Average Medicaid Substance Abuse Treatment Payments in Piketon, OH: $93.89
Avg. Paid
$93.89
Range
$18.93 – $182.81
Total Claims
36,030
Providers
32
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 Piketon, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dana A Langford
2266 Wakefield Mound Rd |
$94.87 | 10,972 | 2,288 |
|
Penny Williamson
2266 Wakefield Mound Rd |
$172.21 | 5,542 | 1,008 |
|
Jason Daniel Rhodes
2266 Wakefield Mound Rd |
$115.53 | 4,362 | 1,399 |
|
Corey Summers
2266 Wakefield Mound Rd |
$53.73 | 2,532 | 958 |
|
Joseph Blake Perdue
15221 State Route 772 |
$45.41 | 2,490 | 827 |
|
Jack Waters
15221 State Route 772 |
$120.89 | 1,584 | 330 |
|
Ryan Alan Rodgers
15221 State Route 772 |
$27.99 | 1,226 | 431 |
|
Wade Cottrell
15221 State Route 772 |
$40.90 | 917 | 342 |
|
Lydia R Jenkins
15221 St. Rt. 124 |
$55.52 | 693 | 214 |
|
Rebekah Barnett
2266 Wakefield Mound Rd |
$78.93 | 676 | 167 |
|
Tyler Doules Montgomery
15221 State Route 772 |
$38.70 | 669 | 235 |
|
Tracy Selvage
15221 State Route 772 |
$48.22 | 612 | 200 |
|
Mason Conley
15221 State Route 772 |
$54.83 | 546 | 158 |
|
Robert Wesley Dray
15221 State Route 772 |
$40.11 | 517 | 198 |
|
Eric G Fannin
15221 State Route 772 |
$74.81 | 498 | 202 |
|
Shawn Randall Prentice
15221 State Route 772 |
$23.23 | 405 | 87 |
|
Benjamin Glispie
15221 St Rt 124 |
$73.45 | 365 | 151 |
|
Alex Richard Martin
15221 State Route 772 |
$24.23 | 279 | 92 |
|
David Grant
15221 St Rt 124 |
$62.84 | 209 | 63 |
|
Tifany Len O'Rourke
15221 State Route 772 |
$108.51 | 172 | 82 |
|
Anthony Wayne Justice
15221 State Route 772 |
$147.65 | 164 | 45 |
|
Anthony Wayne Cox
15221 State Route 772 |
$32.79 | 145 | 64 |
|
Ariel Rafferty-Warren
100 E 3Rd St |
$40.72 | 66 | 50 |
|
Sarah Kendall
15221 State Route 124 |
$182.81 | 66 | 13 |
|
Gary Davis
2266 Wakefield Mound Rd |
$18.93 | 64 | 30 |
|
Cody Allan Webber
15221 State Route 772 |
$83.25 | 62 | 42 |
|
Melissa Joy Lopez
2266 Wakefield Mound Rd |
$19.54 | 59 | 24 |
|
Luke William Culp
15221 State Route 772 |
$110.97 | 39 | 18 |
|
Chenoa Phipps
100 E 3Rd St |
$22.41 | 34 | 33 |
|
Derek Breitenbach
15221 State Route 772 |
$128.80 | 28 | 18 |
|
Amber Self
15221 St Rt 124 |
$39.08 | 22 | 21 |
|
Alyssa Lee Newman
316 E Main St |
$27.91 | 15 | 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 Piketon, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Piketon, OH is $93.89 per claim, based on 36,030 claims from 32 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 Piketon, OH?
There are 32 Medicaid providers offering Substance Abuse Treatment related services in Piketon, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Piketon, OH?
Medicaid reimbursement for Substance Abuse Treatment in Piketon, OH ranges from $18.93 to $182.81 per claim, with an average of $93.89. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Piketon, OH
Office Visit
Avg $33.89
61,281 claims
Dental Cleaning & Exam
Avg $22.24
46,315 claims
Behavioral & Mental Health Therapy
Avg $94.83
20,961 claims
Blood Work & Lab Tests
Avg $5.56
18,948 claims
Emergency Room Visit
Avg $83.38
11,190 claims
Dental Filling
Avg $66.74
9,500 claims
Psychiatric Evaluation
Avg $86.00
7,896 claims
Ambulance Transport
Avg $48.79
7,016 claims