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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
Alison Wilbert

4464 S Dixie Hwy

$77.12 13 12
Susan Haag

4464 S Dixie Hwy

$149.88 15 15
Rachael Marie Smith

1036 S Verity Pkwy

$19.54 18 17
Caroline Marie Goff

321 Curtis Street

$72.40 22 13
Katelyn Atkinson

4464 S Dixie Hwy

$116.62 40 13
Treana V Peavy

4421 Roosevelt Blvd

$165.32 46 16
Robert E Brown

1036 S Verity Pkwy

$147.05 53 12
Todd Cassady

4464 S Dixie Hwy

$108.10 65 31
Stephanie Mullen

1215 1St Ave

$18.75 70 34
John Widmer

4464 S Dixie Hwy

$147.77 71 37
Patricia A. Peebles

4464 S Dixie Hwy

$94.46 77 38
Amber Kelly

4464 S Dixie Hwy

$96.53 125 51
Lisa Michelle Riley

4421 Roosevelt Blvd

$148.13 129 94
Niesha Cooper

220 S Breiel Blvd

$88.11 138 40
Amy Mae Welling

1215 1St Ave

$47.60 165 79
Elizabeth Bremenkamp

4464 S Dixie Hwy

$72.37 170 42
Jason R Brown

4464 S Dixie Hwy

$141.36 187 96
Shelby Agee

4464 S Dixie Hwy

$19.83 203 108
Christa Carnahan

220 S Breiel Blvd

$43.10 209 148
Jeffrey Allen Schurgast

4464 S Dixie Hwy

$80.14 210 133
Access Counseling Services Llc

4464 S Dixie Hwy

$1.42 211 138
Tierra Dawn Hodge

1221 1St Ave

$88.67 212 55
Kelsey Wargo

231 N Breiel Blvd

$135.87 214 93
Adrian Noelle Burns

1215 1St Ave

$64.53 261 42
Bradley Ocilka

4464 S Dixie Hwy

$133.72 295 111
Tori Ferrell

4464 S Dixie Hwy

$139.25 300 184
Haylie Noel Crouch

1215 1St Ave

$59.12 302 80
Joshua Carter Laurence

1215 1St Ave

$66.35 343 133
Mariah F Bingham

4464 S Dixie Hwy

$131.38 349 225
Leah Bailey

4464 S Dixie Hwy

$322.98 355 239
Laura Mccoy

1215 1St Ave

$59.95 411 77
Irfan Dahar

6730 Roosevelt Ave Ste 301

$85.12 425 141
Deborah Riley

1131 Manchester Ave

$184.52 441 119
Kelly A Malone

220 S Breiel Blvd Ste 4

$173.97 461 337
Deborah Wells

4464 S Dixie Hwy

$126.01 609 83
Kayla Nesbit

160 N Breiel Blvd

$49.89 722 440
Kristin Gorman

1659 S Breiel Blvd

$28.49 852 267
Mariah Hope Kreal

160 N Breiel Blvd

$59.10 917 552
Melissa Langlais

4464 S Dixie Hwy

$132.76 926 250
Devin Easley

160 N Breiel Blvd

$56.41 1,084 670
Jessica Yvonne Turner

160 N Breiel Blvd

$53.66 1,164 629
The Next Right Thing

1001 Grove St

$28.47 1,230 537
Jessica Buschur

4464 S Dixie Hwy

$84.77 1,265 684
Sara Gray

4464 S Dixie Hwy

$101.09 1,604 747
Carlos Kenneth Cheng

4464 S Dixie Hwy

$146.21 1,726 283
Kayleigh Ann Carruba

1215 1St Ave

$79.97 1,738 418
Hope Adams

134 N Breiel Blvd

$142.46 1,873 563
Stephani Chandra Miller

160 N. Breiel Blvd

$55.31 2,191 1,397
Janell Mcgreevy

1215 1St Ave

$57.30 2,193 551
Amy S Keller

1001 Grove St # 300

$35.88 2,274 759

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