Average Medicaid Substance Abuse Treatment Payments in Shaker Hts, OH: $104.24
Avg. Paid
$104.24
Range
$50.66 – $174.86
Total Claims
6,941
Providers
13
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 Hts, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole Lamonica
3535 Lee Rd |
$147.34 | 1,955 | 646 |
|
Vickey Sanders
3535 Lee Rd |
$89.13 | 1,619 | 975 |
|
Terra Harper-Swift
3535 Lee Rd |
$79.04 | 1,496 | 561 |
|
Ronnie Thomas
3535 Lee Rd |
$90.32 | 393 | 191 |
|
Lavado Townsend
3535 Lee Rd |
$74.65 | 353 | 149 |
|
Edward Barnes
3535 Lee Rd |
$101.80 | 345 | 240 |
|
Amos Turner
3535 Lee Rd |
$103.97 | 243 | 99 |
|
William Cooper
3535 Lee Rd |
$101.22 | 214 | 118 |
|
Stephen R Heidorf
22001 Fairmount Blvd |
$50.66 | 81 | 74 |
|
Holly Rieman-Bell
3535 Lee Rd |
$68.06 | 79 | 27 |
|
Gloria Crawford
3535 Lee Rd |
$174.86 | 75 | 49 |
|
Adrianna Miller
3535 Lee Rd |
$88.71 | 45 | 16 |
|
Satin Ross
3535 Lee Rd |
$56.80 | 43 | 13 |
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 Hts, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Shaker Hts, OH is $104.24 per claim, based on 6,941 claims from 13 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 Hts, OH?
There are 13 Medicaid providers offering Substance Abuse Treatment related services in Shaker Hts, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Shaker Hts, OH?
Medicaid reimbursement for Substance Abuse Treatment in Shaker Hts, OH ranges from $50.66 to $174.86 per claim, with an average of $104.24. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Shaker Hts, OH
Behavioral & Mental Health Therapy
Avg $103.10
66,532 claims
Speech Therapy
Avg $47.54
13,123 claims
Office Visit
Avg $36.83
13,061 claims
Vaccines & Immunizations
Avg $16.65
12,246 claims
Podiatry (Foot Care)
Avg $7.39
4,534 claims
Psychiatric Evaluation
Avg $82.53
3,403 claims
Nursing Facility Care
Avg $9.93
1,681 claims