Average Medicaid Substance Abuse Treatment Payments in Elyria, OH: $66.92
Avg. Paid
$66.92
Range
$14.47 – $279.29
Total Claims
231,053
Providers
61
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 Elyria, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anthony Ruth
540 Griswold Rd |
$19.54 | 14 | 12 |
|
Pinnacle Treatment Centers Oh-Vii, Llc
174 Midway Blvd |
$101.40 | 21 | 17 |
|
Ashley Bania Seme
347 Midway Blvd Ste 210 |
$26.04 | 22 | 16 |
|
Patricia Ann Homza
1131 E Broad St |
$18.69 | 23 | 18 |
|
Lyndon Tyrone Willis
347 Midway Blvd Ste 210 |
$42.84 | 26 | 14 |
|
Brook Rivera
41641 N Ridge Rd |
$14.47 | 27 | 13 |
|
Latasha M. Washington
347 Midway Blvd Ste 210 |
$34.61 | 30 | 28 |
|
Carrie Wykrent
174 Midway Blvd |
$35.53 | 31 | 26 |
|
Rafael Antonio Figueroa
41641 N Ridge Rd |
$34.74 | 36 | 26 |
|
Kayla Scamaldo
347 Midway Blvd Ste 210 |
$100.40 | 39 | 13 |
|
Maureen N Long
174 Midway Blvd |
$26.85 | 49 | 47 |
|
Emi Spiro
347 Midway Blvd |
$24.52 | 51 | 13 |
|
Jane Bragg-Barnes
41641 N Ridge Rd |
$34.20 | 60 | 51 |
|
Jacqueline Kay Krych
347 Midway Blvd Ste 210 |
$36.12 | 76 | 28 |
|
Alfredo Bucio
41641 N Ridge Rd |
$142.19 | 78 | 34 |
|
Noah Jovan Ortiz
347 Midway Blvd Ste 210 |
$30.68 | 100 | 27 |
|
Mary Margaret Migra
750 Abbe Rd S |
$140.84 | 116 | 21 |
|
Jennifer Lynn Coffey
41641 N Ridge Rd |
$63.06 | 125 | 25 |
|
Jennifer King
347 Midway Blvd Ste 210 |
$28.47 | 128 | 95 |
|
Diana Susan Santantonio
750 S Abbe Rd |
$126.03 | 132 | 32 |
|
Lisa Eichelberger
120 East Ave # 5652 |
$61.38 | 179 | 88 |
|
The Genesis Center
457 Griswold Rd |
$84.58 | 209 | 39 |
|
Lacey Dean
540 Griswold Rd |
$94.52 | 220 | 54 |
|
Inez Mercedes Deleon-Quinones
41641 N Ridge Rd |
$24.60 | 228 | 116 |
|
Sonya Maria Hall
1508 W River Rd N |
$16.38 | 243 | 36 |
|
Debra Lynn Harris
41641 N Ridge Rd Ste B |
$26.74 | 266 | 162 |
|
Marisa D Rodgers
347 Midway Blvd Ste 210 |
$26.61 | 302 | 111 |
|
Victoria Lynn Hartley
540 Griswold Rd |
$279.18 | 319 | 229 |
|
Jason D Jordon
750 Abbe Rd S |
$126.97 | 354 | 83 |
|
Leslie Elizabeth Shephard
41641 N Ridge Rd |
$136.22 | 395 | 96 |
|
Brendon Mclellan
750 Abbe Rd S |
$100.96 | 445 | 109 |
|
Julie Ann Sheets
1131 E Broad St |
$17.65 | 459 | 177 |
|
Heather Barlow
750 Abbe Rd S |
$86.47 | 510 | 108 |
|
Hannah Catherine Runge
540 Griswold Rd |
$95.69 | 537 | 188 |
|
Allison Bale
347 Midway Blvd Ste 201 |
$129.90 | 585 | 174 |
|
Patricia E Dunstan
540 Griswold Rd |
$279.29 | 591 | 337 |
|
Hilary A Rieman
457 Griswold Rd |
$99.08 | 647 | 53 |
|
Trisha Jean Dahm
174 Midway Blvd |
$35.86 | 650 | 457 |
|
Melissa Buchholz
347 Midway Blvd Ste 210 |
$55.79 | 660 | 431 |
|
Dewayne C Green
41641 N Ridge Rd Ste B |
$196.35 | 671 | 369 |
|
Lakisha Williams
540 Griswold Rd |
$64.75 | 705 | 154 |
|
Dea Nicole Manges
347 Midway Blvd Ste 210 |
$27.42 | 915 | 627 |
|
Justin Early
457 Griswold Rd |
$85.64 | 963 | 425 |
|
Jimmy Jay Christian
530 N Levitt Rd |
$111.74 | 1,189 | 165 |
|
Sarina Colon
347 Midway Blvd Ste 210 |
$27.40 | 1,222 | 365 |
|
Lou Acosta
457 Griswold Rd |
$84.78 | 1,405 | 561 |
|
John Northcott
457 Griswold Rd |
$103.55 | 1,868 | 339 |
|
Rosezina Meadows
750 Abbe Road |
$139.23 | 2,167 | 180 |
|
Psych & Psych Services, Llc
750 Abbe Rd S |
$129.78 | 2,393 | 341 |
|
Paula Srebala
750 Abbe Rd S |
$135.79 | 2,532 | 204 |
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 Elyria, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Elyria, OH is $66.92 per claim, based on 231,053 claims from 61 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 Elyria, OH?
There are 61 Medicaid providers offering Substance Abuse Treatment related services in Elyria, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Elyria, OH?
Medicaid reimbursement for Substance Abuse Treatment in Elyria, OH ranges from $14.47 to $279.29 per claim, with an average of $66.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Elyria, OH
Office Visit
Avg $50.80
204,128 claims
Blood Work & Lab Tests
Avg $4.24
194,163 claims
Emergency Room Visit
Avg $92.22
179,884 claims
Ambulance Transport
Avg $58.38
160,203 claims
Home Health Visit
Avg $54.97
105,925 claims
Dental Cleaning & Exam
Avg $26.25
77,765 claims
Psychiatric Evaluation
Avg $72.67
66,068 claims
EKG / ECG (Electrocardiogram)
Avg $6.37
65,548 claims