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Based on public Medicaid payment data.

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
Damilla Owens

2775 State Route 39

$103.26 14 14
Aaron Kyle Nickell

2775 State Route 39

$110.40 14 14
Michael Valentine

2775 State Route 39

$119.14 16 16
Samantha Williams

2775 State Route 39

$103.04 17 15
Carolyn Mcgauley

2775 State Route 39

$116.37 18 18
Tyler Robert Deisher

2775 State Route 39

$103.04 19 12
Kristofer Isaac Davis

2775 State Route 39

$103.04 19 13
William Fleck

2775 State Route 39

$111.17 19 18
Christiana Moore

2775 State Route 39

$108.46 19 18
Erin Ball

2775 State Route 39

$103.04 22 15
Rebecca Parsons

2775 State Route 39

$107.33 24 14
Marjorie Butler

2775 State Route 39

$103.16 25 25
Emmanuel Jenkins

2775 State Route 39

$117.25 29 20
Tyler Phenneger

2775 State Route 39

$109.91 30 28
Austin L Sexton

2775 State Route 39

$123.97 32 26
Bernadette I. Guckert

2775 State Route 39

$128.06 35 25
Cornell Abraxas Group, Llc

2775 State Route 39

$77.40 37 16
Jahkhiya Likely

2775 State Route 39

$100.80 46 44
Chenita Haught

2775 State Route 39

$103.04 49 37
Daniel Yarger

2775 State Route 39

$112.65 59 31
Josh Alamanteoff

2775 State Route 39

$122.25 59 40
Tony A Jackson

2775 State Route 39

$125.94 63 53
Monica Lindsay

2775 State Route 39

$125.53 71 55
Joseph Bellmer

2775 State Route 39

$111.84 82 64
Ian Hockenberry

2775 State Route 39

$106.00 84 74
Maurice King

2775 State Route 39

$115.77 85 78
Sabrina Cumston

2775 State Route 39

$108.71 99 79
Emily Gove

2775 State Route 39

$105.40 101 78
Michael Lee Mason

2779 St. Rt. 39

$115.31 105 52
Morgan Peay

2775 State Route 39

$110.58 180 146
Johnnie Cornelius Beard

2775 State Route 39

$108.36 192 135
Caitlin Marie Green

2775 State Route 39

$68.01 194 88
Lula Mosley

2775 State Route 39

$102.70 204 180
Alexander Cole

2775 State Route 39

$125.91 205 91
Connor Lee Haverfield

2775 State Route 39

$119.37 224 120
Aleesia Makensi Shaw

2775 State Route 39

$144.45 234 145
Katie M Kissel

4312 Bowman Street Rd

$144.09 236 89
Kassandra Leach

2775 State Route 39

$117.60 237 141
Xavier Riggleman

2775 State Route 39

$106.19 242 152
Erik Thomas Mckean

2775 State Route 39

$19.82 284 174
Kirsten Frizzell

2775 State Route 39

$89.15 304 200
Shelby Jackson

2775 State Route 39

$24.58 342 297
Leann Adkins

2775 State Route 39

$160.25 351 104
Deeanna Tanner

2775 State Route 39

$158.26 429 85
Robert Sharrock

2775 State Route 39

$134.33 438 220
Paige Snyder

2775 State Route 39

$53.10 523 373
Ian Stout

2775 State Route 39

$152.53 536 233
Cassaundra Elyzabeth Miller

2775 State Route 39

$168.05 894 166
Joshua Kemp

2775 State Route 39

$60.84 987 295
Antwan Woods

2775 State Route 39

$135.33 1,160 396

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

Other Procedures in Shelby, OH