Average Medicaid Substance Abuse Treatment Payments in Lima, OH: $85.46
Avg. Paid
$85.46
Range
$0.00 – $342.18
Total Claims
248,726
Providers
145
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 Lima, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Falon Riepenhoff
5566 Osman Rd |
$17.44 | 36,774 | 1,854 |
|
Lima-Urban Minority Alcoholism And Drug Abuse Outreach Program., Inc
311 E Market St Fl 3 |
$39.24 | 16,314 | 2,415 |
|
Frank M. Johnson
311 E Market St |
$261.56 | 12,615 | 1,094 |
|
Kevin Carl Ochs
924 N Cable Rd |
$128.91 | 10,971 | 1,546 |
|
Richard A Nockowitz
1800 Allentown Rd |
$198.59 | 10,819 | 974 |
|
Reginald James Coley
809 W Vine St |
$180.35 | 10,085 | 568 |
|
Aileen Rose Randall
799 S Main St |
$126.87 | 10,003 | 1,780 |
|
Annemarie Adkins
530 S Main St |
$53.43 | 9,303 | 1,093 |
|
Abby Jo Mabry
924 N Cable Rd |
$65.69 | 9,002 | 2,674 |
|
Cindra Ann Tordiff
799 S Main St |
$19.05 | 7,586 | 1,206 |
|
Shawn Gurley
809 W Vine St |
$85.30 | 7,329 | 1,216 |
|
Janis Arlene Mulcahy
799 S Main St |
$63.43 | 5,884 | 1,564 |
|
Heather Lyndsie Ruble
311 E Market St Fl 3 |
$54.33 | 3,984 | 1,059 |
|
William Keith
799 S Main St |
$142.01 | 3,933 | 565 |
|
Amina Frazier-Brooks
2727 Saint Johns Rd Ste D |
$62.69 | 3,804 | 1,756 |
|
Douglas Wilson
311 E Market St Fl 3 |
$30.61 | 3,476 | 840 |
|
Emma Jane Gonzalez
799 S Main St |
$85.28 | 3,378 | 1,542 |
|
Todd Freed
651 Columbia Dr |
$40.38 | 3,311 | 1,368 |
|
Scott David Beach
1505 N Cole St |
$131.42 | 3,108 | 633 |
|
Hanna Katariina Soininen
924 N Cable Rd |
$24.21 | 3,086 | 665 |
|
Lindsey Rose Taylor
658 W Market St Ste 101 |
$154.61 | 3,022 | 423 |
|
Kelsey Stoner
206 E Market St |
$141.69 | 2,959 | 1,297 |
|
Charles Oen
799 S Main St |
$65.78 | 2,943 | 802 |
|
Sara Jean Hollar
799 S Main St |
$56.56 | 2,787 | 996 |
|
Jamie L Dixon
2727 Saint Johns Rd Ste D |
$50.47 | 2,784 | 1,503 |
|
Arthur Solis Zapata
1505 N Cole St |
$61.97 | 2,540 | 829 |
|
Kelly Holder-Coburn
206 E Market St |
$120.18 | 2,487 | 609 |
|
Nichol Lee Mcguire-Hart
799 S Main St |
$50.62 | 2,260 | 690 |
|
Ivan L Ballard
311 E Market St |
$88.87 | 2,202 | 531 |
|
Philip Amstutz Bowers
529 S Elizabeth St |
$51.89 | 2,191 | 700 |
|
Sandra Wallen
799 S Main St |
$64.92 | 2,049 | 597 |
|
Halie Zenz
530 S Main St |
$44.25 | 1,761 | 813 |
|
Tomylynn Deann Padgett
311 E Market St |
$52.93 | 1,650 | 395 |
|
Anyssa Manley
924 N Cable Rd |
$41.02 | 1,506 | 716 |
|
Premier Care Of Ohio, Llc.
2727 St. Johns Rd Ste D |
$15.32 | 1,494 | 97 |
|
Rhonda Burden
809 W Vine St |
$74.98 | 1,310 | 380 |
|
Erin Fitzpatrick
924 N Cable Rd |
$142.26 | 1,279 | 255 |
|
Jamie Declercq
924 N Cable Rd |
$140.07 | 1,246 | 348 |
|
Allison Orick
799 S Main St |
$51.02 | 1,168 | 356 |
|
Janice Long
924 N Cable Rd |
$48.22 | 1,161 | 446 |
|
Kaitlyn Coral Marbaugh
1235 W Market St |
$102.57 | 1,102 | 207 |
|
Gabrielle Rooker
1505 N Cole St |
$208.73 | 1,077 | 785 |
|
Wendy Wolford
2727 Harding Hwy |
$37.10 | 1,059 | 682 |
|
Courtney Van Horn
311 E Market St Ste 3 |
$55.06 | 1,005 | 423 |
|
Tammi L Brown
799 S Main St |
$57.65 | 999 | 401 |
|
Angela Dawn Kerns
810 S Cable Rd |
$27.17 | 988 | 246 |
|
Sophia Marie Kowatch
658 W Market St Ste 101 |
$107.14 | 940 | 101 |
|
Amanda Johnson
311 E Market St |
$38.24 | 889 | 401 |
|
Sheryl Renee Shelton
311 E Market St |
$50.17 | 888 | 465 |
|
Misty Sommer Turner
1115 S. Sapakaneta |
$84.92 | 862 | 367 |
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 Lima, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Lima, OH is $85.46 per claim, based on 248,726 claims from 145 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 Lima, OH?
There are 145 Medicaid providers offering Substance Abuse Treatment related services in Lima, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Lima, OH?
Medicaid reimbursement for Substance Abuse Treatment in Lima, OH ranges from $0.00 to $342.18 per claim, with an average of $85.46. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Springfield, MA
Avg $20.44
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Baltimore, MD
Avg $107.97
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Avg $37.53
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Avg $21.52
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Bronx, NY
Avg $38.59
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Avg $34.24
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Other Procedures in Lima, OH
Office Visit
Avg $37.97
1,104,248 claims
Blood Work & Lab Tests
Avg $4.95
627,203 claims
Home Health Visit
Avg $43.26
488,523 claims
Emergency Room Visit
Avg $86.27
360,245 claims
Psychiatric Evaluation
Avg $44.82
315,369 claims
Dental Cleaning & Exam
Avg $17.77
283,150 claims
EKG / ECG (Electrocardiogram)
Avg $6.53
204,022 claims
Behavioral & Mental Health Therapy
Avg $55.07
191,073 claims