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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
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

Other Procedures in Hamilton, OH