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 |
|---|---|---|---|
|
Ryan Bush
112 Harcourt Rd Ste 2 |
$22.03 | 16 | 15 |
|
Brittany J Saylor
213 E Chestnut St |
$53.73 | 20 | 17 |
|
Wes Wilkinson
106 E Gambier St |
$35.04 | 29 | 19 |
|
Matthew Scott Schumacher
113 W Gambier St |
$70.13 | 30 | 14 |
|
Casey Cole
408 Coshocton Ave |
$12.08 | 31 | 13 |
|
Frank Kroninger
408 Coshocton Ave |
$25.76 | 33 | 12 |
|
Brittany Kinser
408 Coshocton Ave |
$23.76 | 37 | 18 |
|
Sharon Renee Wise
8402 Blackjack Rd |
$1.47 | 40 | 28 |
|
Christopher D Mcclain
213 E Chestnut St |
$34.99 | 43 | 12 |
|
Chelsie Small
112 Harcourt Rd |
$21.59 | 50 | 50 |
|
Bethany Devincent
408 Coshocton Ave |
$23.23 | 53 | 18 |
|
Laurie A Cosner
213 E Chestnut St |
$38.42 | 59 | 16 |
|
James Schlariet
213 E Chestnut St |
$26.25 | 67 | 25 |
|
Katelynd Staffeldt
401 W High St Ste 9 |
$27.46 | 74 | 56 |
|
Rex Snell
408 Coshocton Ave |
$36.62 | 74 | 13 |
|
Travis Scalice
201 W High St Ste B |
$31.97 | 82 | 27 |
|
Zoie Cook
408 Coshocton Ave |
$81.18 | 83 | 25 |
|
Josie Levan
213 E Chestnut St |
$19.99 | 87 | 84 |
|
Eva Graham
213 E Chestnut St |
$44.61 | 99 | 15 |
|
Shannon Reynolds
213 E Chestnut St |
$37.72 | 108 | 12 |
|
Hannah Williams
213 E Chestnut St |
$19.37 | 116 | 29 |
|
Susan Rene' Brooks
112 Harcourt Rd Ste 2 |
$19.81 | 128 | 123 |
|
Chasity Lynn Freeman
213 E Chestnut St |
$38.63 | 131 | 15 |
|
Ashley Kuhn
106 E Gambier St |
$25.54 | 140 | 105 |
|
Katelyn R Shuck
213 E Chestnut St |
$32.15 | 155 | 28 |
|
Summer Grooms
408 Coshocton Ave |
$66.22 | 163 | 26 |
|
Megan Mcghee
408 Coshocton Ave |
$23.27 | 165 | 50 |
|
Kaytlin M Hall
213 E Chestnut St |
$33.66 | 172 | 123 |
|
Olivia Dulaney
213 E Chestnut St |
$32.09 | 204 | 38 |
|
Shannon Randolph
408 Coshocton Ave |
$19.77 | 205 | 96 |
|
Jeanie Ridenour
408 Coshocton Ave |
$65.01 | 209 | 26 |
|
Lilly Elizabeth Henney
113 W Gambier St |
$36.96 | 225 | 73 |
|
Dena Martin
213 E Chestnut St |
$8.79 | 229 | 13 |
|
Sheila Mills
213 E Chestnut St |
$39.49 | 236 | 33 |
|
Tara Foley
408 Coshocton Ave |
$33.03 | 260 | 78 |
|
Aubry Hinger
213 E Chestnut St |
$37.01 | 269 | 25 |
|
Michael Bennett
106 E Gambier St |
$24.95 | 271 | 215 |
|
Amanda Murphy
408 Coshocton Ave |
$31.90 | 287 | 46 |
|
Sharon Livingston
213 E Chestnut St |
$32.47 | 298 | 50 |
|
Mckenzie Lanigan
1095 Harcourt Rd |
$28.31 | 298 | 62 |
|
Georgette Burritt
106 E Gambier St |
$32.18 | 312 | 197 |
|
Stacia Longfellow
213 E Chestnut St |
$40.25 | 316 | 65 |
|
Elizabeth Davison
408 Coshocton Ave |
$37.21 | 324 | 49 |
|
Chalsae Darr
809 Coshocton Ave Ste A |
$50.02 | 346 | 138 |
|
Lisa Bookhamer
213 E Chestnut St |
$34.65 | 357 | 26 |
|
Sarah Hartley
809 Coshocton Ave |
$37.67 | 363 | 141 |
|
Tabitha M Braxton
213 E Chestnut St |
$44.47 | 370 | 80 |
|
Kevin Kristopher Kidwell
213 E Chestnut St |
$35.96 | 375 | 258 |
|
Shauna R Gamble
113 W Gambier St |
$42.28 | 403 | 89 |
|
Dustin Hicks
213 E Chestnut St |
$54.95 | 450 | 64 |
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