Average Medicaid Substance Abuse Treatment Payments in Kenton, OH: $95.30
Avg. Paid
$95.30
Range
$17.50 – $321.89
Total Claims
13,100
Providers
12
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 Kenton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Megan Perry
416 S Main St |
$124.94 | 4,598 | 417 |
|
Cherie Lynn Thornton
775 E Eliza St |
$97.54 | 1,857 | 339 |
|
James Brayton Ellis
775 E Eliza St |
$82.79 | 1,790 | 344 |
|
Bobbie Jo Wimer
416 S Main St |
$67.17 | 1,189 | 352 |
|
Kristen Michelle Jacob
775 E Eliza St |
$68.03 | 1,161 | 285 |
|
Mary Susana Thaxton
775 E Eliza St |
$34.55 | 1,047 | 315 |
|
Kathleen Renee Nichols
416 S Main St |
$36.70 | 661 | 258 |
|
Sabrina Neeley
111 W Espy St |
$321.89 | 338 | 311 |
|
Penny Jo Reynolds
775 E Eliza St |
$40.60 | 244 | 105 |
|
Phylissa Daquino
631 Silver St |
$26.25 | 114 | 51 |
|
Maranda Cotterill
200 Harding Ave |
$17.50 | 63 | 21 |
|
Angela K Howard
775 E Eliza St |
$68.31 | 38 | 25 |
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 Kenton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Kenton, OH is $95.30 per claim, based on 13,100 claims from 12 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 Kenton, OH?
There are 12 Medicaid providers offering Substance Abuse Treatment related services in Kenton, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Kenton, OH?
Medicaid reimbursement for Substance Abuse Treatment in Kenton, OH ranges from $17.50 to $321.89 per claim, with an average of $95.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Kenton, OH
Office Visit
Avg $37.72
107,962 claims
Blood Work & Lab Tests
Avg $6.14
56,215 claims
Psychiatric Evaluation
Avg $34.26
55,212 claims
Emergency Room Visit
Avg $105.36
33,655 claims
Behavioral & Mental Health Therapy
Avg $60.83
21,635 claims
Dental Cleaning & Exam
Avg $27.08
15,845 claims
Vaccines & Immunizations
Avg $7.93
15,474 claims
Speech Therapy
Avg $30.22
14,868 claims