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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

56

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
Amanda Jeanette Lord

602 S South St

$65.81 131 63
Marsha Sue Martin

485 W Main St

$35.67 131 68
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.

Substance Abuse Treatment in Other Cities

Other Procedures in Wilmington, OH