Average Medicaid Behavioral & Mental Health Therapy Payments in Pikeville, KY: $79.44
Avg. Paid
$79.44
Range
$0.00 – $140.64
Total Claims
38,717
Providers
11
Typical Payment Range
Typical Medicaid Behavioral & Mental Health Therapy payments fall between $52.14 and $116.48 per claim (median: $79.35). The top 10% of payments exceed $178.23.
Based on per-provider averages across all Medicaid claims in this category.
Psychotherapy and behavioral health services for mental health conditions, including individual therapy, group therapy, and family therapy.
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 Behavioral & Mental Health Therapy in Pikeville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lovonne Fleming-Richardson
111 Caroline Ave |
$61.21 | 20,702 | 16,769 |
|
William T Fannin
9 Flora Street |
$140.64 | 7,573 | 744 |
|
James R. Hager
255 Church St Ste 101 |
$50.85 | 4,617 | 3,798 |
|
Martha E. Copley Coleman
118 River Dr |
$98.07 | 4,339 | 3,388 |
|
Brittany Elaine Hunsaker
149 Mount Chase Dr Apt C |
$53.79 | 676 | 601 |
|
Ashley Slone
9613 Millard Hwy |
$49.17 | 396 | 381 |
|
Jessica Renee Miller
111 Caroline Ave |
$81.90 | 221 | 194 |
|
Larry J Hatton
387 Town Mountain Rd Ste 101 |
$67.25 | 81 | 69 |
|
Alexandria Marie Yuhas
387 Town Mountain Rd Ste 101 |
$72.27 | 42 | 42 |
|
Suzanne D Ford
50 Weddington Branch Rd Ste B |
$0.00 | 36 | 28 |
|
John E. Pappas
255 Church St Ste 101 |
$20.65 | 34 | 34 |
What to Expect: Behavioral & Mental Health Therapy
Therapy sessions typically last 45-60 minutes. You'll meet with a licensed therapist to discuss your thoughts, feelings, and behaviors. Common approaches include cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and psychodynamic therapy. Sessions are usually weekly. Group therapy sessions are 60-90 minutes with 6-12 participants.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $108.55 | 78,677,933 | 13,968 |
| H2019 | Ther behav svc, per 15 min | $107.35 | 69,547,577 | 28,270 |
| H2014 | Skills train and dev, 15 min | $111.31 | 60,726,091 | 6,266 |
| H0036 | Comm psy face-face per 15min | $80.37 | 56,498,126 | 22,470 |
| H0032 | Mh svc plan dev by non-md | $122.09 | 20,015,725 | 13,104 |
| H2012 | Behav hlth day treat, per hr | $129.23 | 15,388,000 | 3,225 |
| H0035 | Mh partial hosp tx under 24h | $127.90 | 14,129,079 | 904 |
| H0031 | Mh health assess by non-md | $118.38 | 10,496,976 | 9,197 |
| H2020 | Ther behav svc, per diem | $165.09 | 7,996,240 | 4,688 |
| H2011 | Crisis interven svc, 15 min | $281.72 | 6,613,568 | 3,992 |
| H0037 | Comm psy sup tx pgm per diem | $183.46 | 5,103,231 | 382 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Behavioral & Mental Health Therapy cost in Pikeville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Behavioral & Mental Health Therapy in Pikeville, KY is $79.44 per claim, based on 38,717 claims from 11 providers. Typical payments fall between $52.14 and $116.48. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Behavioral & Mental Health Therapy in Pikeville, KY?
There are 11 Medicaid providers offering Behavioral & Mental Health Therapy related services in Pikeville, KY according to public payment data.
What is the price range for Behavioral & Mental Health Therapy in Pikeville, KY?
Medicaid reimbursement for Behavioral & Mental Health Therapy in Pikeville, KY ranges from $0.00 to $140.64 per claim, with an average of $79.44. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Behavioral & Mental Health Therapy in Other Cities
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Avg $86.63
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Avg $96.96
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Avg $203.16
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Avg $86.62
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Avg $95.61
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Other Procedures in Pikeville, KY
Office Visit
Avg $34.50
1,279,513 claims
Blood Work & Lab Tests
Avg $13.27
1,226,959 claims
Emergency Room Visit
Avg $104.28
349,778 claims
Psychiatric Evaluation
Avg $55.70
290,250 claims
X-Ray
Avg $36.48
249,058 claims
Substance Abuse Treatment
Avg $43.54
225,767 claims
Urinalysis & Urine Tests
Avg $4.44
169,795 claims
Physical Therapy
Avg $23.66
158,566 claims