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Based on public Medicaid payment data.

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

Other Procedures in Hamilton, OH