Average Medicaid Substance Abuse Treatment Payments in Niles, OH: $95.06
Avg. Paid
$95.06
Range
$21.26 – $197.84
Total Claims
15,749
Providers
22
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 Niles, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Derrick L Mason
165 E Park Ave |
$22.74 | 4,411 | 2,600 |
|
Thomas William O'Donnell
165 E Park Ave |
$197.84 | 2,160 | 311 |
|
Adria Rovnyak
29 North Rd. |
$140.68 | 1,897 | 465 |
|
Melanie J King
1500 Mckinley Ave |
$184.25 | 1,166 | 610 |
|
Stefanie Cook
1500 Mckinley Ave |
$117.69 | 1,002 | 481 |
|
John Holbrook
1500 Mckinley Ave |
$63.42 | 980 | 375 |
|
Shane Desmith
1500 Mckinley Ave |
$75.12 | 959 | 363 |
|
Paige Jackson
165 E Park Ave |
$57.07 | 776 | 655 |
|
Dustin Hurst
304 Ann Ave |
$125.24 | 629 | 132 |
|
Brett K Nemeth
165 E Park Ave |
$23.49 | 500 | 319 |
|
Alex Chick
165 E Park Ave |
$134.95 | 297 | 57 |
|
Kami T Vechiarelli
165 E Park Ave |
$32.53 | 163 | 54 |
|
Lauren Christine Plant
29 North Rd |
$64.60 | 161 | 84 |
|
Chantal Marie Monet
165 E Park Ave |
$37.75 | 161 | 42 |
|
Tawnyka Tabor
165 E Park Ave |
$75.08 | 123 | 36 |
|
New Day Recovery Llc
1500 Mckinley Ave |
$190.91 | 75 | 14 |
|
Jon Levi Lange
721 Harris St |
$112.74 | 67 | 12 |
|
Thomas Mitchell
165 E Park Ave |
$23.58 | 58 | 49 |
|
Anthony Montevideo
336 Vienna Ave |
$39.42 | 57 | 22 |
|
Dessera Mcclendon
165 E Park Ave |
$42.17 | 38 | 31 |
|
Ashley Rene Mock
165 E Park Ave |
$56.72 | 35 | 12 |
|
Marisa L Bridge
165 E Park Ave |
$21.26 | 34 | 25 |
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 Niles, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Niles, OH is $95.06 per claim, based on 15,749 claims from 22 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 Niles, OH?
There are 22 Medicaid providers offering Substance Abuse Treatment related services in Niles, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Niles, OH?
Medicaid reimbursement for Substance Abuse Treatment in Niles, OH ranges from $21.26 to $197.84 per claim, with an average of $95.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $107.97
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Avg $21.52
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Avg $38.59
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Avg $34.24
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Other Procedures in Niles, OH
Behavioral & Mental Health Therapy
Avg $78.93
170,663 claims
Office Visit
Avg $39.65
110,014 claims
Psychiatric Evaluation
Avg $77.53
81,564 claims
Dental Cleaning & Exam
Avg $25.63
77,434 claims
Case Management Services
Avg $80.20
42,661 claims
Dental Filling
Avg $57.70
31,676 claims
Eye Exam
Avg $32.33
28,693 claims
Speech Therapy
Avg $26.27
24,156 claims