Average Medicaid Substance Abuse Treatment Payments in Troy, OH: $27.98
Avg. Paid
$27.98
Range
$0.26 – $215.29
Total Claims
56,540
Providers
18
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 Troy, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kimberly S Stephens
1059 N Market St |
$42.46 | 18 | 13 |
|
Troy City Schools
500 N Market St |
$9.17 | 27 | 14 |
|
Stephanie M Yaney
550 Summit Ave |
$134.31 | 80 | 13 |
|
Jay Gillespie
1059 N Market St |
$139.30 | 85 | 24 |
|
Christina J Mccuistion
1059 N Market St |
$60.13 | 179 | 83 |
|
Jessica P Emrick
1059 N Market St |
$11.55 | 183 | 84 |
|
Michael Ruffin
3130 N County Road 25A |
$55.87 | 256 | 111 |
|
Domina M Matthews Page
1059 N Market St |
$18.46 | 326 | 205 |
|
Thomas Riddle
550 Summit Ave |
$0.26 | 414 | 377 |
|
Ariz Anklesaria
1059 N Market St |
$215.29 | 431 | 64 |
|
Eileen C Muirhead
1059 N Market St |
$134.26 | 527 | 178 |
|
Robert Leroy Alexander
1059 N Market St |
$46.36 | 554 | 178 |
|
James Zimmerman
344 N Childrens Home Rd |
$121.01 | 876 | 128 |
|
Tristen D Lang
1059 N Market St |
$62.51 | 1,159 | 461 |
|
Bridget L Simon
1059 N Market St |
$36.98 | 1,583 | 544 |
|
Mary Kotlarek
550 Summit Ave |
$30.75 | 1,666 | 1,574 |
|
Miami County Recovery Council, Inc.
1059 N Market St |
$58.10 | 1,881 | 907 |
|
Carlos Machicao
3130 N County Road 25A |
$20.27 | 46,295 | 2,683 |
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 Troy, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Troy, OH is $27.98 per claim, based on 56,540 claims from 18 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 Troy, OH?
There are 18 Medicaid providers offering Substance Abuse Treatment related services in Troy, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Troy, OH?
Medicaid reimbursement for Substance Abuse Treatment in Troy, OH ranges from $0.26 to $215.29 per claim, with an average of $27.98. 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 $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Troy, OH
Office Visit
Avg $52.31
193,597 claims
Blood Work & Lab Tests
Avg $1.94
112,897 claims
Emergency Room Visit
Avg $104.04
88,506 claims
X-Ray
Avg $6.69
86,965 claims
Physical Therapy
Avg $20.77
72,312 claims
Psychiatric Evaluation
Avg $75.29
42,056 claims
CT Scan (Computed Tomography)
Avg $115.45
35,265 claims
Urinalysis & Urine Tests
Avg $0.63
34,374 claims