Average Medicaid Substance Abuse Treatment Payments in Fairborn, OH: $105.33
Avg. Paid
$105.33
Range
$14.81 – $194.68
Total Claims
59,099
Providers
49
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 Fairborn, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sonia M Rapp
302 W Main St |
$150.06 | 6,559 | 995 |
|
Timothy Ray Beverly
302 W Main St |
$148.82 | 6,371 | 1,021 |
|
Sarah A Long
302 W Main St |
$142.68 | 5,505 | 1,867 |
|
Carla Hetric-Daniel
302 W Main St |
$14.81 | 4,020 | 521 |
|
Rick C Smith
712 Cedar Dr Apt 8 |
$141.04 | 3,574 | 576 |
|
Syreeta A Peacock
119 E Dayton Yellow Springs Rd |
$143.08 | 2,818 | 616 |
|
Michael I Letts
302 W Main St |
$137.87 | 2,696 | 434 |
|
Connie S Williams
302 W Main St |
$118.26 | 2,310 | 866 |
|
William Grubb
302 W Main St |
$40.32 | 2,109 | 372 |
|
Allison Godown
302 W Main St |
$53.45 | 1,895 | 614 |
|
Drew Austin Ryan
302 W Main St |
$60.72 | 1,887 | 785 |
|
Jessica Allison Young
1825 Commerce Center Blvd |
$58.10 | 1,872 | 730 |
|
Brandy Shayne Henson
302 W Main St |
$109.47 | 1,739 | 1,092 |
|
Joshua Swan
302 W Main St |
$22.95 | 1,636 | 393 |
|
Cierra Jackson
1560 Calder Ct |
$160.93 | 1,454 | 186 |
|
Sophia Alridge
594 East Dayton Yellow Springs Road |
$51.31 | 1,330 | 731 |
|
Gloria Nadine Nichols
302 W Main St |
$102.20 | 1,276 | 438 |
|
Brenda Kross
302 W Main St |
$177.11 | 1,149 | 324 |
|
Monique Lauren Wiley
302 W Main St |
$60.66 | 1,043 | 347 |
|
Whitney Cottingham
302 W Main St |
$68.48 | 940 | 168 |
|
Ashlee Lynn Harding
188 W Hebble Ave |
$31.74 | 783 | 437 |
|
Sheila Dunn
302 W Main St |
$117.18 | 748 | 263 |
|
Audrianna D Culver
302 W Main St |
$62.76 | 540 | 170 |
|
Jordin Snider
302 W Main St |
$42.02 | 513 | 151 |
|
Namya Wright
302 W Main St |
$33.31 | 494 | 230 |
|
Peter Dedominici
188 W Hebble Ave |
$37.65 | 441 | 336 |
|
Sahar Abouchahine-Allan
302 W Main St |
$194.68 | 432 | 127 |
|
Kelly Eades
302 W Main St |
$56.86 | 410 | 197 |
|
Holly Nicole Sullivan
302 W Main St |
$70.50 | 403 | 151 |
|
Daniel Andrew Grim
323 N Broad St |
$71.37 | 298 | 90 |
|
Courtney Preston
302 W Main St |
$39.95 | 252 | 95 |
|
Lindsey Chavers
302 W Main St |
$65.69 | 247 | 169 |
|
Lisa Chase-Miller
302 W Main St |
$146.17 | 212 | 158 |
|
Amanda Hutchins
302 W Main St |
$42.00 | 174 | 83 |
|
Madelyn Losher
302 W Main St |
$41.87 | 151 | 53 |
|
Hannah Kammer
302 W Main St |
$79.18 | 117 | 64 |
|
Pesia Judith Ulm
302 W Main St |
$92.64 | 114 | 95 |
|
Kymbra Fyffe
302 W Main St |
$54.28 | 97 | 56 |
|
Ashley E Riviello
188 W Hebble Ave |
$104.30 | 88 | 19 |
|
Francis Joe Fox
302 W Main St |
$78.05 | 80 | 42 |
|
Audra Lucas
302 W Main St |
$50.35 | 70 | 33 |
|
Sarah Elizabeth Cadwallader
188 W Hebble Ave |
$147.42 | 61 | 12 |
|
Sarah Mcafee
302 W Main St |
$25.95 | 61 | 30 |
|
Deborah Hirschhorn
302 W Main St |
$75.79 | 33 | 15 |
|
Kamerin Norris
302 W Main St |
$48.98 | 26 | 15 |
|
Michael A Carter
188 W Hebble Ave |
$25.79 | 25 | 13 |
|
Cynthia Darden
302 W Main St |
$149.88 | 20 | 13 |
|
Scott J Randall
302 W Main St |
$53.04 | 14 | 12 |
|
Monica Sewell
1453 Glendale Dr |
$159.75 | 12 | 12 |
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 Fairborn, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Fairborn, OH is $105.33 per claim, based on 59,099 claims from 49 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 Fairborn, OH?
There are 49 Medicaid providers offering Substance Abuse Treatment related services in Fairborn, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Fairborn, OH?
Medicaid reimbursement for Substance Abuse Treatment in Fairborn, OH ranges from $14.81 to $194.68 per claim, with an average of $105.33. 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 Fairborn, OH
Office Visit
Avg $71.10
85,748 claims
Behavioral & Mental Health Therapy
Avg $102.66
50,256 claims
Psychiatric Evaluation
Avg $65.96
44,415 claims
Speech Therapy
Avg $25.02
25,747 claims
Ambulance Transport
Avg $64.31
21,658 claims
Case Management Services
Avg $24.76
10,251 claims
Physical Therapy
Avg $17.82
9,725 claims
Dental Cleaning & Exam
Avg $36.34
4,062 claims