Average Medicaid Substance Abuse Treatment Payments in Garfield Heights, OH: $86.16
Avg. Paid
$86.16
Range
$17.30 – $218.44
Total Claims
18,385
Providers
23
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 Garfield Heights, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frances E Austin
5410 Transportation Blvd |
$99.02 | 3,589 | 1,263 |
|
Margaret O'Brien Flynn
5350 Transportation Blvd Ste 22 |
$107.28 | 3,390 | 823 |
|
Michael Joseph Nash
12395 Mccracken Rd Ste A-Up |
$34.48 | 1,929 | 793 |
|
Lisa M Dunn
12395 Mccracken Rd |
$146.92 | 1,845 | 329 |
|
Darlene Renee Brown
12395 Mccracken Rd |
$41.82 | 1,569 | 896 |
|
Donald L Lynch
4750 Bartlam Ave |
$17.30 | 1,418 | 608 |
|
Ronique Strozier
7705 Avondale Ave |
$31.88 | 796 | 358 |
|
Douglas Adair
12395 Mccracken Rd |
$144.23 | 677 | 95 |
|
Erika Lynn Mcclelland
12395 Mccracken Rd |
$130.28 | 673 | 110 |
|
Jason Hubbard
12395 Mccracken Rd |
$118.53 | 399 | 54 |
|
Mykala Houseburg
12395 Mccracken Rd Ste A-Up |
$91.83 | 355 | 280 |
|
Kendre Richards
5350 Transportation Blvd |
$48.71 | 331 | 79 |
|
Shannon M Franklin
5595 Transportation Blvd Ste 240 |
$97.06 | 255 | 49 |
|
Kelly Ann Brewer
12027 Darlington Ave |
$83.03 | 235 | 63 |
|
Jasmine Kochheiser
4901 Turney Rd |
$49.83 | 200 | 154 |
|
Cheng Saetern
5350 Transportation Blvd |
$218.44 | 194 | 77 |
|
Michell Adam
12395 Mccracken Rd # A-Up |
$54.74 | 136 | 72 |
|
Danelle Wilson
12395 Mccracken Rd |
$34.53 | 133 | 100 |
|
Jeffrey A Neal
12395 Mccracken Rd Ste A-Up |
$145.15 | 95 | 13 |
|
Joshua Thomas Gonzalez
12395 Mccracken Rd Ste A-Up |
$45.30 | 88 | 57 |
|
Louis C Martin
13802 S Parkway Dr |
$33.42 | 34 | 14 |
|
Shakirra Mari Dupriest Lawshea
12395 Mccracken Rd Ste A |
$70.94 | 23 | 12 |
|
Braxton Gamble
12395 Mccracken Rd Ste A-Up |
$68.39 | 21 | 13 |
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 Garfield Heights, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Garfield Heights, OH is $86.16 per claim, based on 18,385 claims from 23 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 Garfield Heights, OH?
There are 23 Medicaid providers offering Substance Abuse Treatment related services in Garfield Heights, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Garfield Heights, OH?
Medicaid reimbursement for Substance Abuse Treatment in Garfield Heights, OH ranges from $17.30 to $218.44 per claim, with an average of $86.16. 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
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Garfield Heights, OH
Home Health Visit
Avg $70.17
121,675 claims
Blood Work & Lab Tests
Avg $3.41
118,257 claims
Behavioral & Mental Health Therapy
Avg $73.60
97,565 claims
Office Visit
Avg $60.22
78,211 claims
Emergency Room Visit
Avg $100.64
74,034 claims
Psychiatric Evaluation
Avg $75.60
53,213 claims
Nursing Facility Care
Avg $13.60
38,143 claims
Durable Medical Equipment (DME)
Avg $29.26
36,013 claims