Average Medicaid Substance Abuse Treatment Payments in Mount Vernon, OH: $60.20
Avg. Paid
$60.20
Range
$1.47 – $146.10
Total Claims
197,438
Providers
132
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 Mount Vernon, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Riverside Recovery Services Llc
201 W High St Ste B |
$53.42 | 33,016 | 3,756 |
|
Kevin Luzader
106 E Gambier St |
$86.02 | 9,573 | 2,659 |
|
Tristin Nichole Compton
113 W Gambier St |
$132.26 | 9,153 | 1,390 |
|
Alexander Stewart
213 E Chestnut St |
$120.70 | 8,530 | 2,338 |
|
Tricia Malone
809 Coshocton Ave Ste A |
$45.51 | 5,855 | 1,823 |
|
Jennifer Elliott
213 E Chestnut St |
$44.80 | 4,939 | 1,616 |
|
Sarah Hines
106 E Gambier St |
$28.83 | 4,799 | 1,903 |
|
Kara D Ross
213 E Chestnut St |
$61.11 | 4,506 | 1,114 |
|
Shaye Hess
408 Coshocton Ave |
$37.93 | 4,027 | 1,238 |
|
Melissa D Bostick
213 E Chestnut St |
$62.75 | 3,506 | 969 |
|
Melissa Mcelroy
408 Coshocton Ave |
$59.43 | 3,501 | 675 |
|
Ashley Ervin
113 W Gambier St |
$81.00 | 3,294 | 1,157 |
|
Alexis Smith
213 E Chestnut St |
$31.16 | 3,100 | 821 |
|
Stacey R Aldridge
213 E Chestnut St |
$45.58 | 3,083 | 1,047 |
|
Stacy Williams
408 Coshocton Ave |
$60.92 | 3,046 | 509 |
|
Diane Bennett
106 E Gambier St |
$29.62 | 3,024 | 1,344 |
|
Alcohol And Drug Freedom Center Of Knox County
106 E Gambier St |
$36.18 | 2,715 | 898 |
|
Kristie N Maibach
213 E Chestnut St |
$50.91 | 2,597 | 1,015 |
|
Kris Milbrandt
213 E Chestnut St |
$74.25 | 2,555 | 1,127 |
|
Virginia Neville
408 Coshocton Ave |
$58.24 | 2,435 | 478 |
|
Debra Werther
106 E Gambier St |
$23.84 | 2,376 | 961 |
|
Anna J Taylor
213 E Chestnut St |
$49.32 | 2,301 | 585 |
|
Chirstine M Bowers
213 E Chestnut St |
$45.53 | 2,292 | 398 |
|
Kimberly H Novak
213 E Chestnut St |
$106.87 | 2,200 | 841 |
|
Kelly A Burris
213 E Chestnut St |
$30.96 | 2,158 | 278 |
|
Alisha Davis
212 E Chestnut St |
$41.50 | 2,038 | 218 |
|
Leah Snyder
213 E Chestnut St |
$37.31 | 1,853 | 567 |
|
Scott L Daubert
213 E Chestnut St |
$62.56 | 1,779 | 397 |
|
Kennedy M Brock
113 W Gambier St |
$85.09 | 1,763 | 513 |
|
Todd M Wells
113 W Gambier St |
$61.06 | 1,740 | 567 |
|
Kaylyn R Walls
213 E Chestnut St |
$86.91 | 1,678 | 453 |
|
Monica Cline
213 E Chestnut St |
$51.15 | 1,665 | 247 |
|
Scott C Chandler
408 Coshocton Ave |
$58.19 | 1,653 | 285 |
|
Andrew Morrow Lewis
8402 Blackjack Rd |
$39.73 | 1,647 | 788 |
|
Lisa A Cook
213 E Chestnut St |
$39.46 | 1,644 | 316 |
|
Nichole M Holt
408 Coshocton Ave |
$67.55 | 1,466 | 318 |
|
Victoria Williams
213 E Chestnut St |
$47.97 | 1,456 | 587 |
|
Devon Greathouse
213 E Chestnut St |
$118.89 | 1,438 | 297 |
|
Rachel Jones
106 E Gambier St |
$34.47 | 1,429 | 686 |
|
Bryson E Tussey
213 E Chestnut St |
$37.62 | 1,419 | 185 |
|
Theresa Britton
408 Coshocton Ave |
$29.97 | 1,415 | 196 |
|
Jaci R Gump
8402 Blackjack Rd |
$42.85 | 1,358 | 524 |
|
Landon Huvler
113 W Gambier St |
$125.50 | 1,345 | 240 |
|
Marjorie Williams
213 E Chestnut St |
$36.22 | 1,272 | 124 |
|
Margaret M Backiewicz
213 E Chestnut St |
$34.46 | 1,173 | 420 |
|
Darcy Henthorn
809 Coshocton Ave Ste F |
$32.75 | 1,135 | 548 |
|
Laura Labenne
213 E Chestnut St |
$39.22 | 1,133 | 116 |
|
Lindsay J Douros
213 E Chestnut St |
$35.67 | 1,127 | 144 |
|
Alexis M Stimpert
213 E Chestnut St |
$104.56 | 1,111 | 94 |
|
Casey Maidel
213 E Chestnut St |
$39.27 | 1,107 | 343 |
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 Mount Vernon, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Mount Vernon, OH is $60.20 per claim, based on 197,438 claims from 132 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 Mount Vernon, OH?
There are 132 Medicaid providers offering Substance Abuse Treatment related services in Mount Vernon, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Mount Vernon, OH?
Medicaid reimbursement for Substance Abuse Treatment in Mount Vernon, OH ranges from $1.47 to $146.10 per claim, with an average of $60.20. 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 Mount Vernon, OH
Office Visit
Avg $50.32
381,559 claims
Blood Work & Lab Tests
Avg $7.91
133,770 claims
Psychiatric Evaluation
Avg $63.78
96,150 claims
Emergency Room Visit
Avg $86.82
64,145 claims
Behavioral & Mental Health Therapy
Avg $91.43
61,037 claims
Vaccines & Immunizations
Avg $9.12
55,778 claims
Physical Therapy
Avg $36.08
46,780 claims
Home Health Visit
Avg $41.59
36,971 claims