Average Medicaid Substance Abuse Treatment Payments in New Lexington, OH: $122.70
Avg. Paid
$122.70
Range
$18.91 – $233.78
Total Claims
28,422
Providers
30
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 New Lexington, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Misti Kessler
203 N Main St |
$214.21 | 5,368 | 377 |
|
Regina Kay Yost
203 N Main St |
$157.37 | 4,965 | 1,192 |
|
Rhonda Lynn Forester-Levan
322 1St St |
$135.47 | 3,698 | 617 |
|
Perry County Alcohol And Drug Abuse, Inc
203 N Main St |
$53.51 | 3,220 | 900 |
|
Philip N Self
2541 Panther Dr Ne |
$54.55 | 2,839 | 892 |
|
Caleb Wilson
203 N Main St |
$117.17 | 2,457 | 524 |
|
Julia Sexton
203 N Main St |
$67.48 | 963 | 403 |
|
Timothy Stewart Ratliff
511 N Main St |
$74.57 | 865 | 280 |
|
Brianna Marie Miller
511 N Main St |
$65.97 | 685 | 257 |
|
Kayla Suttles
511 N Main St |
$82.16 | 526 | 127 |
|
Sara Toth
511 N Main St |
$18.91 | 354 | 338 |
|
Pamela Devolld
227 N Main St |
$61.62 | 288 | 159 |
|
Karmin Carter Sullivan
511 N Main St |
$21.64 | 274 | 267 |
|
Ernest Eing
203 N Main St |
$22.05 | 263 | 174 |
|
Bradley E Givens
203 N Main St |
$95.57 | 252 | 144 |
|
Christina L Garner
203 N Main St |
$101.88 | 215 | 176 |
|
Sarah Michelle Lang
1625 Commerce Dr |
$100.17 | 199 | 43 |
|
Marjorie Tharp
203 N Main St |
$149.88 | 183 | 44 |
|
Shawnna O Boyd
203 N Main St |
$233.78 | 168 | 28 |
|
Allyson Nicole Hoover
203 N Main St |
$47.05 | 158 | 67 |
|
Amanda Lynnette Hambel
9769 Marietta Rd Se |
$121.64 | 96 | 43 |
|
Sheila Renee Stoneburner
203 N Main St |
$43.31 | 89 | 57 |
|
Renea Lynn Dodson
203 N Main St |
$149.88 | 63 | 28 |
|
Tiffani Blake
203 N Main St |
$112.19 | 50 | 27 |
|
Lisa Marie Harper
1375 Commerce Dr |
$23.53 | 49 | 26 |
|
Gary L Canter
203 N Main St |
$103.04 | 42 | 14 |
|
Maria Elizabeth Svercek-Frank
203 N Main St |
$149.88 | 34 | 13 |
|
Robert Eugene Tahyi
203 N Main St |
$55.36 | 24 | 17 |
|
Corinne Braglin
227 N Main St |
$149.88 | 22 | 13 |
|
Elizabeth A Henry
203 N Main St |
$24.05 | 13 | 12 |
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 New Lexington, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in New Lexington, OH is $122.70 per claim, based on 28,422 claims from 30 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 New Lexington, OH?
There are 30 Medicaid providers offering Substance Abuse Treatment related services in New Lexington, OH according to public payment data.
What is the price range for Substance Abuse Treatment in New Lexington, OH?
Medicaid reimbursement for Substance Abuse Treatment in New Lexington, OH ranges from $18.91 to $233.78 per claim, with an average of $122.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in New Lexington, OH
Office Visit
Avg $35.48
125,348 claims
Dental Cleaning & Exam
Avg $23.26
68,686 claims
Behavioral & Mental Health Therapy
Avg $88.80
45,156 claims
Psychiatric Evaluation
Avg $73.30
32,404 claims
Blood Work & Lab Tests
Avg $8.44
30,824 claims
Physical Therapy
Avg $14.15
26,934 claims
Emergency Room Visit
Avg $66.25
14,759 claims
Speech Therapy
Avg $27.87
13,371 claims