Average Medicaid Substance Abuse Treatment Payments in Rocky River, OH: $112.55
Avg. Paid
$112.55
Range
$0.00 – $184.03
Total Claims
6,229
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 Rocky River, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Lacy
20525 Detroit Rd Ste 4 |
$92.37 | 2,248 | 888 |
|
Kandyce Ivory Wilson
1692 Lakeview Ave |
$184.03 | 1,161 | 353 |
|
James A. Stover
19505 Frazier Dr |
$99.52 | 984 | 747 |
|
Mary Lee Emrich
20525 Center Ridge Rd |
$146.02 | 764 | 297 |
|
Ryan Caleb Thomason
20525 Center Ridge Rd Ste 403 |
$39.46 | 479 | 429 |
|
Avril Michele Willoughby
21990 River Oaks Dr Apt 28 |
$64.61 | 284 | 229 |
|
Maria Owens
20325 Center Ridge Rd Ste 612 |
$149.88 | 170 | 42 |
|
Brian Dewyre
20545 Center Ridge Rd Ste 448 |
$0.00 | 77 | 22 |
|
Ann Marie Gardner
20525 Center Ridge Rd |
$164.66 | 39 | 16 |
|
Amy Lamantia
20545 Center Ridge Rd Ste 448 |
$49.44 | 23 | 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 Rocky River, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Rocky River, OH is $112.55 per claim, based on 6,229 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 Rocky River, OH?
There are 10 Medicaid providers offering Substance Abuse Treatment related services in Rocky River, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Rocky River, OH?
Medicaid reimbursement for Substance Abuse Treatment in Rocky River, OH ranges from $0.00 to $184.03 per claim, with an average of $112.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Rocky River, OH
Psychiatric Evaluation
Avg $56.10
45,553 claims
Office Visit
Avg $41.33
41,330 claims
Dental Cleaning & Exam
Avg $25.14
15,349 claims
Eye Exam
Avg $27.95
14,366 claims
Nursing Facility Care
Avg $15.99
9,651 claims
Physical Therapy
Avg $34.85
6,545 claims
Behavioral & Mental Health Therapy
Avg $77.42
4,361 claims
Blood Work & Lab Tests
Avg $6.80
4,225 claims