Average Medicaid Substance Abuse Treatment Payments in North Olmsted, OH: $90.20
Avg. Paid
$90.20
Range
$30.56 – $137.69
Total Claims
38,806
Providers
10
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 North Olmsted, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Duffy
6003 Stearns Rd |
$55.17 | 167 | 154 |
|
Nancy Duff-Boehm
26777 Lorain Rd |
$137.69 | 176 | 74 |
|
Michael J Skoda
26777 Lorain Rd Ste 403 |
$134.69 | 240 | 37 |
|
Heidi R Morgan
26777 Lorain Rd |
$30.56 | 252 | 62 |
|
Vera Ann Heinz
5471 Porter Rd |
$45.14 | 601 | 176 |
|
Lisa Marie Hollo
26777 Lorain Rd Ste 412 |
$118.47 | 1,776 | 280 |
|
Maryann Gambitta
26777 Lorain Rd |
$87.77 | 2,373 | 785 |
|
Psych Services Inc
26777 Lorain Rd |
$72.35 | 2,475 | 444 |
|
Audra Maria Popik
6758 Warrington Dr |
$110.51 | 3,113 | 553 |
|
Andrew Reimer
26777 Lorain Rd |
$88.95 | 27,633 | 3,499 |
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 North Olmsted, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in North Olmsted, OH is $90.20 per claim, based on 38,806 claims from 10 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 North Olmsted, OH?
There are 10 Medicaid providers offering Substance Abuse Treatment related services in North Olmsted, OH according to public payment data.
What is the price range for Substance Abuse Treatment in North Olmsted, OH?
Medicaid reimbursement for Substance Abuse Treatment in North Olmsted, OH ranges from $30.56 to $137.69 per claim, with an average of $90.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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