Average Medicaid Substance Abuse Treatment Payments in Shelby, OH: $176.63
Avg. Paid
$176.63
Range
$19.82 – $221.60
Total Claims
128,629
Providers
64
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 Shelby, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erich Dumbeck
2775 State Route 39 |
$208.90 | 61,316 | 2,832 |
|
Timothy Lafferty
2775 State Route 39 |
$163.04 | 9,029 | 1,362 |
|
Samantha Jo Shenberger
2775 State Route 39 |
$168.24 | 8,028 | 1,575 |
|
Cornell Abraxas Group, Llc
2775 State Route 39 |
$44.81 | 5,524 | 1,288 |
|
Michele Seiter
2775 State Route 39 |
$177.47 | 5,494 | 1,130 |
|
Lasha Marie Winters
2775 State Route 39 |
$117.76 | 5,134 | 1,060 |
|
Rebecca Broaddus
2775 State Route 39 |
$182.47 | 5,113 | 1,212 |
|
Amanda Bracy
2775 State Route 39 |
$161.77 | 3,743 | 678 |
|
Lillith Fischer
2775 State Route 39 |
$161.69 | 3,719 | 694 |
|
Samantha Carter
2775 State Route 39 |
$164.80 | 3,126 | 593 |
|
Roger Dale Hawkins
2775 State Route 39 |
$221.60 | 2,482 | 299 |
|
Ashley Hoffman-Spurling
2775 State Route 39 |
$169.75 | 2,469 | 627 |
|
Jennifer Baldwin
2775 State Route 39 |
$152.33 | 2,439 | 834 |
|
John Olabisi Babajide
2775 State Route 39 |
$129.29 | 1,325 | 574 |
|
Antwan Woods
2775 State Route 39 |
$135.33 | 1,160 | 396 |
|
Joshua Kemp
2775 State Route 39 |
$60.84 | 987 | 295 |
|
Cassaundra Elyzabeth Miller
2775 State Route 39 |
$168.05 | 894 | 166 |
|
Ian Stout
2775 State Route 39 |
$152.53 | 536 | 233 |
|
Paige Snyder
2775 State Route 39 |
$53.10 | 523 | 373 |
|
Robert Sharrock
2775 State Route 39 |
$134.33 | 438 | 220 |
|
Deeanna Tanner
2775 State Route 39 |
$158.26 | 429 | 85 |
|
Leann Adkins
2775 State Route 39 |
$160.25 | 351 | 104 |
|
Shelby Jackson
2775 State Route 39 |
$24.58 | 342 | 297 |
|
Kirsten Frizzell
2775 State Route 39 |
$89.15 | 304 | 200 |
|
Erik Thomas Mckean
2775 State Route 39 |
$19.82 | 284 | 174 |
|
Xavier Riggleman
2775 State Route 39 |
$106.19 | 242 | 152 |
|
Kassandra Leach
2775 State Route 39 |
$117.60 | 237 | 141 |
|
Katie M Kissel
4312 Bowman Street Rd |
$144.09 | 236 | 89 |
|
Aleesia Makensi Shaw
2775 State Route 39 |
$144.45 | 234 | 145 |
|
Connor Lee Haverfield
2775 State Route 39 |
$119.37 | 224 | 120 |
|
Alexander Cole
2775 State Route 39 |
$125.91 | 205 | 91 |
|
Lula Mosley
2775 State Route 39 |
$102.70 | 204 | 180 |
|
Caitlin Marie Green
2775 State Route 39 |
$68.01 | 194 | 88 |
|
Johnnie Cornelius Beard
2775 State Route 39 |
$108.36 | 192 | 135 |
|
Morgan Peay
2775 State Route 39 |
$110.58 | 180 | 146 |
|
Michael Lee Mason
2779 St. Rt. 39 |
$115.31 | 105 | 52 |
|
Emily Gove
2775 State Route 39 |
$105.40 | 101 | 78 |
|
Sabrina Cumston
2775 State Route 39 |
$108.71 | 99 | 79 |
|
Maurice King
2775 State Route 39 |
$115.77 | 85 | 78 |
|
Ian Hockenberry
2775 State Route 39 |
$106.00 | 84 | 74 |
|
Joseph Bellmer
2775 State Route 39 |
$111.84 | 82 | 64 |
|
Monica Lindsay
2775 State Route 39 |
$125.53 | 71 | 55 |
|
Tony A Jackson
2775 State Route 39 |
$125.94 | 63 | 53 |
|
Josh Alamanteoff
2775 State Route 39 |
$122.25 | 59 | 40 |
|
Daniel Yarger
2775 State Route 39 |
$112.65 | 59 | 31 |
|
Chenita Haught
2775 State Route 39 |
$103.04 | 49 | 37 |
|
Jahkhiya Likely
2775 State Route 39 |
$100.80 | 46 | 44 |
|
Cornell Abraxas Group, Llc
2775 State Route 39 |
$77.40 | 37 | 16 |
|
Bernadette I. Guckert
2775 State Route 39 |
$128.06 | 35 | 25 |
|
Austin L Sexton
2775 State Route 39 |
$123.97 | 32 | 26 |
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 Shelby, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Shelby, OH is $176.63 per claim, based on 128,629 claims from 64 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 Shelby, OH?
There are 64 Medicaid providers offering Substance Abuse Treatment related services in Shelby, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Shelby, OH?
Medicaid reimbursement for Substance Abuse Treatment in Shelby, OH ranges from $19.82 to $221.60 per claim, with an average of $176.63. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Shelby, OH
Office Visit
Avg $30.11
35,597 claims
Behavioral & Mental Health Therapy
Avg $104.32
29,967 claims
Psychiatric Evaluation
Avg $64.93
29,094 claims
Nursing Facility Care
Avg $9.27
12,198 claims
Dental Cleaning & Exam
Avg $13.56
10,144 claims
Eye Exam
Avg $19.64
9,789 claims
Physical Therapy
Avg $14.44
9,536 claims
Speech Therapy
Avg $33.02
7,479 claims