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 |
|---|---|---|---|
|
Jennifer Bridge
1100 Shawnee Rd |
$37.78 | 15 | 12 |
|
Okechukwu Nwoke
212 N Elizabeth St |
$43.68 | 17 | 13 |
|
Christina Hampshire
2381 E Bluelick Rd |
$49.33 | 19 | 15 |
|
Lisa R. Wren
1550 N Main St |
$149.88 | 19 | 14 |
|
Edward C. Smith
311 E Market St |
$45.06 | 21 | 12 |
|
Krista Croyle
1505 N Cole St |
$42.24 | 21 | 17 |
|
Sheena Ann Gates
1505 N Cole St |
$54.83 | 22 | 19 |
|
Paula Michelle Ellerbrock
1235 W Market St |
$44.78 | 24 | 17 |
|
Angela Nicole Kopp
311 E Market St |
$25.46 | 24 | 13 |
|
Cedric E. Bradford
311 E Market St Ste 300 |
$39.44 | 27 | 12 |
|
Sullivan Doughty
924 N Cable Rd |
$33.22 | 30 | 14 |
|
Mona Camille Mcintyre
311 E Market St Fl 3 |
$84.24 | 32 | 15 |
|
Andrea Ankney
799 S Main St |
$57.78 | 36 | 27 |
|
Kiana Lynn Vickery
658 W Market St Ste 101 |
$57.94 | 39 | 20 |
|
Joycelyn Burks
809 W Vine St |
$58.38 | 41 | 20 |
|
Mercedes Na'Shay Cunningham
311 E Market St Fl 3 |
$22.03 | 42 | 36 |
|
Bradly Mcdaniel
799 S Main St |
$63.84 | 43 | 12 |
|
Ashley Staley
924 N Cable Rd |
$46.19 | 44 | 22 |
|
Ciara Cannon
311 E Market St |
$35.86 | 45 | 13 |
|
Damon Lamont Cruell
809 W Vine St |
$75.77 | 47 | 30 |
|
Craig Joseph Ribley
1505 N Cole St |
$135.05 | 49 | 40 |
|
Jolene K. Joseph
441 E 8Th St |
$0.00 | 56 | 45 |
|
Laura Brook Sites
924 N Cable Rd |
$59.79 | 57 | 34 |
|
Sierra Prater
212 N Elizabeth St |
$72.26 | 58 | 24 |
|
Emma Lynn Feld
2727 Harding Hwy |
$31.64 | 61 | 44 |
|
Karlene Owsley
658 W Market St Ste 101 |
$72.95 | 68 | 43 |
|
Margaret M Lawrence
799 S Main St |
$63.05 | 68 | 31 |
|
Gretchen Thomas
311 E Market St |
$145.72 | 72 | 20 |
|
Abbey Sue Ash
2727 Saint Johns Rd Ste D |
$21.29 | 77 | 63 |
|
Taylor Lynn Farrier
530 S Main St |
$36.26 | 79 | 28 |
|
Specialized Alternatives For Families And Youth Of Ohio, Inc.
658 W Market St Ste 101 |
$0.00 | 79 | 51 |
|
Samantha Renee Brooks
799 S Main St |
$101.72 | 83 | 34 |
|
Tori Stout
924 N Cable Rd |
$65.80 | 99 | 41 |
|
Patrick Loup
206 E Market St |
$73.99 | 103 | 44 |
|
Marci Plaugher
530 S Main St |
$23.14 | 106 | 52 |
|
David Kashan
770 W High St Ste 300 |
$342.18 | 113 | 14 |
|
Caitlin Elizabeth Wiedenbein
529 S Elizabeth St |
$21.80 | 114 | 24 |
|
Aleigha Renee Roessler
319 W Market St |
$23.71 | 118 | 32 |
|
Carl Christopher
311 E Market St |
$74.90 | 119 | 77 |
|
Erica Mary Harden
658 W Market St Ste 101 |
$39.57 | 120 | 62 |
|
Alexis Lorain Shea Taylor
2727 Harding Hwy |
$32.25 | 123 | 24 |
|
Richard Sites
799 S Main St |
$20.49 | 124 | 97 |
|
Tonya Roberts
924 N Cable Rd |
$55.80 | 128 | 62 |
|
Kathryn Spalding
799 S Main St |
$109.22 | 134 | 72 |
|
Kayden Roeder
319 W Market St |
$21.36 | 135 | 36 |
|
Tricia Ciminillo
3090 Yoakam Rd |
$22.82 | 143 | 129 |
|
Mbalenhle Hlongwane
799 S Main St |
$92.04 | 143 | 58 |
|
Aaron Hermiller
1505 N Cole St |
$20.59 | 153 | 80 |
|
Audray Allen
530 S Main St |
$13.48 | 172 | 65 |
|
Tina L Boyd
809 W Vine St |
$84.67 | 177 | 28 |
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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Avg $20.44
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Baltimore, MD
Avg $107.97
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Avg $21.52
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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