Average Medicaid Substance Abuse Treatment Payments in Fairfield, OH: $123.35
Avg. Paid
$123.35
Range
$6.13 – $334.62
Total Claims
90,908
Providers
87
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 Fairfield, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rick Lee Hum
6570 Sosna Dr |
$334.62 | 14 | 14 |
|
Murile Vincent Morgan
6570 Sosna Dr |
$84.27 | 16 | 12 |
|
Nicole Miller
6570 Sosna Dr |
$82.43 | 20 | 12 |
|
Sara Morgan Pickett
1251 Nilles Rd Ste 5 |
$60.14 | 20 | 15 |
|
Jacqueline Hunter
5108 Sandy Ln |
$31.64 | 21 | 19 |
|
Kelly Renee Roach
5108 Sandy Ln |
$274.47 | 25 | 19 |
|
Natasha Hall
6570 Sosna Dr |
$6.13 | 31 | 19 |
|
William Ray
6570 Sosna Dr |
$40.62 | 38 | 12 |
|
Veranique Miche Sutton
6570 Sosna Dr |
$140.82 | 51 | 34 |
|
Kathleen Thayer Winstead
6570 Sosna Dr |
$169.31 | 54 | 18 |
|
Trisha Sue Allen
6570 Sosna Dr |
$161.09 | 57 | 13 |
|
Anamarie Wilson
6570 Sosna Dr |
$28.09 | 64 | 13 |
|
Rebecca Taylor Creasy
5108 Sandy Ln |
$225.96 | 71 | 50 |
|
Amber Feix
1020 Symmes Rd |
$38.54 | 72 | 32 |
|
Ariel Benson
5108 Sandy Ln |
$126.23 | 97 | 77 |
|
Ely Sizemore
6570 Sosna Dr |
$68.57 | 108 | 44 |
|
Krystal Hibbett
6570 Sosna Dr |
$102.55 | 120 | 60 |
|
Johnny Jackson
6570 Sosna Dr |
$11.60 | 121 | 23 |
|
Tiffany Welch
6570 Sosna Dr |
$40.40 | 126 | 30 |
|
Marc E. Smith
6570 Sosna Dr |
$22.22 | 131 | 25 |
|
Patricia E Habenicht
5108 Sandy Ln |
$75.49 | 133 | 86 |
|
Joshua Johnson
1251 Nilles Rd Ste 5 |
$124.29 | 139 | 87 |
|
Corliss Carr
5108 Sandy Ln |
$165.43 | 140 | 78 |
|
Tamera Hollimon
5108 Sandy Ln |
$179.59 | 143 | 107 |
|
Tiffany Leigh Rains
6570 Sosna Dr |
$125.73 | 154 | 83 |
|
Brittany Reeves
5108 Sandy Ln |
$42.42 | 155 | 49 |
|
Jason Michael Levline
5266 Charlene Ave |
$68.76 | 160 | 66 |
|
Trudy Miracle
5108 Sandy Ln |
$26.81 | 172 | 163 |
|
M. Anna Brooks
6975 Dixie Hwy |
$35.97 | 176 | 85 |
|
Susan Giardina
6570 Sosna Dr |
$53.45 | 182 | 67 |
|
Angela Marie Burton
5108 Sandy Ln |
$194.03 | 186 | 144 |
|
Kevin Richard Mcgowan
5108 Sandy Ln |
$64.03 | 205 | 73 |
|
Ricky Dale Wilson
6570 Sosna Dr |
$50.31 | 227 | 63 |
|
Jaime Shields
5108 Sandy Ln |
$250.93 | 227 | 161 |
|
Kaylee Christina Dickson
6570 Sosna Dr |
$35.78 | 255 | 117 |
|
Lori Jo Williams
5108 Sandy Ln |
$198.65 | 257 | 188 |
|
Emelia A French
526 Nilles Rd Ste 8 |
$131.64 | 263 | 79 |
|
Kayla Nobbs
5108 Sandy Ln |
$51.27 | 265 | 183 |
|
Kellie Fightmaster
5108 Sandy Ln |
$34.31 | 271 | 169 |
|
Susan L Danforth
5108 Sandy Ln |
$243.56 | 271 | 136 |
|
Janelle Adamson
6570 Sosna Dr |
$141.97 | 285 | 128 |
|
Jasmina Joan Nystrom
6570 Sosna Dr |
$35.62 | 294 | 72 |
|
Cassandra Kay Olivares
5108 Sandy Ln |
$174.85 | 303 | 242 |
|
Devenia Lynn Johnson
1251 Nilles Rd Ste 5 |
$31.47 | 439 | 322 |
|
Weston Lock
5108 Sandy Ln |
$24.19 | 464 | 425 |
|
Jordan Taylor Hall
6570 Sosna Dr |
$133.90 | 464 | 123 |
|
Kathryn Caudill
1251 Nilles Rd Ste 5 |
$90.35 | 467 | 303 |
|
Tori M Webb
6570 Sosna Dr |
$50.51 | 478 | 189 |
|
Michelle R Collins
6570 Sosna Dr |
$143.07 | 505 | 202 |
|
Jayme Faith Vaughan
5108 Sandy Ln |
$60.47 | 549 | 226 |
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 Fairfield, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Fairfield, OH is $123.35 per claim, based on 90,908 claims from 87 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 Fairfield, OH?
There are 87 Medicaid providers offering Substance Abuse Treatment related services in Fairfield, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Fairfield, OH?
Medicaid reimbursement for Substance Abuse Treatment in Fairfield, OH ranges from $6.13 to $334.62 per claim, with an average of $123.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $38.59
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Avg $34.24
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Other Procedures in Fairfield, OH
Office Visit
Avg $56.34
285,404 claims
Emergency Room Visit
Avg $86.03
221,349 claims
Blood Work & Lab Tests
Avg $6.73
208,648 claims
Home Health Visit
Avg $77.47
163,349 claims
Psychiatric Evaluation
Avg $73.24
94,926 claims
EKG / ECG (Electrocardiogram)
Avg $5.95
94,777 claims
Physical Therapy
Avg $32.12
76,189 claims
Vaccines & Immunizations
Avg $8.81
65,806 claims