Average Medicaid Substance Abuse Treatment Payments in Waverly, OH: $94.71
Avg. Paid
$94.71
Range
$11.26 – $267.60
Total Claims
270,273
Providers
158
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 Waverly, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pike County Recovery Council Inc
14572 Us Highway 23 |
$77.34 | 51,279 | 6,692 |
|
Raeann Emily Remy
14574 Us Highway 23 |
$207.54 | 11,309 | 857 |
|
Kelly Ann Buckley
14572 Us Highway 23 |
$120.60 | 11,063 | 2,189 |
|
Danielle Snyder
14572 Highway 23 |
$194.44 | 11,031 | 1,435 |
|
Katie Jo Dyer
14572 Us Highway 23 Ste H |
$219.44 | 8,042 | 759 |
|
Jason Richard Shirey
14574 Us Highway 23 |
$99.47 | 7,530 | 2,025 |
|
Katheryn Ann Lesner
102 Dawn Ln |
$199.11 | 7,358 | 1,342 |
|
Brittany Nicole Wells
111 N High St |
$88.64 | 7,342 | 2,314 |
|
James Edward Ashley Van Aelstyn
14574 Us Highway 23 |
$58.18 | 6,522 | 1,800 |
|
Janet Delay
111 N High St |
$149.53 | 5,854 | 1,815 |
|
Kayla N Havens
14412 Us Highway 23 |
$106.33 | 5,129 | 972 |
|
Jonna Rhodes
14572 Us Highway 23 |
$26.27 | 5,110 | 1,826 |
|
Thomas James Kyle
14572 Us Highway 23 |
$68.56 | 4,828 | 1,845 |
|
Karen Burger
14572 Us Highway 23 Ste H |
$46.90 | 4,786 | 1,260 |
|
Nicholas Sharp
14574 Us Highway 23 |
$195.68 | 4,745 | 543 |
|
Rachel Marie Rider
14572 Us Highway 23 |
$102.83 | 4,351 | 1,005 |
|
Dustin H Shorter
14574 Us Rt 23 |
$56.34 | 4,273 | 1,239 |
|
Amy Robles
14532 Us Highway 23 |
$122.88 | 4,267 | 690 |
|
Justin Knable
14572 Us Highway 23 |
$58.90 | 4,199 | 1,001 |
|
Ashley Taylor Pennington
14572 Us Route 23 |
$43.19 | 4,158 | 1,236 |
|
Nicole Michael
196 E Emmitt Ave |
$129.76 | 3,959 | 718 |
|
Brenda Jones
14572 Us Highway 23 Ste F |
$61.41 | 3,813 | 1,470 |
|
Misty Young
196 E Emmitt Ave |
$87.83 | 3,798 | 739 |
|
Cathy Cummings
14416 Us Highway 23 |
$20.35 | 3,468 | 732 |
|
Michael Lee Hickman
14574 Us Highway 23 |
$57.89 | 3,340 | 2,111 |
|
Carol Knisley
14534 Us Highway 23 |
$25.94 | 3,263 | 844 |
|
Terry Mustard Jr.
14572 State Route 23 |
$37.12 | 3,238 | 1,115 |
|
Teresa Lawson
14572 St Rt 23 |
$36.54 | 3,167 | 1,137 |
|
Jaime Shy
14532 St. Rt. 23 |
$60.93 | 3,086 | 1,245 |
|
Tiphany Duncan
14572 Us Highway 23 |
$134.04 | 2,863 | 518 |
|
Heather Tyler Wooten
111 N High St |
$98.42 | 2,492 | 827 |
|
Carly Catanzaro Price
218 E North St |
$103.09 | 2,286 | 971 |
|
Heather Renee Mullins
14532 Us Highway 23 |
$64.84 | 2,107 | 891 |
|
Shae Steele
14532 Us Highway 23 |
$37.81 | 2,048 | 604 |
|
Sean Martin Meacham
14574 Us Highway 23 |
$74.85 | 1,922 | 810 |
|
Raymond Lett
111 N High St |
$67.77 | 1,914 | 977 |
|
Amber Lynn Hatfield
14532 Us Highway 23 |
$102.54 | 1,840 | 394 |
|
Aaron Engle
14572 Us Highway 23 |
$39.34 | 1,785 | 535 |
|
Amy Lynn Fyffe
111 N High St |
$141.72 | 1,633 | 534 |
|
Brooke Davis
111 N High St |
$77.35 | 1,577 | 736 |
|
Kathryn Elaine Conklin
14532 Us Highway 23 |
$20.60 | 1,560 | 367 |
|
Tracy L Pederson
102 Dawn Ln |
$106.27 | 1,417 | 446 |
|
Michelle Lee Richards
14572 Us Highway 23 |
$29.07 | 1,304 | 480 |
|
Kevin Thomas Ward
14574 St. Rt. 23 |
$93.24 | 1,259 | 311 |
|
Mike Pass
14574 Us Highway 23 |
$20.97 | 1,232 | 335 |
|
Jennifer L Simmons
14574 Us Highway 23 |
$141.99 | 1,199 | 375 |
|
Tammy Sue Buskirk Fee
196 E Emmitt Ave |
$27.26 | 1,144 | 528 |
|
Ruth Ann Bell
14412 St. Rt. 23 |
$19.15 | 1,122 | 178 |
|
Sandra D Confer
14572 Us Highway 23 |
$29.84 | 1,082 | 216 |
|
Jarrod Cyrus
14572 Us Highway 23 |
$40.85 | 1,041 | 347 |
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 Waverly, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Waverly, OH is $94.71 per claim, based on 270,273 claims from 158 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 Waverly, OH?
There are 158 Medicaid providers offering Substance Abuse Treatment related services in Waverly, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Waverly, OH?
Medicaid reimbursement for Substance Abuse Treatment in Waverly, OH ranges from $11.26 to $267.60 per claim, with an average of $94.71. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $14.18
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Phoenix, AZ
Avg $94.34
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Springfield, MA
Avg $20.44
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Baltimore, MD
Avg $107.97
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Portland, OR
Avg $37.53
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Avg $21.52
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Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Waverly, OH
Office Visit
Avg $38.68
248,728 claims
Blood Work & Lab Tests
Avg $3.45
84,978 claims
Psychiatric Evaluation
Avg $56.18
49,246 claims
Behavioral & Mental Health Therapy
Avg $71.87
37,069 claims
Emergency Room Visit
Avg $98.62
35,478 claims
Home Health Visit
Avg $57.84
34,517 claims
Vaccines & Immunizations
Avg $9.01
23,786 claims
Dental Cleaning & Exam
Avg $27.75
21,936 claims