04 1,048 270
Nora L Elswick

511 Perry St

$92.71 958 347
Jordan Trejo

511 Perry St

$129.64 863 269
Gina Earles

511 Perry St

$135.46 723 242
Elizabeth M Wilde

511 Perry St

$135.30 603 177
Jennifer Wilhelm

211 Biede Ave

$139.27 573 185
Amanda J Waldfogel

1199 Christy Rd

$135.62 472 114
Summer Poland

511 Perry St

$147.90 378 84
Megan J Neville

211 Biede Ave

$89.36 353 200
Katherine Shaffer

211 Biede Ave

$63.99 316 87
Cheyenne Oleski

511 Perry St

$140.26 296 60
Jessica Van Vleet

511 Perry St

$87.30 296 64
David Brown

211 Biede Ave

$40.18 278 127
Abigail J Mcgough

211 Biede Ave

$201.67 243 139
Ja'Wann Gillis

511 Perry St

$60.65 159 66
Alexis Sinn

511 Perry St

$100.79 157 56
Donald Karcher

201 E 2Nd St

$144.74 151 50
Annita Swick

395 Harding St

$79.58 141 58
Faith M Monroe

511 Perry St

$101.53 129 57
Jeannie Veillon

201 E 2Nd St

$59.69 82 24
Amy Durkin

511 Perry St

$86.34 80 26
Libby Trejo

511 Perry St

$115.62 38 14
Thomas J Boals

201 E 2Nd St

$51.43 19 12
Tabitha R Kersten

511 Perry St

$53.05 14 13

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 Defiance, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Defiance, OH is $115.76 per claim, based on 23,372 claims from 31 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 Defiance, OH?

There are 31 Medicaid providers offering Substance Abuse Treatment related services in Defiance, OH according to public payment data.

What is the price range for Substance Abuse Treatment in Defiance, OH?

Medicaid reimbursement for Substance Abuse Treatment in Defiance, OH ranges from $40.18 to $201.67 per claim, with an average of $115.76. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Substance Abuse Treatment in Other Cities

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