Average Medicaid Substance Abuse Treatment Payments in West Portsmouth, OH: $63.21
Avg. Paid
$63.21
Range
$1.37 – $171.52
Total Claims
35,736
Providers
26
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 West Portsmouth, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alexandra Elaine Shirey
22664 State Route 73 |
$7.46 | 19 | 12 |
|
Veronica Edwards
22664 State Route 73 |
$63.51 | 32 | 17 |
|
Tiffany Michelle Clark
22664 State Route 73 |
$48.73 | 34 | 26 |
|
Rachel Tackett
22664 State Route 73 |
$62.25 | 48 | 35 |
|
Dennis Rogers
22664 State Route 73 |
$93.00 | 90 | 14 |
|
Rebecca Maddix
22664 State Route 73 |
$66.05 | 92 | 40 |
|
Rachel Fitch
22664 State Route 73 |
$57.16 | 96 | 49 |
|
Nakita Weaver
22664 State Route 73 |
$1.37 | 226 | 65 |
|
Hayle Swords
22664 State Route 73 |
$64.32 | 307 | 137 |
|
Holly Cole
2667 Longview Ave |
$56.95 | 347 | 185 |
|
Morgan Christopher
22664 State Route 73 |
$57.99 | 405 | 197 |
|
Janetbea Mitchell
22664 State Route 73 |
$56.52 | 425 | 243 |
|
Robert Duncan
22664 State Route 73 |
$71.43 | 610 | 269 |
|
Patty Ann Myers
22664 State Route 73 |
$53.90 | 672 | 413 |
|
Charles Bartley
22664 State Route 73 |
$47.94 | 775 | 385 |
|
Andy Minzler
22664 State Route 73 |
$65.00 | 1,000 | 227 |
|
Nanette Bricker
22664 State Route 73 |
$53.24 | 1,063 | 549 |
|
Hazel Josa Mae Lyons
22664 State Route 73 |
$51.58 | 1,534 | 670 |
|
Monarch Health And Recovery Llc
22664 State Route 73 |
$30.96 | 1,576 | 478 |
|
James R Osman
22664 State Route 73 |
$61.59 | 1,626 | 730 |
|
Tyler J Brown
22664 State Route 73 |
$47.29 | 1,829 | 1,025 |
|
James Harkless Duncan
22442 State Route 73 |
$171.52 | 2,164 | 486 |
|
Lynda Pressley
22664 State Route 73 |
$56.60 | 3,684 | 975 |
|
Mariah Wolfe
22664 State Route 73 |
$46.80 | 3,911 | 1,711 |
|
Deborah L Duncan
22442 State Route 73 |
$48.19 | 4,388 | 2,124 |
|
Michelle A Yates
22664 State Route 73 |
$70.33 | 8,783 | 1,853 |
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 West Portsmouth, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in West Portsmouth, OH is $63.21 per claim, based on 35,736 claims from 26 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 West Portsmouth, OH?
There are 26 Medicaid providers offering Substance Abuse Treatment related services in West Portsmouth, OH according to public payment data.
What is the price range for Substance Abuse Treatment in West Portsmouth, OH?
Medicaid reimbursement for Substance Abuse Treatment in West Portsmouth, OH ranges from $1.37 to $171.52 per claim, with an average of $63.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in West Portsmouth, OH
Office Visit
Avg $43.64
47,279 claims
Psychiatric Evaluation
Avg $73.39
28,183 claims
Blood Work & Lab Tests
Avg $6.28
22,043 claims
Speech Therapy
Avg $29.57
4,605 claims
Urinalysis & Urine Tests
Avg $3.27
3,373 claims
Behavioral & Mental Health Therapy
Avg $83.72
592 claims
Physical Therapy
Avg $18.83
543 claims
Vaccines & Immunizations
Avg $5.59
319 claims