Average Medicaid Substance Abuse Treatment Payments in Covington, KY: $62.67
Avg. Paid
$62.67
Range
$0.00 – $333.76
Total Claims
96,986
Providers
47
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 Covington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northern Kentucky Mental Health Mental Retardation Regional Board
502 Farrell Dr |
$84.48 | 28,676 | 18,360 |
|
Sierra Reeves
513 Madison Ave |
$24.50 | 20,600 | 4,644 |
|
Derrick Trammell
912 Banklick St |
$60.22 | 9,234 | 1,448 |
|
Nky Med, Llc
1717 Madison Ave |
$0.00 | 7,278 | 1,445 |
|
Jennifer L Miller
502 Farrell Dr |
$25.37 | 5,877 | 2,476 |
|
Kelley Probst
513 Madison Ave |
$49.14 | 5,001 | 2,245 |
|
Sarah Reyes
513 Madison Ave |
$75.17 | 3,463 | 2,330 |
|
Mebs Holdings Inc.
4339 Winston Ave |
$260.81 | 3,337 | 907 |
|
Santosh Adhikary
502 Farrell Dr |
$66.67 | 1,659 | 264 |
|
Danielle Hubbard
513 Madison Ave |
$42.25 | 1,013 | 568 |
|
Sandra Mae George
722 Scott St |
$107.54 | 942 | 901 |
|
Anna R Humes
4339 Winston Ave |
$69.13 | 779 | 405 |
|
Margaret Martinez
4339 Winston Ave |
$116.61 | 770 | 304 |
|
Mebs And Associates, Llc
4339 Winston Ave |
$333.76 | 765 | 221 |
|
Marie Elizabeth Wilson
4339 Winston Ave |
$34.16 | 753 | 454 |
|
Metro Treatment Of Kentucky, Lp
2001 Madison Ave |
$13.37 | 731 | 41 |
|
Shannon Rebecca Russell
434 Scott Blvd |
$78.82 | 714 | 266 |
|
Christy Lynn Gillespie
20 W 18Th St |
$46.94 | 559 | 84 |
|
Erin Michelle Nafus
1717 Madison Ave |
$11.92 | 478 | 415 |
|
Anna Stark
434 Scott St |
$41.76 | 453 | 210 |
|
Elizabeth Bullock
502 Farrell Dr |
$104.46 | 444 | 424 |
|
Jacob Renick Lauver
1450 Madison Ave |
$15.07 | 413 | 60 |
|
Patricia A. Gunning
4339 Winston Ave |
$48.57 | 379 | 206 |
|
Teresa Koeller
20 W 18Th St |
$26.69 | 377 | 209 |
|
Nanette Marie Genther
502 Farrell Dr |
$110.59 | 300 | 249 |
|
Kerri Phillips
513 Madison Ave |
$93.09 | 233 | 213 |
|
Lisa Grogan
502 Farrell Dr |
$86.87 | 222 | 190 |
|
Jennifer Ann Hawkins
4339 Winston Ave |
$121.62 | 206 | 115 |
|
Karen R Hanson
502 Farrell Dr |
$79.50 | 187 | 171 |
|
Amber Willmoth-Miller
513 Madison Ave |
$50.91 | 176 | 74 |
|
Stephanie Scruggs
630 Madison Ave |
$108.78 | 139 | 71 |
|
Terry Lee Rook
1717 Madison Ave |
$28.20 | 106 | 58 |
|
Matthew Thomas Davey
20 W 18Th St |
$98.88 | 101 | 41 |
|
Jason Crook
1610 Madison Ave |
$60.30 | 96 | 36 |
|
Angela Mayer
1715 Madison Ave |
$23.66 | 82 | 15 |
|
Shelby Maureen Klingensmith
1500 James Simpson Jr Way |
$77.73 | 72 | 64 |
|
Rachelle Denise Richardson
4339 Winston Ave |
$44.17 | 69 | 40 |
|
Carla J Farrar
502 Farrell Dr |
$70.29 | 56 | 38 |
|
Zachary Mockbee
4339 Winston Ave |
$61.16 | 48 | 31 |
|
Jaclyn M Gleason
200 Home Rd |
$125.00 | 42 | 12 |
|
Emily Schultz
502 Farrell Dr |
$94.65 | 38 | 35 |
|
Tracy M Martin
1610 Madison Ave |
$106.65 | 31 | 12 |
|
Larry J Gross
722 Scott St |
$74.77 | 28 | 28 |
|
Victoria Grey Kennedy
1610 Madison Ave |
$47.96 | 17 | 17 |
|
Shelby Sallade
722 Scott St |
$30.67 | 16 | 12 |
|
Kimberly Troxel
513 Madison Ave |
$122.62 | 13 | 13 |
|
Rachel M Byrd
525 W 5Th St Ste 219 |
$6.10 | 13 | 12 |
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 Covington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Covington, KY is $62.67 per claim, based on 96,986 claims from 47 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 Covington, KY?
There are 47 Medicaid providers offering Substance Abuse Treatment related services in Covington, KY according to public payment data.
What is the price range for Substance Abuse Treatment in Covington, KY?
Medicaid reimbursement for Substance Abuse Treatment in Covington, KY ranges from $0.00 to $333.76 per claim, with an average of $62.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $20.44
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Avg $107.97
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Avg $38.59
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Avg $34.24
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Other Procedures in Covington, KY
Blood Work & Lab Tests
Avg $23.70
1,184,910 claims
Psychiatric Evaluation
Avg $70.00
429,534 claims
Office Visit
Avg $42.61
277,904 claims
Physical Therapy
Avg $90.52
231,440 claims
Home Health Visit
Avg $112.33
133,204 claims
Behavioral & Mental Health Therapy
Avg $97.39
115,463 claims
Case Management Services
Avg $287.40
115,390 claims
Dental Cleaning & Exam
Avg $32.67
75,374 claims