Average Medicaid Substance Abuse Treatment Payments in Grove City, OH: $17.92
Avg. Paid
$17.92
Range
$16.32 – $150.52
Total Claims
724,413
Providers
10
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 Grove City, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joanne Poje Tomasulo
5455 Lilac Ave |
$16.32 | 711,963 | 30,757 |
|
Robert William Frazier
3770 Santa Maria Dr. |
$101.73 | 6,746 | 1,030 |
|
Jashala Payne
5665 Hoover Rd |
$133.37 | 2,518 | 365 |
|
Virginia Dawn Short
5665 Hoover Rd |
$137.15 | 1,395 | 328 |
|
Jacquelyn R Mccombs
5665 Hoover Rd |
$35.56 | 639 | 299 |
|
John Pearson
1955 Ohio Dr |
$150.52 | 478 | 234 |
|
Timothy Merle Sturgill
5665 Hoover Rd |
$92.86 | 280 | 114 |
|
Tanya Akhtar
5665 Hoover Rd |
$92.84 | 207 | 95 |
|
Lexi Boggs
1955 Ohio Dr |
$69.71 | 146 | 71 |
|
Christen Alguire
4461 Broadway Ste 150 |
$40.03 | 41 | 35 |
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 Grove City, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Grove City, OH is $17.92 per claim, based on 724,413 claims from 10 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 Grove City, OH?
There are 10 Medicaid providers offering Substance Abuse Treatment related services in Grove City, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Grove City, OH?
Medicaid reimbursement for Substance Abuse Treatment in Grove City, OH ranges from $16.32 to $150.52 per claim, with an average of $17.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Grove City, OH
Office Visit
Avg $55.65
280,908 claims
Speech Therapy
Avg $24.91
148,015 claims
Physical Therapy
Avg $15.23
143,572 claims
Ambulance Transport
Avg $54.59
116,246 claims
Behavioral & Mental Health Therapy
Avg $103.96
104,047 claims
Blood Work & Lab Tests
Avg $10.89
66,172 claims
Dental Cleaning & Exam
Avg $26.64
52,813 claims
Home Health Visit
Avg $53.71
47,140 claims