Average Medicaid Substance Abuse Treatment Payments in Portsmouth, OH: $118.94
Avg. Paid
$118.94
Range
$0.00 – $293.24
Total Claims
1,451,815
Providers
548
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 Portsmouth, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adam Ray Mcpheters
4304 Old Scioto Trl |
$119.46 | 65,555 | 6,429 |
|
Timothy Maxwell Liles
519 Court St |
$124.84 | 57,320 | 5,455 |
|
Scioto County Counseling Center, Inc
411 Court St |
$93.24 | 51,000 | 7,492 |
|
Michael Douglas Percell
3017 Clover Ave |
$140.51 | 45,330 | 3,648 |
|
Amanda Leah Sparks
411 Court St |
$198.55 | 37,112 | 3,928 |
|
Kathyrn Newman
1616 Grant St |
$122.62 | 35,322 | 6,473 |
|
Stephanie Miller
411 Court St |
$188.63 | 34,925 | 4,560 |
|
Terra Carter
411 Court St |
$192.08 | 34,171 | 4,513 |
|
Michelle Rana Colley
411 Court St |
$203.22 | 28,329 | 4,088 |
|
Kristi Maynard
411 Court St |
$186.73 | 27,253 | 3,282 |
|
Natasha Arnett
411 Court St |
$145.24 | 22,641 | 4,272 |
|
Emily M Brown
411 Court St |
$171.52 | 19,978 | 4,034 |
|
Abbi L Andre
1405 11Th St |
$116.34 | 19,511 | 4,005 |
|
Gordon Sanders
2954 Walnut Street |
$74.24 | 18,847 | 2,241 |
|
Hugh Hall
411 Court St |
$167.89 | 18,014 | 3,393 |
|
Tracy Stern
411 Court St |
$115.55 | 15,751 | 3,024 |
|
Timothy Lawson
411 Court St |
$183.93 | 15,678 | 2,239 |
|
Brittany Tolle
816 4Th St |
$155.26 | 15,493 | 3,677 |
|
Jami Munn
2141 Grandview Ave |
$193.21 | 15,215 | 2,502 |
|
Teri L Martin
1616 Grant St |
$67.78 | 14,648 | 4,028 |
|
Christa June Moore
1907 11Th St |
$130.84 | 14,194 | 3,511 |
|
Julie Eichenlaub
505 Washington St |
$116.89 | 13,984 | 3,428 |
|
Michael Parker
411 Court St |
$138.34 | 13,633 | 3,695 |
|
Amy Leigh Miller-Daub
1907 11Th St |
$186.32 | 13,625 | 2,662 |
|
Thomas Cooke
2954 Walnut St |
$70.49 | 13,602 | 2,816 |
|
Jazzy Lowe
411 Court St |
$126.32 | 13,356 | 3,314 |
|
Ericka Sandlin
411 Court St |
$170.67 | 12,699 | 2,051 |
|
Aaron Joeseph Bradley
1616 Grant St |
$73.51 | 12,284 | 1,067 |
|
Michael E Payton
519 Court St |
$130.47 | 11,875 | 2,928 |
|
Jason Smith
411 Court St |
$135.91 | 10,448 | 2,361 |
|
Julie Hall
2954 Walnut St |
$88.01 | 9,930 | 1,028 |
|
Veronica L Middleton
411 Court St |
$127.78 | 9,815 | 1,891 |
|
Mahajan Therapeutics, Llc
2954 Walnut St |
$82.73 | 9,743 | 1,227 |
|
Bobbie Webb
411 Court St |
$198.02 | 9,740 | 1,178 |
|
Ricky Bennett
2954 Walnut St |
$126.22 | 9,615 | 1,930 |
|
Amy Gregory
411 Court St |
$179.07 | 9,107 | 2,566 |
|
Sarah K Hood
411 Court St |
$202.88 | 8,259 | 954 |
|
Christopher Elswick
2954 Walnut St |
$84.71 | 8,246 | 1,331 |
|
Samantha Jarrells
411 Court St |
$69.55 | 8,229 | 1,773 |
|
Mary T Irwin
411 Court St |
$206.66 | 8,142 | 1,024 |
|
Nicholas L Hall
2954 Walnut St |
$89.29 | 7,453 | 3,053 |
|
Crystal Thurman
411 Court St |
$44.60 | 7,357 | 1,297 |
|
Port45 Recovery Llc
1616 Grant St |
$39.87 | 7,340 | 2,448 |
|
Bonnie Craft
1907 11Th St |
$53.69 | 7,316 | 2,322 |
|
Beth Spears
411 Court St |
$168.61 | 7,315 | 1,722 |
|
Betty Fannin
411 Court St |
$74.37 | 6,780 | 2,437 |
|
Kaitlin Elizabeth Mingus
1907 11Th St |
$132.00 | 6,673 | 1,751 |
|
Timothy Stamper
902 Gallia St |
$90.52 | 6,606 | 687 |
|
Kelly Annette Kelley
1907 11Th St |
$66.36 | 6,564 | 1,726 |
|
Kelsea Stidham
411 Court St |
$188.97 | 6,562 | 548 |
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 Portsmouth, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Portsmouth, OH is $118.94 per claim, based on 1,451,815 claims from 548 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 Portsmouth, OH?
There are 548 Medicaid providers offering Substance Abuse Treatment related services in Portsmouth, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Portsmouth, OH?
Medicaid reimbursement for Substance Abuse Treatment in Portsmouth, OH ranges from $0.00 to $293.24 per claim, with an average of $118.94. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Other Procedures in Portsmouth, OH
Office Visit
Avg $49.74
1,198,712 claims
Blood Work & Lab Tests
Avg $8.57
986,373 claims
Behavioral & Mental Health Therapy
Avg $64.96
919,588 claims
Ambulance Transport
Avg $48.23
384,343 claims
Psychiatric Evaluation
Avg $70.72
367,038 claims
X-Ray
Avg $10.69
363,100 claims
Emergency Room Visit
Avg $95.84
313,734 claims
Home Health Visit
Avg $48.21
246,031 claims