Average Medicaid Substance Abuse Treatment Payments in Georgetown, OH: $94.45
Avg. Paid
$94.45
Range
$0.00 – $244.11
Total Claims
45,156
Providers
37
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 Georgetown, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Houston
121 N Main St |
$20.60 | 37 | 27 |
|
Amy Gray
121 N Main St |
$26.18 | 50 | 45 |
|
Doris Sigel
421 Home St |
$87.32 | 72 | 43 |
|
Susan Elaine Reed
631 E State St |
$0.00 | 96 | 43 |
|
Casey Shannon Yarger
421 Home St |
$244.11 | 135 | 99 |
|
Jessica Marie Ossenbeck
421 Home St |
$75.25 | 136 | 59 |
|
April Dotson
421 Home St |
$26.26 | 191 | 119 |
|
Amanda Strub
631 E State St |
$0.00 | 208 | 115 |
|
Rebecca Kay Hardymon
421 Home St |
$55.84 | 219 | 108 |
|
Amber Rebekah Thompson
421 Home St |
$40.74 | 278 | 109 |
|
Brianna Scott Rucker
421 Home St |
$58.86 | 375 | 114 |
|
Dawn J Haynes
421 Home St |
$64.65 | 501 | 169 |
|
Shelby Wagner
421 Home St |
$118.55 | 502 | 332 |
|
Candice Haggard-Pierson
421 Home St |
$67.88 | 614 | 139 |
|
Jefferson Blake Schaeffer
421 Home St |
$81.35 | 650 | 382 |
|
Kelli Mae Wallingford
421 Home St |
$35.61 | 668 | 467 |
|
Lisa Smith
421 Home St |
$32.47 | 686 | 542 |
|
Lindsay Brooke Clepper
75 Banting Dr |
$77.24 | 711 | 199 |
|
Tanika Davis
421 Home St |
$38.94 | 824 | 582 |
|
Ashley M Bryant
75 Banting Dr |
$60.69 | 923 | 169 |
|
Melissa N Wright
631 E State St |
$0.00 | 990 | 517 |
|
Christina Michelle Fernbach
631 E State St |
$0.00 | 1,028 | 537 |
|
Debra Pence
421 Home St |
$149.51 | 1,143 | 235 |
|
Darren Ray Burns
75 Banting Dr |
$84.04 | 1,245 | 311 |
|
Mary Louise Mell
421 Home St |
$70.35 | 1,375 | 751 |
|
Anna Marie Pollard
75 Banting Dr |
$58.81 | 1,391 | 722 |
|
Josie Ann Gast
631 E State St |
$0.00 | 1,553 | 844 |
|
Justin Delong
421 Home St |
$159.86 | 1,596 | 409 |
|
Nicole Amber Basdon
75 Banting Dr |
$61.57 | 1,947 | 352 |
|
Abigail Balon
421 Home St |
$28.49 | 2,074 | 255 |
|
Felicia Rae Mcmullen
421 Home St |
$102.56 | 2,110 | 829 |
|
Jagena Ann Burns
421 Home St |
$209.36 | 2,311 | 1,728 |
|
Kiersten Elizabeth Adkins
421 Home St |
$153.66 | 2,344 | 524 |
|
Jack Helvey
75 Banting Dr |
$70.96 | 2,406 | 858 |
|
Michael Scott Mchenry
4881 State Route 125 |
$196.06 | 3,849 | 294 |
|
Donna L Cavagnetto
421 Home St |
$176.62 | 4,305 | 656 |
|
Sibyl Troxell
421 Home St |
$27.21 | 5,613 | 757 |
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 Georgetown, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Georgetown, OH is $94.45 per claim, based on 45,156 claims from 37 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 Georgetown, OH?
There are 37 Medicaid providers offering Substance Abuse Treatment related services in Georgetown, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Georgetown, OH?
Medicaid reimbursement for Substance Abuse Treatment in Georgetown, OH ranges from $0.00 to $244.11 per claim, with an average of $94.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Georgetown, OH
Office Visit
Avg $38.31
114,731 claims
Vaccines & Immunizations
Avg $6.98
46,103 claims
Ambulance Transport
Avg $54.82
41,016 claims
Psychiatric Evaluation
Avg $69.60
28,698 claims
Behavioral & Mental Health Therapy
Avg $77.85
24,808 claims
Durable Medical Equipment (DME)
Avg $17.36
6,755 claims
Physical Therapy
Avg $8.11
5,414 claims
Speech Therapy
Avg $33.07
5,389 claims