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Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Middletown, OH: $66.15

Avg. Paid

$66.15

Range

$1.42 – $322.98

Total Claims

149,917

Providers

64

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 Middletown, OH

Provider Avg. Paid Claims Patients
John Stephen Silvani

4302 Roosevelt Blvd

$33.99 57,206 4,804
Clifford Quinn Cabansag

4302 Roosevelt Blvd

$28.45 18,005 1,412
James Henry

160 N Breiel Blvd

$140.91 9,985 1,360
Mark Reed

1036 S Verity Pkwy

$144.38 4,984 1,001
Jessica Lea Henize

1215 1St Ave

$161.60 4,053 645
Natasha Marie Marcum

160 N Breiel Blvd

$58.48 3,669 1,866
Jordan Dotson

4464 S Dixie Hwy

$158.24 3,629 532
Ashley Loren Witt

2005 Central Avenue

$33.61 3,146 1,247
Todd Williams

4464 S Dixie Hwy

$36.63 2,788 1,193
Kendra Dee Buell

160 N Breiel Blvd

$57.53 2,766 1,593
Access Counseling Services, Llc

4464 S Dixie Hwy

$113.98 2,760 832
Emad Alshami

1060 Summit Drive

$136.90 2,747 247
Nicole Lynn Ward

160 N Breiel Blvd

$116.46 2,630 745
Cynthia Abney

4421 Roosevelt Blvd Ste Hij

$21.67 2,575 931
Amy S Keller

1001 Grove St # 300

$35.88 2,274 759
Janell Mcgreevy

1215 1St Ave

$57.30 2,193 551
Stephani Chandra Miller

160 N. Breiel Blvd

$55.31 2,191 1,397
Hope Adams

134 N Breiel Blvd

$142.46 1,873 563
Kayleigh Ann Carruba

1215 1St Ave

$79.97 1,738 418
Carlos Kenneth Cheng

4464 S Dixie Hwy

$146.21 1,726 283
Sara Gray

4464 S Dixie Hwy

$101.09 1,604 747
Jessica Buschur

4464 S Dixie Hwy

$84.77 1,265 684
The Next Right Thing

1001 Grove St

$28.47 1,230 537
Jessica Yvonne Turner

160 N Breiel Blvd

$53.66 1,164 629
Devin Easley

160 N Breiel Blvd

$56.41 1,084 670
Melissa Langlais

4464 S Dixie Hwy

$132.76 926 250
Mariah Hope Kreal

160 N Breiel Blvd

$59.10 917 552
Kristin Gorman

1659 S Breiel Blvd

$28.49 852 267
Kayla Nesbit

160 N Breiel Blvd

$49.89 722 440
Deborah Wells

4464 S Dixie Hwy

$126.01 609 83
Kelly A Malone

220 S Breiel Blvd Ste 4

$173.97 461 337
Deborah Riley

1131 Manchester Ave

$184.52 441 119
Irfan Dahar

6730 Roosevelt Ave Ste 301

$85.12 425 141
Laura Mccoy

1215 1St Ave

$59.95 411 77
Leah Bailey

4464 S Dixie Hwy

$322.98 355 239
Mariah F Bingham

4464 S Dixie Hwy

$131.38 349 225
Joshua Carter Laurence

1215 1St Ave

$66.35 343 133
Haylie Noel Crouch

1215 1St Ave

$59.12 302 80
Tori Ferrell

4464 S Dixie Hwy

$139.25 300 184
Bradley Ocilka

4464 S Dixie Hwy

$133.72 295 111
Adrian Noelle Burns

1215 1St Ave

$64.53 261 42
Kelsey Wargo

231 N Breiel Blvd

$135.87 214 93
Tierra Dawn Hodge

1221 1St Ave

$88.67 212 55
Access Counseling Services Llc

4464 S Dixie Hwy

$1.42 211 138
Jeffrey Allen Schurgast

4464 S Dixie Hwy

$80.14 210 133
Christa Carnahan

220 S Breiel Blvd

$43.10 209 148
Shelby Agee

4464 S Dixie Hwy

$19.83 203 108
Jason R Brown

4464 S Dixie Hwy

$141.36 187 96
Elizabeth Bremenkamp

4464 S Dixie Hwy

$72.37 170 42
Amy Mae Welling

1215 1St Ave

$47.60 165 79

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 Middletown, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Middletown, OH is $66.15 per claim, based on 149,917 claims from 64 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 Middletown, OH?

There are 64 Medicaid providers offering Substance Abuse Treatment related services in Middletown, OH according to public payment data.

What is the price range for Substance Abuse Treatment in Middletown, OH?

Medicaid reimbursement for Substance Abuse Treatment in Middletown, OH ranges from $1.42 to $322.98 per claim, with an average of $66.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Substance Abuse Treatment in Other Cities

Other Procedures in Middletown, OH