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Scioto County Counseling Center, INC

Counselor, Addiction (Substance Use Disorder)·Portsmouth, OH·NPI: 1477814879Share

Compared to Counselor, Addiction (Substance Use Disorder) Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $166.1M is at the 75th percentile among 20 Counselor, Addiction (Substance Use Disorder) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$166.1M

$166,137,610

Total Claims

1.4M

Beneficiaries

347K

4.0 claims/patient

Avg Cost/Claim

$120

#605 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Scioto County Counseling Center, INC is a Counselor, Addiction (Substance Use Disorder) provider based in Portsmouth, OH. From the 2018–2024 period, this provider received $166.1M in Medicaid payments across 1.4M claims.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Why This Matters

This provider received $166.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,767 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 284% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$8.4M
+121%
2019
$18.6M
+12%
2020
$20.9M
+21%
2021
$25.5M
+17%
2022
$29.8M
+2%
2023
$30.5M
+6%
2024
$32.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 63% of total spending.

H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$104.5M

588K claims · 62.9%

Your Cost: $177.60/claim|Median: $129.75
1.4× median
H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$24.4M

65K claims · 14.7%

Your Cost: $375.74/claim|Median: $317.54
1.2× median
H0006Normal range

Alcohol and/or drug services, case management

$12.3M

211K claims · 7.4%

Your Cost: $58.59/claim|Median: $43.10
1.4× median
H2036Normal range

Alcohol/drug treatment, per hour

$10.2M

53K claims · 6.1%

Your Cost: $192.68/claim|Median: $253.79
0.8× median
H0048Normal range

$4.4M

313K claims · 2.6%

Your Cost: $13.91/claim|Median: $13.25
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$3.2M

36K claims · 1.9%

Your Cost: $87.38/claim|Median: $85.66
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$1.9M

32K claims · 1.2%

Your Cost: $59.76/claim|Median: $63.65
0.9× median
H0005Top 10%

Alcohol and/or drug services, group counseling

$1.6M

21K claims · 1.0%

Your Cost: $76.48/claim|Median: $47.35
1.6× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$729K

3K claims · 0.4%

Your Cost: $250.77/claim|Median: $369.55
0.7× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$605K

8K claims · 0.4%

Your Cost: $79.90/claim|Median: $37.81
2.1× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$522K

5K claims · 0.3%

Your Cost: $112.22/claim|Median: $53.41
2.1× median
99215Top 10%

Office/outpatient visit, high complexity

$345K

2K claims · 0.2%

Your Cost: $152.66/claim|Median: $74.09
2.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$319K

15K claims · 0.2%

Your Cost: $21.27/claim|Median: $55.04
0.4× median
T1002Normal range

RN services, per 15 minutes

$186K

3K claims · 0.1%

Your Cost: $62.43/claim|Median: $37.42
1.7× median
90832Normal range

Psychotherapy, 30 minutes

$184K

4K claims · 0.1%

Your Cost: $42.94/claim|Median: $41.28
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$179K

3K claims · 0.1%

Your Cost: $51.68/claim|Median: $74.63
0.7× median
99354Normal range

$165K

3K claims · 0.1%

Your Cost: $63.40/claim|Median: $54.96
1.1× median
T1003Normal range

LPN/LVN services, per 15 minutes

$132K

3K claims · 0.1%

Your Cost: $40.67/claim|Median: $24.24
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$89K

2K claims · 0.1%

Your Cost: $47.21/claim|Median: $25.06
1.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$71K

4K claims · 0.0%

Your Cost: $17.10/claim|Median: $35.43
0.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$26K

1K claims · 0.0%

Your Cost: $18.87/claim|Median: $12.93
1.5× median
99355Normal range

$23K

325 claims · 0.0%

Your Cost: $71.63/claim|Median: $55.81
1.3× median
81025Normal range

Urine pregnancy test

$19K

4K claims · 0.0%

Your Cost: $4.44/claim|Median: $4.81
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$17K

216 claims · 0.0%

Your Cost: $76.65/claim|Median: $99.21
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$15K

2K claims · 0.0%

Your Cost: $8.25/claim|Median: $9.56
0.9× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$14K

64 claims · 0.0%

Your Cost: $218.41/claim|Median: $111.09
2.0× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$14K

112 claims · 0.0%

Your Cost: $121.52/claim|Median: $84.03
1.4× median
80305Normal range

$5K

2K claims · 0.0%

Your Cost: $3.00/claim|Median: $7.44
0.4× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$3K

27 claims · 0.0%

Your Cost: $110.64/claim|Median: $57.85
1.9× median
90853Normal range

Group psychotherapy

$2K

90 claims · 0.0%

Your Cost: $26.30/claim|Median: $25.02
1.1× median

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