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 |
|---|---|---|---|
|
Dawn Kelly-Miller
515 Dayton St |
$57.12 | 13 | 13 |
|
Jacqueline Willis
515 Dayton St |
$35.17 | 15 | 12 |
|
Sharon Weatherspoon
3103 Dixie Hwy |
$42.59 | 15 | 13 |
|
Toni Cargile-Hadley
533 Dayton St |
$37.85 | 16 | 16 |
|
Brittany Ann Gillenwater
1490 University Blvd |
$37.48 | 16 | 16 |
|
Jack Watkins
1910 Fairgrove Ave Ste E |
$26.44 | 17 | 14 |
|
Joanna Lowry
820 S Martin Luther King Jr Blvd |
$149.88 | 17 | 15 |
|
Marissa Rose Hembree
1910 Fairgrove Ave |
$59.26 | 18 | 14 |
|
Monica J Black
1490 University Blvd |
$53.19 | 18 | 14 |
|
Lisa Mcvay
515 Dayton St |
$19.54 | 19 | 13 |
|
Kathie Jo Buck
501 Ridgelawn Ave |
$77.45 | 21 | 18 |
|
John Andrews
3103 Dixie Hwy |
$122.63 | 22 | 13 |
|
Lisa Moats
1910 Fairgrove Ave |
$34.48 | 23 | 15 |
|
Payton Lewis
3103 Dixie Hwy |
$45.88 | 23 | 12 |
|
Kate Hamilton
515 Dayton St |
$20.94 | 28 | 27 |
|
Edward Ray Couch
621 S Erie Hwy |
$25.99 | 28 | 17 |
|
Jessica Donathan
1910 Fairgrove Ave Ste E |
$94.56 | 28 | 12 |
|
Paige Michelle Abdinor
820 S Martin Luther King Jr Blvd |
$59.72 | 29 | 13 |
|
Marnie Danielle Levine-Einfeldt
1900 Fairgrove Ave |
$149.88 | 29 | 26 |
|
Anja Zickafoose
3103 Dixie Hwy |
$26.44 | 30 | 14 |
|
Kristin Helmick
3103 Dixie Hwy |
$32.36 | 32 | 23 |
|
Hannah Lynn Montgomery
3621 Rossgate Ct |
$96.60 | 32 | 20 |
|
Community Behavioral Health, Inc.
820 S Martin Luther King Jr Blvd |
$9.08 | 33 | 20 |
|
Elizabeth Townsend
3103 Dixie Hwy |
$47.99 | 34 | 19 |
|
Zoeleena Abston
3103 Dixie Hwy |
$32.94 | 35 | 25 |
|
Briana Bazel
3103 Dixie Hwy |
$33.22 | 35 | 16 |
|
James Wallace
1910 Fairgrove Ave Ste E |
$30.60 | 38 | 20 |
|
Maria Noble
3103 Dixie Hwy |
$60.68 | 38 | 25 |
|
Kayla Albright
1910 Fairgrove Ave |
$115.30 | 39 | 35 |
|
Caitlin Rachael Gentile
1502 University Blvd |
$67.93 | 40 | 13 |
|
Taleisha Fields
1910 Fairgrove Ave Ste E |
$22.03 | 40 | 30 |
|
Rachel Dewitt
515 Dayton St |
$19.06 | 41 | 40 |
|
Darrall Hughes
515 Dayton St |
$20.97 | 41 | 41 |
|
Latonya Vaughn
3103 Dixie Hwy |
$38.60 | 41 | 12 |
|
Alec Leyendecker
1910 Fairgrove Ave Ste E |
$321.85 | 41 | 29 |
|
Kahlee Schneider
3103 Dixie Hwy |
$66.25 | 42 | 27 |
|
Corinna Allen
442 S 2Nd St |
$47.42 | 44 | 35 |
|
Bradley Stubbins
3103 Dixie Hwy |
$147.75 | 44 | 33 |
|
Elliott Hudson Keegan
1900 Fairgrove Ave |
$169.86 | 45 | 18 |
|
Patrick Chavis
1910 Fairgrove Ave Ste E |
$109.71 | 48 | 43 |
|
Willis Marshall
820 S Martin Luther King Jr Blvd |
$146.88 | 50 | 36 |
|
Alexandria Brown
3103 Dixie Hwy |
$66.44 | 50 | 27 |
|
Lori K Kurlas
3103 Dixie Hwy |
$149.88 | 51 | 15 |
|
Stephanie Anna Maxfield
515 Dayton St |
$94.74 | 55 | 43 |
|
Jordan Damrell
1910 Fairgrove Ave |
$25.89 | 60 | 25 |
|
Aaron Parker
1910 Fairgrove Ave Ste E |
$49.81 | 61 | 44 |
|
Alicia Anderson
3103 Dixie Hwy |
$158.19 | 67 | 12 |
|
Chauncy Huff
3103 Dixie Hwy |
$57.76 | 68 | 38 |
|
Stephanie Kemme
820 S Martin Luther King Jr Blvd |
$109.54 | 73 | 58 |
|
Starneisha R Jefferson
515 Dayton St |
$27.76 | 73 | 38 |
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
Hartford, CT
Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
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