Average Medicaid Substance Abuse Treatment Payments in Westerville, OH: $122.71
Avg. Paid
$122.71
Range
$13.88 – $380.80
Total Claims
27,925
Providers
24
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 Westerville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Moni A Carroll
975 S Sunbury Rd |
$99.85 | 5,354 | 791 |
|
Ashley N Teegarden
700 Brooksedge Blvd |
$135.91 | 2,322 | 389 |
|
Michael Vavrinak
1245 S Sunbury Rd Ste 102 |
$69.61 | 2,115 | 627 |
|
Devin Trevathan
15 Bishop Dr |
$149.32 | 1,959 | 354 |
|
Vincent W Colecchi
484 County Line Rd W Ste 130 |
$147.06 | 1,887 | 246 |
|
Nicole White
470 Olde Worthington Rd Ste 325 |
$67.75 | 1,765 | 388 |
|
Tanasia Edwards
3628 Bolamo Dr |
$380.80 | 1,661 | 247 |
|
Julie Ann Wnukowski
10 E College Ave |
$150.59 | 1,636 | 439 |
|
Tiffany L Bell
580 Office Pkwy |
$201.93 | 1,451 | 115 |
|
Jean A Farmer
509 S Otterbein Ave |
$40.20 | 1,235 | 447 |
|
Joni Lynn Sivey
700 Brooksedge Blvd |
$148.64 | 1,211 | 276 |
|
Aimee Grant
700 Brooksedge Blvd |
$81.04 | 1,076 | 473 |
|
Bethanne Swick
62 Westerview Dr |
$148.38 | 882 | 82 |
|
Conor Sullivan
187 W Schrock Rd |
$22.94 | 877 | 422 |
|
Westerville City School District
936 Eastwind Dr |
$13.88 | 632 | 198 |
|
Brendan Phillips
700 Brooksedge Blvd |
$53.29 | 605 | 254 |
|
Shaylynn Brown
924 Eastwind Dr Ste 6 |
$50.38 | 363 | 187 |
|
Marjorie A Price
623 Park Meadow Rd Ste H |
$80.95 | 297 | 54 |
|
Nicolette Capparuccini
187 W Schrock Rd |
$15.59 | 287 | 167 |
|
William Allen Wolfe
700 Brooksedge Blvd |
$31.34 | 123 | 49 |
|
De'Aja Hines
924 Eastwind Dr |
$25.18 | 67 | 35 |
|
Eloida Stegall
700 Brooksedge Blvd |
$72.34 | 47 | 32 |
|
Lisa Dupler
623 Park Meadow Rd Ste H |
$17.20 | 46 | 41 |
|
Christopher Keeton
924 Eastwind Dr Ste 6 |
$89.28 | 27 | 16 |
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 Westerville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Westerville, OH is $122.71 per claim, based on 27,925 claims from 24 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 Westerville, OH?
There are 24 Medicaid providers offering Substance Abuse Treatment related services in Westerville, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Westerville, OH?
Medicaid reimbursement for Substance Abuse Treatment in Westerville, OH ranges from $13.88 to $380.80 per claim, with an average of $122.71. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $20.44
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Avg $107.97
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Avg $37.53
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Avg $21.52
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Avg $38.59
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Avg $34.24
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Other Procedures in Westerville, OH
Home Health Visit
Avg $53.03
1,155,652 claims
Office Visit
Avg $58.21
585,772 claims
Blood Work & Lab Tests
Avg $3.36
282,970 claims
Durable Medical Equipment (DME)
Avg $34.13
268,628 claims
Emergency Room Visit
Avg $94.20
239,848 claims
Physical Therapy
Avg $19.38
166,895 claims
Psychiatric Evaluation
Avg $73.32
118,006 claims
Dental Cleaning & Exam
Avg $26.39
88,323 claims