Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Wilmington, OH: $31.25

Avg. Paid

$31.25

Range

$0.00 – $303.25

Total Claims

463,030

Providers

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 Wilmington, OH

Provider	Avg. Paid	Claims	Patients
Puja Srivastava 485 W Main St	$15.36	293,608	14,878
Jason L Rich 485 W Main St	$46.33	92,510	10,674
Sharon Barrett 485 W Main St	$87.39	33,617	3,087
Mark A Allen 485 W Main St	$162.93	4,880	673
Charles Wilson 48 Randolph St	$22.18	2,800	351
Heather Davis 815 S South St	$44.83	2,538	607
Amy Nichole Tomlison 48 Randolph St	$33.64	2,293	359
Kristi Nicole Watkins 485 W Main St	$69.59	2,251	803
Amanda S Ruble 21 N South St	$29.82	1,972	360
Gloria L Mojica 48 Randolph St	$22.80	1,815	238
Meghan Marie Keniston 485 W Main St	$67.81	1,617	480
Laura R Smith 140 W Main St	$0.00	1,471	818
Regina Roman 485 W Main St	$145.18	1,439	233
Rachel Sneed 140 W Main St	$0.00	1,370	738
Terri L. Ballein 485 W Main St	$102.33	1,367	585
Jennifer Linette Habermehl 485 W Main St	$60.54	1,325	735
Connie Green 586 W Main St	$56.77	1,281	639
Sarah Mae Shaw 485 W Main St	$38.49	1,158	636
Allison Vu 1150 W Locust St	$62.17	1,157	540
Kalub Maliki Dailey 48 Randolph St	$19.21	1,115	337
Kristi Garman 48 Randolph Street	$19.91	891	214
Heather Olley 485 W Main St	$44.08	825	618
Linda B Russell 485 W Main St	$250.51	797	496
Kelsey Elizabeth Doss 48 Randolph St	$53.73	759	251
Stephanie Lynn Greene 953 S South St	$64.61	744	265
Tracey Rowe 48 Randolph Street	$46.52	681	235
Cameron Fields 953 S South St	$45.75	591	297
Brian K Coleman 48 Randolph St	$25.30	561	76
Stacey Holton 21 N South St	$23.95	527	84
Karla Marie Dean 140 W Main St	$0.00	474	257
Roseanne Elizabeth Mckay 140 W Main St	$0.00	447	251
Donielle Payton 48 Randolph St	$20.94	435	146
Ginger Kaye Lowell 815 S South St	$33.06	430	120
Jamie Dixon 21 N South St	$23.66	391	58
Tamika Trenae Arnold 485 W Main St	$303.25	351	226
Kamille Allynn Carrigan 48 Randolph Street	$27.42	346	121
Erin Collett 48 Randolph St	$20.04	288	73
Lisa Ann Tilton 485 W Main St	$46.22	261	186
Leanna S Vestal 485 W Main St	$39.44	188	150
Wendy Johnston 602 S South St	$60.93	178	82
Holly Maples 48 Randolph St	$19.82	169	76
April Renee Hurst 48 Randolph St	$28.68	139	75
Marsha Sue Martin 485 W Main St	$35.67	131	68
Amanda Jeanette Lord 602 S South St	$65.81	131	63
James Fields 48 Randolph St	$11.54	113	18
Paula Kaye Harvey 485 W Main St	$28.87	112	94
Laura Lee Ghan 48 Randolph St	$18.82	108	20
Jennifer J Shockley 485 W Main St	$247.87	98	68
Terra Young 48 Randolph St	$18.06	61	41
Nicole Amber Schellinger 953 S South St	$39.81	45	29

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 Wilmington, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Wilmington, OH is $31.25 per claim, based on 463,030 claims from 56 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 Wilmington, OH?

There are 56 Medicaid providers offering Substance Abuse Treatment related services in Wilmington, OH according to public payment data.

What is the price range for Substance Abuse Treatment in Wilmington, OH?

Medicaid reimbursement for Substance Abuse Treatment in Wilmington, OH ranges from $0.00 to $303.25 per claim, with an average of $31.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Substance Abuse Treatment Payments in Wilmington, OH: $31.25

Providers Offering Substance Abuse Treatment in Wilmington, OH

What to Expect: Substance Abuse Treatment

Cost Components

Frequently Asked Questions

Substance Abuse Treatment in Other Cities

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Other Procedures in Wilmington, OH

Office Visit

Blood Work & Lab Tests

Emergency Room Visit

Behavioral & Mental Health Therapy

Vaccines & Immunizations

Urinalysis & Urine Tests

Psychiatric Evaluation

EKG / ECG (Electrocardiogram)