Average Medicaid Behavioral & Mental Health Therapy Payments in Somerset, KY: $112.13
Avg. Paid
$112.13
Range
$39.51 – $368.98
Total Claims
198,683
Providers
76
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 Somerset, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Leon Ellison
81 W Highway 80 Ste A |
$180.71 | 30,322 | 2,903 |
|
Theresa Lynn Rust
80 Highway 2227 |
$155.69 | 29,756 | 3,239 |
|
Lake Cumberland Regional Mhmr Board Outpatient
130 Southern School Rd |
$147.89 | 17,878 | 4,895 |
|
Kasey Renee Compton
600 Monticello St |
$55.46 | 12,898 | 9,483 |
|
Nathan S Fisher
600 Clifty St Ste 2 |
$65.67 | 9,917 | 9,230 |
|
Christina Noe
149 Enterprise Dr |
$85.51 | 8,201 | 6,660 |
|
Terry Nelson
401 Bogle St |
$60.32 | 7,885 | 7,587 |
|
Jason Thayer
149 Enterprise Dr |
$60.12 | 7,743 | 7,105 |
|
Kristi Baugh
259 Parkers Mill Rd |
$221.42 | 7,238 | 1,020 |
|
Shanae Lucinda Carpenter
401 Bogle St., Suite 102 |
$62.83 | 6,916 | 6,643 |
|
Kelly Mitchell
200 Belmont Ave |
$47.56 | 5,932 | 5,605 |
|
Stephanie Doss
149 Enterprise Dr |
$63.11 | 5,917 | 5,399 |
|
Jennifer Dawn Wolfe
80 Highway 2227 |
$170.80 | 4,187 | 618 |
|
Aaron Atwood
600 Clifty St Ste 2 |
$59.53 | 4,037 | 3,811 |
|
Heather Laurel Lawhorn
600 Clifty St Ste 2 |
$66.26 | 2,364 | 2,202 |
|
Natasha Slaughter
600 Clifty St Ste 2 |
$59.52 | 2,208 | 2,096 |
|
Kari Elise Mccormick
600 Clifty St Ste 2 |
$59.82 | 2,150 | 1,956 |
|
Sarah Jarvis
600 Monticello St Ste 2 |
$56.38 | 2,074 | 1,888 |
|
Heather Ramsey
149 Enterprise Dr |
$69.29 | 1,983 | 1,756 |
|
Jenna Ward Callahan
259 Parkers Mill Rd |
$146.79 | 1,916 | 319 |
|
Kendra M Patton
200 Belmont Ave |
$46.30 | 1,878 | 1,740 |
|
Cynthia Colyer
149 Enterprise Dr |
$67.44 | 1,787 | 1,458 |
|
Letitia Holland-Cundiff
200 Belmont Ave |
$51.41 | 1,615 | 1,547 |
|
Angela Diescher
149 Enterprise Dr |
$66.84 | 1,535 | 1,336 |
|
Tina M Hamm
201 E Mount Vernon St |
$62.34 | 1,415 | 1,303 |
|
Brian Tucker
149 Enterprise Dr |
$64.12 | 1,111 | 1,016 |
|
Justin L. Smith
100 E Somerset Church Rd |
$63.05 | 1,015 | 965 |
|
Samantha L Wilson
671 W Hwy 80 |
$48.59 | 993 | 878 |
|
Almeta Anne Mcglothlin
411 Crab Orchard Rd |
$61.88 | 934 | 838 |
|
Savannah Kuney
600 Clifty St Ste 2 |
$67.73 | 925 | 844 |
|
Tracy Colleen Mcquarter-Covert
671 W Highway 80 Ste 2 |
$62.72 | 912 | 802 |
|
Linda Russell
3540 S Highway 27 Ste 4 |
$57.48 | 883 | 749 |
|
Andrew J Keith
149 Enterprise Dr |
$69.01 | 858 | 602 |
|
Jada Gilmore Fisher
600 Clifty St Ste 2 |
$64.79 | 858 | 822 |
|
Elizabeth Godsey
600 Clifty St Ste 2 |
$60.41 | 833 | 761 |
|
Shawn Douglas Crabtree
411 Crab Orchard Rd |
$64.30 | 807 | 726 |
|
Nancy J Thayer
149 Enterprise Dr |
$58.44 | 739 | 709 |
|
Shannon Tennille Smith
3540 S Highway 27 Ste 4 |
$65.50 | 664 | 642 |
|
Angela L Feese
341 Bogle Street |
$286.68 | 641 | 196 |
|
Deanna Phillips
401 S Main St Unit 2 |
$54.39 | 529 | 488 |
|
Casey Lynn Rose
401 Bogle St |
$64.34 | 465 | 450 |
|
Ben Perry
149 Enterprise Dr |
$68.46 | 453 | 427 |
|
Christina Lynn Wetjen-Briggs
480 E University Dr Ste 7A |
$65.09 | 453 | 409 |
|
Misty R Goldson
600 Monticello St Ste 1 |
$54.85 | 433 | 373 |
|
Chasity Lee Prewitt
401 Bogle St |
$65.37 | 401 | 393 |
|
Gwen Cowan West
201 E Mount Vernon St |
$66.02 | 372 | 346 |
|
Paige Marie Pauley
3540 S Highway 27 Ste 4 |
$42.65 | 326 | 161 |
|
Kathrina Riley
130 Southern School Rd |
$368.98 | 296 | 115 |
|
Mark Anthony Hamm
201 E Mount Vernon St |
$63.41 | 246 | 237 |
|
James Michael Estes
3540 S Highway 27 Ste 4 |
$61.97 | 244 | 230 |
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 Somerset, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Behavioral & Mental Health Therapy in Somerset, KY is $112.13 per claim, based on 198,683 claims from 76 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 Somerset, KY?
There are 76 Medicaid providers offering Behavioral & Mental Health Therapy related services in Somerset, KY according to public payment data.
What is the price range for Behavioral & Mental Health Therapy in Somerset, KY?
Medicaid reimbursement for Behavioral & Mental Health Therapy in Somerset, KY ranges from $39.51 to $368.98 per claim, with an average of $112.13. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Behavioral & Mental Health Therapy in Other Cities
Washington, DC
Avg $86.63
8,402,752 claims · 1641 providers
Miami, FL
Avg $96.96
6,731,703 claims · 689 providers
Phoenix, AZ
Avg $123.66
4,416,857 claims · 474 providers
Clinton, MO
Avg $0.01
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Los Angeles, CA
Avg $203.16
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Columbus, OH
Avg $86.62
2,709,784 claims · 2349 providers
Cleveland, OH
Avg $95.38
2,548,278 claims · 2098 providers
Toledo, OH
Avg $95.61
2,310,766 claims · 1774 providers
Other Procedures in Somerset, KY
Office Visit
Avg $36.93
986,284 claims
Psychiatric Evaluation
Avg $59.24
948,676 claims
Blood Work & Lab Tests
Avg $9.54
630,941 claims
Physical Therapy
Avg $97.34
524,540 claims
Substance Abuse Treatment
Avg $133.37
507,692 claims
Home Health Visit
Avg $177.24
473,664 claims
Case Management Services
Avg $300.90
265,532 claims
Dental Cleaning & Exam
Avg $37.41
229,101 claims