Average Medicaid Substance Abuse Treatment Payments in Newark, OH: $109.98
Avg. Paid
$109.98
Range
$0.00 – $396.96
Total Claims
80,607
Providers
71
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 Newark, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Durward E Harrell
65 Messimer Dr |
$145.04 | 11,892 | 3,016 |
|
Jerri Kelley
30 S 4Th St |
$119.28 | 9,092 | 1,881 |
|
William Andrew Highberger
200 Messimer Drive |
$184.04 | 6,422 | 615 |
|
Terry Lynn Williams
69 Granville St |
$72.09 | 5,128 | 1,508 |
|
Kirstyn Paige Bashaw
2112 Cherry Valley Rd |
$141.52 | 3,473 | 614 |
|
Autumn A Carnell
215 E Main St |
$34.64 | 2,526 | 740 |
|
Licking County Alcoholism Prevention Program
62 E Stevens St |
$40.57 | 2,358 | 715 |
|
Hunter Danielle Spittler
30 S 4Th St |
$149.59 | 2,288 | 396 |
|
Licking Memorial Hospital
1320 W Main St |
$115.69 | 2,259 | 226 |
|
Jenna Tison
62 E Stevens St |
$131.51 | 2,231 | 342 |
|
Amber Nichole Hinson
1445 W Main St |
$46.71 | 2,219 | 1,415 |
|
Tiffany Dawn Porter
1445 W Main St |
$70.21 | 2,114 | 962 |
|
Kayler Davis
974 N 21St St |
$65.70 | 1,946 | 494 |
|
Stormie Conklin
215 E Main St |
$38.03 | 1,918 | 510 |
|
Sandra A. Messina
62 E Stevens St |
$116.23 | 1,647 | 420 |
|
Joel Isaacson
30 S 4Th St |
$103.50 | 1,578 | 566 |
|
Thomas Johnson
974 N 21St St |
$12.36 | 1,483 | 324 |
|
Lisa Skorich
1445 W Main St |
$288.31 | 1,154 | 790 |
|
Ashley Weaver
1445 W Main St |
$68.14 | 924 | 487 |
|
Kelsey Marie Smith
974 N 21St St |
$62.67 | 888 | 235 |
|
Courtney Royston
30 S 4Th St |
$63.42 | 861 | 242 |
|
Darlene Fader
1445 W Main St |
$257.03 | 822 | 584 |
|
Mary Elizabeth Kinney
974 N 21St St |
$269.56 | 805 | 576 |
|
Misty A. Hunt
69 Granville St |
$54.70 | 798 | 238 |
|
Daria J Hopkins
120 Mcmillen Dr |
$0.00 | 796 | 430 |
|
Jennifer Odessa Lacknett
30 S 4Th St |
$19.29 | 776 | 712 |
|
Erin Paige Dobbs
1445 W Main St |
$42.68 | 681 | 402 |
|
Courtney A Haley
974 N 21St St Ste 400 |
$53.85 | 668 | 220 |
|
Deborah Esterline
62 E Stevens St |
$47.56 | 638 | 280 |
|
Amy Marie Camp
30 S 4Th St |
$68.15 | 628 | 231 |
|
Eric Mcevoy
15 N 3Rd St Ste 300 |
$38.32 | 619 | 218 |
|
Viviana Paige Larue
215 E Main Street |
$101.36 | 612 | 132 |
|
Pamela Ashley
65 Messimer Dr |
$31.23 | 604 | 489 |
|
Amy Sue Williams
59 Grant St |
$78.44 | 598 | 194 |
|
Cheryl A Smith
1445 W Main St |
$61.87 | 571 | 204 |
|
Adam S Armstrong
62 E Stevens St |
$51.13 | 540 | 209 |
|
Jenna Marie Collins
1445 W Main St |
$37.32 | 530 | 389 |
|
Beth Tippie
215 E Main St |
$95.52 | 486 | 98 |
|
Sue Brower
1445 W Main St |
$271.71 | 486 | 356 |
|
Taylor Ray Elekes
215 E Main St |
$98.31 | 457 | 95 |
|
Bethany K Swetnam
62 E Stevens St |
$51.12 | 416 | 136 |
|
Nicole Renea Starks
974 N 21St St |
$396.96 | 312 | 302 |
|
David D. Hottinger
62 E Stevens St |
$32.82 | 308 | 187 |
|
Laurel Ridenbaugh
30 S 4Th St |
$60.50 | 281 | 44 |
|
Keri Michelle Cunningham
974 N 21St St |
$394.13 | 281 | 275 |
|
Shelley Delucia
30 S 4Th St |
$162.87 | 276 | 77 |
|
Gregory M Stockdale
62 E Stevens St |
$42.13 | 270 | 143 |
|
Sara Mitchell
974 N 21St St |
$177.28 | 225 | 95 |
|
Paula G. Shearer
65 Messimer Dr |
$134.29 | 221 | 104 |
|
Elizabeth Anne Spellman
62 E Stevens St |
$21.61 | 208 | 127 |
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 Newark, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Newark, OH is $109.98 per claim, based on 80,607 claims from 71 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 Newark, OH?
There are 71 Medicaid providers offering Substance Abuse Treatment related services in Newark, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Newark, OH?
Medicaid reimbursement for Substance Abuse Treatment in Newark, OH ranges from $0.00 to $396.96 per claim, with an average of $109.98. 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 Newark, OH
Office Visit
Avg $57.00
653,564 claims
Blood Work & Lab Tests
Avg $9.50
315,865 claims
Emergency Room Visit
Avg $88.13
199,270 claims
Psychiatric Evaluation
Avg $71.67
186,026 claims
Behavioral & Mental Health Therapy
Avg $69.94
169,810 claims
Vaccines & Immunizations
Avg $12.81
123,756 claims
Home Health Visit
Avg $42.12
102,256 claims
Urinalysis & Urine Tests
Avg $2.89
98,883 claims