Average Medicaid Substance Abuse Treatment Payments in Worthington, OH: $78.56
Avg. Paid
$78.56
Range
$0.00 – $147.68
Total Claims
10,525
Providers
17
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 Worthington, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gena K Bates
150 E Wilson Bridge Rd Ste 100 |
$132.76 | 2,202 | 111 |
|
Lynnette Monee Cummings
445 E Dublin Granville Rd |
$89.27 | 1,846 | 363 |
|
Amanda Annis
445 E Dublin Granville Rd |
$53.47 | 1,659 | 581 |
|
Donivan Tyronne Stone
445 E Dublin Granville Rd |
$51.88 | 1,581 | 831 |
|
Randilynn Hudson
445 E Dublin Granville Rd |
$48.22 | 1,002 | 196 |
|
Santosh Leinaala Kamealoha
445 E Dublin Granville Rd |
$147.59 | 589 | 231 |
|
Sabrina A. Given
160 W Wilson Bridge Rd Ste 2101 |
$0.00 | 431 | 248 |
|
Kayla K Will
445 E Dublin Granville Rd |
$44.43 | 371 | 67 |
|
Worthington City Schools
200 E Wilson Bridge Rd |
$20.34 | 177 | 66 |
|
Tiffany Dearth
445 E Dublin Granville Rd |
$13.33 | 170 | 28 |
|
Lesa Bradley
6827 N High St |
$37.20 | 147 | 114 |
|
Scott Boyd
5701 N High St |
$147.68 | 136 | 31 |
|
Michaela Eldred
445 E Dublin Granville Rd |
$97.23 | 71 | 27 |
|
Matthew Jacques
6827 N High St Ste 121 |
$64.01 | 58 | 51 |
|
Amber Brinson
7583 Worthington Galena Rd |
$51.30 | 39 | 13 |
|
Timothy Hafer
445 E Dublin Granville Rd |
$53.16 | 31 | 22 |
|
Lorraine Rose
445 E Dublin Granville Rd |
$102.42 | 15 | 13 |
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 Worthington, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Worthington, OH is $78.56 per claim, based on 10,525 claims from 17 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 Worthington, OH?
There are 17 Medicaid providers offering Substance Abuse Treatment related services in Worthington, OH according to public payment data.
What is the price range for Substance Abuse Treatment in Worthington, OH?
Medicaid reimbursement for Substance Abuse Treatment in Worthington, OH ranges from $0.00 to $147.68 per claim, with an average of $78.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Worthington, OH
Home Health Visit
Avg $52.92
251,799 claims
Behavioral & Mental Health Therapy
Avg $86.83
152,048 claims
Office Visit
Avg $55.81
90,878 claims
Psychiatric Evaluation
Avg $72.90
49,935 claims
Case Management Services
Avg $85.92
34,693 claims
Speech Therapy
Avg $31.18
29,809 claims
Physical Therapy
Avg $17.16
27,896 claims
Vaccines & Immunizations
Avg $14.41
22,154 claims