Average Medicaid Substance Abuse Treatment Payments in Vandalia, OH: $161.74
Avg. Paid
$161.74
Range
$19.14 – $207.12
Total Claims
75,292
Providers
17
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 Vandalia, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Angela Michnowicz
59C N Dixie Dr |
$19.14 | 49 | 43 |
|
Ashley Hand
705 S Brown School Rd |
$108.02 | 70 | 32 |
|
Larry Daniel Stephens
407 Corporate Center Dr |
$122.19 | 125 | 88 |
|
Samantha Mcmillan
705 S Brown School Rd |
$45.08 | 142 | 112 |
|
Melissa Sue Townsend
705 S Brown School Rd |
$138.98 | 220 | 98 |
|
Dacey Michelle Spinuzzi
59 N Dixie Dr Ste C |
$123.34 | 329 | 98 |
|
Stephanie Fortner
705 S Brown School Rd |
$66.65 | 338 | 116 |
|
Katarina Smiley
450 E Alkaline Springs Rd |
$141.75 | 383 | 89 |
|
Kimberly Moore
705 S Brown School Rd |
$73.53 | 1,450 | 409 |
|
Paul Timothy Waldroop
705 S Brown School Rd |
$134.78 | 2,105 | 542 |
|
Nikki Bulmahn
705 S Brown School Rd |
$49.51 | 2,398 | 1,061 |
|
Kristina Lu Cappelli
705 S Brown School Rd |
$60.63 | 2,995 | 1,661 |
|
Alyssa Coleman
705 S Brown School Rd |
$148.14 | 3,801 | 885 |
|
Robert Eugene Bailey
705 S Brown School Rd |
$135.91 | 8,099 | 1,488 |
|
Jessica Cramer
705 S Brown School Rd |
$144.07 | 9,755 | 3,335 |
|
Toby Deck
705 S Brown School Rd |
$140.40 | 10,093 | 2,957 |
|
Christie Lynn Watson Schmitt
705 S Brown School Rd |
$207.12 | 32,940 | 3,359 |
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 Vandalia, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Vandalia, OH is $161.74 per claim, based on 75,292 claims from 17 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 Vandalia, OH?
There are 17 Medicaid providers offering Substance Abuse Treatment related services in Vandalia, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Vandalia, OH?
Medicaid reimbursement for Substance Abuse Treatment in Vandalia, OH ranges from $19.14 to $207.12 per claim, with an average of $161.74. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Vandalia, OH
Home Health Visit
Avg $54.97
284,144 claims
Office Visit
Avg $51.15
62,523 claims
Dental Cleaning & Exam
Avg $24.32
28,571 claims
Psychiatric Evaluation
Avg $76.64
25,899 claims
Dental Filling
Avg $57.40
14,802 claims
Tooth Extraction
Avg $64.63
10,826 claims
Physical Therapy
Avg $19.28
10,381 claims
Ambulance Transport
Avg $66.10
7,846 claims