Average Medicaid Substance Abuse Treatment Payments in Shaker Heights, OH: $98.62
Avg. Paid
$98.62
Range
$35.51 – $391.73
Total Claims
4,800
Providers
9
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 Shaker Heights, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bellefaire Jcb
22001 Fairmount Blvd |
$47.85 | 2,634 | 221 |
|
Alliant Treatment Center
3535 Lee Rd |
$136.04 | 896 | 182 |
|
Andrew Mossman
20046 Walker Rd Ste 7 |
$391.73 | 385 | 376 |
|
Bellefaire Jcb
22001 Fairmount Blvd |
$41.17 | 350 | 103 |
|
Vivian D Winston
3311 Warrensville Center Rd # 611 |
$147.15 | 273 | 51 |
|
Michael Mcdaniels
18675 Parkland Dr Apt 408 |
$119.05 | 97 | 13 |
|
Susan Elizabeth Williams
22001 Fairmount Blvd |
$62.61 | 85 | 29 |
|
Lenora Fletcher
22001 Fairmount Blvd |
$35.51 | 68 | 43 |
|
Olivia Strank
22001 Fairmount Blvd |
$64.51 | 12 | 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 Shaker Heights, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Shaker Heights, OH is $98.62 per claim, based on 4,800 claims from 9 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 Shaker Heights, OH?
There are 9 Medicaid providers offering Substance Abuse Treatment related services in Shaker Heights, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Shaker Heights, OH?
Medicaid reimbursement for Substance Abuse Treatment in Shaker Heights, OH ranges from $35.51 to $391.73 per claim, with an average of $98.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $20.44
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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 Shaker Heights, OH
Home Health Visit
Avg $57.63
698,485 claims
Behavioral & Mental Health Therapy
Avg $104.00
208,449 claims
Psychiatric Evaluation
Avg $61.99
104,702 claims
Office Visit
Avg $59.94
67,356 claims
Speech Therapy
Avg $38.10
59,038 claims
Dental Cleaning & Exam
Avg $17.38
26,393 claims
Ambulance Transport
Avg $66.49
13,901 claims
Podiatry (Foot Care)
Avg $7.64
13,004 claims