Average Medicaid Substance Abuse Treatment Payments in Lorain, OH: $132.64
Avg. Paid
$132.64
Range
$0.00 – $205.72
Total Claims
187,034
Providers
99
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 Lorain, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lisa M Stevens
2115 W Park Dr |
$205.72 | 28,310 | 1,987 |
|
Lorain County Alcohol & Drug Abuse Services, Inc.
2115 W Park Dr |
$104.05 | 15,545 | 4,590 |
|
Megan Reilly
2115 W Park Dr |
$142.98 | 10,471 | 1,989 |
|
David Kathrein
2115 Westpark Drive |
$134.76 | 8,797 | 1,261 |
|
Migdalia Quinones
2115 W Park Dr |
$126.31 | 8,443 | 1,381 |
|
Kyle Higgins
2101 Silver Maple Way |
$149.76 | 8,131 | 1,105 |
|
Mark B Applegate
2115 West Park Drive |
$96.92 | 7,969 | 1,007 |
|
Dustin M Braley
6140 S Broadway |
$149.36 | 6,071 | 783 |
|
Ava Boesel
2115 W Park Dr |
$140.12 | 5,855 | 949 |
|
Brian Phillip Butler
2115 W Park Dr |
$117.52 | 4,735 | 692 |
|
Alan Golowenski
2115 W Park Dr |
$130.57 | 4,681 | 823 |
|
Jessica E. Jones
6140 S Broadway |
$142.16 | 4,429 | 466 |
|
Brandice Hunt
6150 Park Square Dr Ste B |
$67.20 | 4,426 | 1,618 |
|
Laphenie J Cloyd
2115 W Park Dr |
$126.51 | 4,383 | 1,039 |
|
Christopher D Robinson
5315 Oberlin Ave |
$136.65 | 3,605 | 890 |
|
Margaret Tallon
2115 Westpark Drive |
$148.90 | 3,251 | 371 |
|
Lisa Parsons
2115 W Park Dr |
$151.76 | 3,188 | 1,222 |
|
Aimee Roscoe
6140 S Broadway |
$131.01 | 3,068 | 821 |
|
Alyssa L Henry
2115 W Park Dr |
$95.56 | 3,030 | 625 |
|
Cynthia Arnold
4520 Oberlin Ave Ste 2 |
$131.60 | 2,563 | 993 |
|
Andrea L Jones
2115 W Park Dr |
$149.68 | 2,523 | 501 |
|
Kelly Dawn White
2115 W Park Dr |
$110.92 | 2,509 | 781 |
|
Alec Kroh
6150 Park Square Dr |
$138.05 | 2,055 | 433 |
|
Renee Murfield
6140 S Broadway |
$89.90 | 1,953 | 861 |
|
David Fate
2115 W Park Dr |
$96.48 | 1,811 | 314 |
|
Megan Eaton
2115 W Park Dr |
$149.05 | 1,620 | 332 |
|
Angela Thompson
2115 W Park Dr |
$145.32 | 1,552 | 179 |
|
Cierra V Barrios
2115 W Park Dr |
$105.29 | 1,550 | 330 |
|
Karen La'Shon Brank-Bennett
6140 S Broadway |
$165.64 | 1,544 | 304 |
|
Shannon Marie Humphrey
2115 W Park Dr |
$93.81 | 1,490 | 349 |
|
Sarah E Obral
2173 N Ridge Rd E Ste E |
$140.09 | 1,454 | 353 |
|
Daniel Laurence Gainer
2115 W Park Dr |
$101.83 | 1,325 | 554 |
|
Emily Demarr
2115 W Park Dr |
$105.26 | 1,324 | 519 |
|
Rebecca Barlow
2101 Silver Maple Way |
$143.37 | 1,307 | 278 |
|
John Corry
4520 Oberlin Ave Ste 2 |
$44.26 | 1,252 | 656 |
|
Timothy E Smith
2115 West Park Drive |
$124.61 | 1,243 | 400 |
|
Amirah Bryant
2115 W Park Dr |
$82.77 | 1,120 | 397 |
|
Lindsay Gerhart
6140 S Broadway |
$99.28 | 1,101 | 608 |
|
Monica Ann Wooten
2115 W Park Dr |
$72.27 | 1,085 | 377 |
|
James E Brown
2115 W Park Dr |
$64.93 | 1,023 | 599 |
|
Joseph William Gumina
2101 Silver Maple Way |
$62.26 | 1,008 | 296 |
|
Cheryl Wulff
2115 W Park Dr |
$49.83 | 817 | 606 |
|
Michelle Archer
2115 Westpark Drive |
$31.32 | 732 | 549 |
|
Darci Tellep
6150 Park Square Dr Ste B |
$94.67 | 720 | 326 |
|
Jennifer L Grooms
2115 W Park Dr |
$123.86 | 648 | 188 |
|
Sarah Elizabeth Majoras
1865 N Ridge Rd E Ste A |
$77.97 | 583 | 231 |
|
Kelly Williams
2115 Westpark Drive |
$76.55 | 557 | 556 |
|
Delimar Virella Rodriguez
6140 S Broadway |
$71.56 | 537 | 101 |
|
Ronald Giusti
4642 Oberlin Ave |
$72.93 | 508 | 185 |
|
Brylee Jones
6150 Park Square Dr Ste B |
$149.88 | 486 | 135 |
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 Lorain, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Lorain, OH is $132.64 per claim, based on 187,034 claims from 99 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 Lorain, OH?
There are 99 Medicaid providers offering Substance Abuse Treatment related services in Lorain, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Lorain, OH?
Medicaid reimbursement for Substance Abuse Treatment in Lorain, OH ranges from $0.00 to $205.72 per claim, with an average of $132.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Other Procedures in Lorain, OH
Office Visit
Avg $42.76
582,044 claims
Behavioral & Mental Health Therapy
Avg $73.54
353,970 claims
Blood Work & Lab Tests
Avg $5.56
292,761 claims
Psychiatric Evaluation
Avg $68.76
200,757 claims
Emergency Room Visit
Avg $85.32
173,745 claims
Vaccines & Immunizations
Avg $12.47
139,698 claims
Home Health Visit
Avg $77.73
101,545 claims
Dental Cleaning & Exam
Avg $21.07
89,933 claims