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 |
|---|---|---|---|
|
Stephanie Baker
1251 Nilles Rd Ste 5 |
$180.85 | 18,214 | 1,801 |
|
Kristina L Marsh
6570 Sosna Dr |
$169.46 | 4,738 | 899 |
|
Heidi Ludwig
6570 Sosna Dr |
$100.66 | 4,258 | 1,882 |
|
Cheryl E Fuller
6570 Sosna Dr |
$106.46 | 3,531 | 942 |
|
Solomon Joseph Cooper
1020 Symmes Rd |
$133.42 | 3,042 | 765 |
|
Tracy Ann Cacchiotti Foster
6570 Sosna Dr |
$55.34 | 2,924 | 914 |
|
Izella Pollard
6570 Sosna Dr |
$170.50 | 2,616 | 760 |
|
Tanya Leigh Kaylor
5108 Sandy Ln |
$284.79 | 2,431 | 1,733 |
|
Grace A. Marshall
6570 Sosna Dr |
$101.02 | 2,406 | 727 |
|
Jessica Catherine Hudson
5108 Sandy Ln |
$84.75 | 2,347 | 1,142 |
|
Raquel Marshay Camacho
5108 Sandy Ln |
$140.41 | 2,247 | 1,441 |
|
Katrina Kanigoski
5108 Sandy Ln |
$74.57 | 2,231 | 1,121 |
|
Anna Cox
5108 Sandy Ln |
$32.91 | 2,087 | 1,556 |
|
Michael May
6570 Sosna Dr |
$24.90 | 1,905 | 559 |
|
Christopher D. Cook
5108 Sandy Ln |
$187.24 | 1,854 | 523 |
|
Haley Bowra
1251 Nilles Rd Ste 5 |
$143.25 | 1,816 | 869 |
|
Kailin Real
5108 Sandy Ln |
$32.25 | 1,782 | 611 |
|
Catherine Elaine Holt
6570 Sosna Dr |
$143.56 | 1,624 | 525 |
|
Nicole Margaret Evelyn Hohler
5108 Sandy Ln |
$51.79 | 1,617 | 1,051 |
|
Tamika Thomas
6570 Sosna Dr |
$145.22 | 1,605 | 608 |
|
Richard Payne
1251 Nilles Rd Ste 5 |
$104.12 | 1,427 | 742 |
|
Lea Rae Grosvenor
5108 Sandy Ln |
$175.44 | 1,360 | 453 |
|
Brooke Taylor
6570 Sosna Dr |
$57.58 | 1,350 | 359 |
|
Tristica Withrow
6570 Sosna Dr |
$47.57 | 1,242 | 390 |
|
Rhonda Michelle Sneed
6570 Sosna Dr |
$30.64 | 1,222 | 344 |
|
Frank Baker
1251 Nilles Rd Ste 5 |
$71.99 | 1,052 | 609 |
|
Tamara Stucker
5108 Sandy Ln |
$271.08 | 956 | 633 |
|
Jennifer Schindler
6570 Sosna Dr |
$152.68 | 948 | 207 |
|
Deborah Ann Dornbusch Nagel
1020 Symmes Rd |
$122.43 | 904 | 301 |
|
Jacyln Lee Alexander
6570 Sosna Dr |
$43.77 | 892 | 286 |
|
Joy Harris
5108 Sandy Ln |
$79.98 | 823 | 383 |
|
Samantha Stant
5108 Sandy Ln |
$62.71 | 790 | 545 |
|
Patricia A Taylor
5108 Sandy Ln |
$53.57 | 712 | 317 |
|
Sydney Braine
6570 Sosna Dr |
$50.47 | 707 | 171 |
|
Sarah Barker
6570 Sosna Dr |
$48.83 | 618 | 175 |
|
Riva Oliphant
5108 Sandy Ln |
$37.12 | 586 | 462 |
|
Stephanie Ann Glacking
5108 Sandy Ln |
$29.22 | 558 | 484 |
|
Jayme Faith Vaughan
5108 Sandy Ln |
$60.47 | 549 | 226 |
|
Michelle R Collins
6570 Sosna Dr |
$143.07 | 505 | 202 |
|
Tori M Webb
6570 Sosna Dr |
$50.51 | 478 | 189 |
|
Kathryn Caudill
1251 Nilles Rd Ste 5 |
$90.35 | 467 | 303 |
|
Weston Lock
5108 Sandy Ln |
$24.19 | 464 | 425 |
|
Jordan Taylor Hall
6570 Sosna Dr |
$133.90 | 464 | 123 |
|
Devenia Lynn Johnson
1251 Nilles Rd Ste 5 |
$31.47 | 439 | 322 |
|
Cassandra Kay Olivares
5108 Sandy Ln |
$174.85 | 303 | 242 |
|
Jasmina Joan Nystrom
6570 Sosna Dr |
$35.62 | 294 | 72 |
|
Janelle Adamson
6570 Sosna Dr |
$141.97 | 285 | 128 |
|
Susan L Danforth
5108 Sandy Ln |
$243.56 | 271 | 136 |
|
Kellie Fightmaster
5108 Sandy Ln |
$34.31 | 271 | 169 |
|
Kayla Nobbs
5108 Sandy Ln |
$51.27 | 265 | 183 |
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 $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
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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 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