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 |
|---|---|---|---|
|
Madison B Combs
2173 N Ridge Rd E Ste E |
$37.48 | 12 | 12 |
|
Robert Montoya
6140 S Broadway |
$30.29 | 16 | 13 |
|
Valerie Joyce Maczak
1865 N Ridge Rd E Ste D |
$25.92 | 17 | 15 |
|
Jason Cunningham
2115 W Park Dr |
$33.48 | 19 | 14 |
|
Jacob Murphy
6140 S Broadway |
$24.43 | 20 | 12 |
|
Lisa Michelle Elliott
305 W 20Th St |
$149.88 | 25 | 14 |
|
Jessica Kulik
6140 S Broadway |
$46.01 | 31 | 31 |
|
Jamica Clifford
1882 E 32Nd St |
$64.15 | 34 | 26 |
|
Barbara Urbin
1939 Oberlin Ave |
$44.01 | 37 | 24 |
|
Justin Tapp
6140 S Broadway |
$39.65 | 51 | 30 |
|
Michael Safranek
2115 W Park Dr |
$50.83 | 56 | 26 |
|
Anthony Atkinson
2115 W Park Dr |
$71.70 | 56 | 53 |
|
Michelle Norwood-Knight
2115 W Park Dr |
$109.55 | 63 | 32 |
|
Yahaira Barreto
4520 Oberlin Ave |
$31.52 | 75 | 38 |
|
Derek Bentoff
2115 W Park Dr |
$88.56 | 80 | 54 |
|
Kelly Marie Young
6140 S Broadway |
$39.29 | 93 | 25 |
|
Tayler Elaine Wadsworth
6140 S Broadway |
$19.34 | 96 | 79 |
|
Eva Lozano
2318 E 29Th St |
$55.29 | 97 | 54 |
|
Kathryn Ann Carico
6140 S Broadway |
$13.47 | 124 | 14 |
|
Robert Paul Jakovlic
6140 S Broadway |
$149.88 | 135 | 38 |
|
Craig Cunningham
6140 S Broadway |
$53.01 | 136 | 49 |
|
Kathryn Lauren Kurtzman
6140 S Broadway |
$142.28 | 138 | 59 |
|
Amber Stottlemire
2115 W Park Dr |
$47.25 | 149 | 124 |
|
Tyleeta J Madison
2115 W Park Dr |
$110.34 | 156 | 53 |
|
Anita Christine Jensen
2115 Westpark Drive |
$140.20 | 158 | 86 |
|
Dacia Fumich
2115 W Park Dr |
$101.21 | 168 | 83 |
|
Richard A Gage
3364 Kolbe Rd |
$0.00 | 172 | 69 |
|
Kimberly Parkinson
2115 W Park Dr |
$29.36 | 181 | 102 |
|
Shannon Hoff-Smith
2115 W Park Dr |
$26.67 | 185 | 44 |
|
Catherine Lynn Norton
4642 Oberlin Ave |
$72.95 | 190 | 55 |
|
Lyn Bruno
2115 W Park Dr |
$30.71 | 209 | 143 |
|
Athena Dukes
6140 S Broadway |
$149.88 | 210 | 48 |
|
Ashley Marie Mckeever-Barnum
2173 N Ridge Rd E Ste E |
$49.12 | 219 | 109 |
|
Shannon K Twining
2115 W Park Dr |
$102.59 | 231 | 25 |
|
Andria Valencia Parks
4864 Oneil Blvd Unit D |
$66.86 | 249 | 135 |
|
Jacob H Kestler
2115 West Park Drive |
$141.10 | 255 | 74 |
|
Angela M Sanford
6140 S Broadway |
$145.23 | 258 | 83 |
|
Danielle N Hommel
2115 W Park Dr |
$97.13 | 266 | 122 |
|
Allison Mora
2115 W Park Dr |
$135.40 | 282 | 39 |
|
Anne Aston
2173 N Ridge Rd E Ste E |
$145.19 | 285 | 155 |
|
Lorain County Alcohol & Drug Abuse Services, Inc.
2115 W Park Dr |
$68.61 | 285 | 138 |
|
Jonathan J Greenawalt
2115 W Park Dr |
$84.85 | 290 | 135 |
|
Tracy Jean Kohls
2115 W Park Dr |
$86.57 | 300 | 262 |
|
Sara Nadine Stagles
2115 W Park Dr |
$122.12 | 335 | 43 |
|
Demetria Lee
2115 W Park Dr |
$72.57 | 357 | 160 |
|
Laura Reed
1882 E 32Nd St |
$106.80 | 401 | 118 |
|
Amy Bailey
6150 Park Square Dr Ste B |
$25.77 | 475 | 61 |
|
Latoya Champe
2115 W Park Dr |
$61.68 | 483 | 310 |
|
Brylee Jones
6150 Park Square Dr Ste B |
$149.88 | 486 | 135 |
|
Nathan A Boggs
2115 W Park Dr |
$80.23 | 486 | 424 |
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.
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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