Average Medicaid Substance Abuse Treatment Payments in Fairlawn, OH: $246.03
Avg. Paid
$246.03
Range
$14.50 – $316.32
Total Claims
9,649
Providers
11
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 Fairlawn, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Daniel White
3094 W Market St Ste 105 |
$57.28 | 36 | 12 |
|
Bryan Grove
3632 W Market St Ste 105 |
$64.56 | 36 | 14 |
|
Macy Marie Tackett
3094 W Market St Ste 360 |
$20.62 | 47 | 46 |
|
David Lewis
50 Baker Blvd Ste 5A |
$66.51 | 134 | 19 |
|
Shanear R Butler
3094 W Market St Ste 3433094W |
$14.50 | 157 | 118 |
|
Stephanie M Beck
66 S Miller Rd |
$77.17 | 246 | 51 |
|
Daniel Richard Langer
1000 S Cleveland Massillon Rd Ste 1 |
$69.11 | 308 | 184 |
|
Stacey Lynn Barrett
3632 W Market St |
$48.55 | 422 | 121 |
|
Barbara R Snider
3094 W Market St Ste 105 |
$62.89 | 457 | 92 |
|
Sarah Ann Robinson
3094 W Market St Ste 105 |
$82.00 | 859 | 362 |
|
Linda M. Limburg
822 Kumho Dr Ste 101 |
$316.32 | 6,947 | 802 |
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 Fairlawn, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Fairlawn, OH is $246.03 per claim, based on 9,649 claims from 11 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 Fairlawn, OH?
There are 11 Medicaid providers offering Substance Abuse Treatment related services in Fairlawn, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Fairlawn, OH?
Medicaid reimbursement for Substance Abuse Treatment in Fairlawn, OH ranges from $14.50 to $316.32 per claim, with an average of $246.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $34.24
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Other Procedures in Fairlawn, OH
Home Health Visit
Avg $42.08
924,515 claims
Office Visit
Avg $44.47
220,278 claims
Behavioral & Mental Health Therapy
Avg $98.46
90,149 claims
Psychiatric Evaluation
Avg $63.84
80,759 claims
Physical Therapy
Avg $25.72
61,452 claims
Dental Cleaning & Exam
Avg $23.22
53,798 claims
Blood Work & Lab Tests
Avg $6.83
31,050 claims
Non-Emergency Medical Transportation
Avg $21.51
28,184 claims