Average Medicaid Substance Abuse Treatment Payments in Hamilton, OH: $88.41
Avg. Paid
$88.41
Range
$7.47 – $321.85
Total Claims
508,579
Providers
326
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 Hamilton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Modern Psychiatry And Wellness Llc
1910 Fairgrove Ave Ste E |
$57.47 | 24,727 | 2,807 |
|
Community Behavioral Health Inc.
820 S Martin Luther King Jr Blvd |
$67.89 | 15,214 | 3,144 |
|
Kimberly Wilcox
820 S Martin Luther King Jr Blvd |
$117.99 | 14,547 | 3,401 |
|
Anthony Wade Skipworth
621 S Erie Hwy |
$153.04 | 12,635 | 2,992 |
|
Pamela Thurman
3101 Dixie Hwy |
$8.65 | 11,670 | 1,078 |
|
Bonnie Stuefen
3621 Rossgate Ct |
$138.01 | 11,429 | 2,501 |
|
Patricia M Lyles
515 Dayton St |
$140.08 | 10,861 | 2,754 |
|
Amanda Miller
621 S Erie Hwy |
$132.20 | 9,592 | 3,177 |
|
Rachel Plaugher
1910 Fairgrove Ave Ste E |
$145.55 | 9,546 | 2,690 |
|
Denise Elaine Orren
621 S Erie Hwy |
$33.67 | 8,640 | 1,715 |
|
Melissa Roberts
515 Dayton St |
$116.28 | 8,126 | 1,914 |
|
Ginger L Justice
210 S 2Nd St |
$99.89 | 8,040 | 1,514 |
|
Nicolas Alan Burnett
621 S Erie Hwy |
$145.05 | 7,201 | 1,671 |
|
Lisa Lewis
3103 Dixie Hwy |
$175.21 | 6,511 | 1,234 |
|
Sojourner Recovery Services
515 Dayton St |
$46.01 | 6,306 | 769 |
|
Kelly Koller
1910 Fairgrove Ave Ste E |
$35.92 | 5,961 | 1,430 |
|
Valerie Conatser
520 High St |
$121.38 | 5,795 | 2,220 |
|
Joshua James Price
621 S Erie Hwy |
$52.45 | 5,510 | 1,918 |
|
Michael Best
3103 Dixie Hwy |
$70.18 | 5,093 | 1,512 |
|
Celia A Mullins
449 N 3Rd St |
$192.25 | 5,062 | 673 |
|
Charles Allen Day
621 S Erie Hwy |
$57.70 | 5,000 | 1,221 |
|
Raymond Wang
621 S. Erie Blvd |
$86.97 | 4,818 | 1,160 |
|
Amy Combs
820 S Martin Luther King Jr Blvd |
$59.65 | 4,788 | 1,782 |
|
Melody Myers
520 Eaton Ave |
$92.07 | 4,631 | 1,577 |
|
Ken Fitzwater
1910 Fairgrove Ave Ste E |
$30.72 | 4,508 | 1,505 |
|
Tyler Nichting
621 S Erie Hwy |
$40.69 | 4,416 | 1,555 |
|
George Hemingway
1900 Fairgrove Ave |
$130.48 | 4,324 | 1,280 |
|
Katrina Shropshire
1910 Fairgrove Ave Ste E |
$117.35 | 4,295 | 1,799 |
|
Michael Wiater
1910 Fairgrove Ave Ste E |
$31.25 | 4,292 | 1,403 |
|
William Kirschner
1910 Fairgrove Ave Ste E |
$127.11 | 4,288 | 1,124 |
|
Mitchell Clontz
1910 Fairgrove Ave Ste E |
$36.43 | 4,203 | 1,485 |
|
David Orren
1910 Fairgrove Ave Ste E |
$32.79 | 4,128 | 1,031 |
|
Thomas Lipps
1910 Fairgrove Ave |
$49.33 | 4,111 | 1,987 |
|
Randee Jay Lacon
3103 Dixie Hwy |
$119.07 | 4,099 | 1,051 |
|
Gerald Graham
1910 Fairgrove Ave |
$54.02 | 4,068 | 1,736 |
|
Beverly Ann Graff
1490 University Blvd |
$164.66 | 4,026 | 916 |
|
Justin Ledford
1910 Fairgrove Ave Ste E |
$40.45 | 3,890 | 1,123 |
|
Billie Ramirez
1910 Fairgrove Ave Ste E |
$37.70 | 3,743 | 1,072 |
|
Randall Hoelle
1910 Fairgrove Ave Ste E |
$44.99 | 3,711 | 1,479 |
|
Stanford J. Harris
3103 Dixie Hwy |
$91.14 | 3,689 | 1,583 |
|
Chloe Hibbard-Estes
820 S Martin Luther King Jr Blvd |
$108.92 | 3,618 | 1,221 |
|
Leslie Litmon
820 S Martin Luther King Jr Blvd |
$125.02 | 3,516 | 1,126 |
|
Darlene Moak
442 S 2Nd St |
$58.60 | 3,483 | 1,676 |
|
Jim Beiting
820 S Martin Luther King Jr Blvd |
$186.24 | 3,412 | 331 |
|
Anna Malley
442 S 2Nd St |
$245.04 | 3,404 | 1,712 |
|
Kimberly Sue Ross
1034 Woodbine Rd |
$29.40 | 3,328 | 875 |
|
Ashwin Sundar
1910 Fairgrove Ave |
$136.36 | 3,214 | 896 |
|
Beth Ann Lemke
3103 Dixie Hwy |
$131.79 | 3,211 | 476 |
|
Myles Evan Silas
1210 N W Washington Blvd #4 |
$56.38 | 3,171 | 1,822 |
|
Denako Hemphill
1910 Fairgrove Ave |
$51.30 | 3,105 | 1,330 |
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 Hamilton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Hamilton, OH is $88.41 per claim, based on 508,579 claims from 326 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 Hamilton, OH?
There are 326 Medicaid providers offering Substance Abuse Treatment related services in Hamilton, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Hamilton, OH?
Medicaid reimbursement for Substance Abuse Treatment in Hamilton, OH ranges from $7.47 to $321.85 per claim, with an average of $88.41. 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
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
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Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
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 Hamilton, OH
Office Visit
Avg $46.10
600,395 claims
Psychiatric Evaluation
Avg $75.06
252,958 claims
Behavioral & Mental Health Therapy
Avg $81.28
232,890 claims
Blood Work & Lab Tests
Avg $5.94
228,109 claims
Vaccines & Immunizations
Avg $7.76
132,248 claims
Emergency Room Visit
Avg $93.92
120,353 claims
Speech Therapy
Avg $26.37
119,235 claims
Dental Cleaning & Exam
Avg $19.79
88,813 claims