Average Medicaid Substance Abuse Treatment Payments in Florence, KY: $70.02
Avg. Paid
$70.02
Range
$0.00 – $304.04
Total Claims
55,179
Providers
21
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 Florence, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Eugene Fletcher
8780 Us Highway 42 Ste E |
$48.74 | 25,955 | 3,136 |
|
Brian Deloyd Jones
7459 Burlington Pike |
$75.42 | 11,054 | 8,056 |
|
Courtney Fancher
7459 Burlington Pike |
$33.97 | 9,066 | 3,417 |
|
Positive Solutions Behavior Group, Llc
1130 Boone Aire Rd |
$304.04 | 3,895 | 872 |
|
Haley Gilbert
31 Girard St |
$35.36 | 2,227 | 1,674 |
|
Kathryn Miller Kelsay
7459 Burlington Pike |
$62.47 | 607 | 557 |
|
Rita Ndongkou Biedenharn
7300 Turfway Rd |
$67.93 | 311 | 266 |
|
Polly Vanessa Raleigh-Fields
7459 Burlington Pike |
$107.17 | 278 | 261 |
|
Christy Mcgovern
7459 Burlington Pike |
$100.02 | 275 | 241 |
|
Rebecca Warriner
2390 Preservation Way |
$32.27 | 260 | 197 |
|
Kaitlyn Brooks
217 Main St |
$72.35 | 225 | 190 |
|
Jennifer Lynn Hamilton
75 Cavalier Blvd |
$56.70 | 192 | 186 |
|
Sharon Schroeder Wynn
7409 Us 42 |
$50.42 | 155 | 145 |
|
Lorie Jansen
7459 Burlington Pike |
$79.00 | 154 | 138 |
|
Hershey Jane Lindon
7607 Dixie Hwy |
$36.56 | 130 | 70 |
|
Mohamed Asem Zineddin
8731 Bankers St Unit A |
$10.02 | 101 | 99 |
|
Anthony Carmen Bianco
7300 Turfway Rd |
$0.00 | 86 | 49 |
|
Dixie Lee Zimmerman
7459 Burlington Pike |
$71.11 | 80 | 72 |
|
Amy Clark
7459 Burlington Pike |
$113.27 | 63 | 62 |
|
Patrice R Callery
7459 Burlington Pike |
$71.47 | 41 | 26 |
|
Lisa A Burger
6900 Houston Rd Ste 8 |
$5.42 | 24 | 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 Florence, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Florence, KY is $70.02 per claim, based on 55,179 claims from 21 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 Florence, KY?
There are 21 Medicaid providers offering Substance Abuse Treatment related services in Florence, KY according to public payment data.
What is the price range for Substance Abuse Treatment in Florence, KY?
Medicaid reimbursement for Substance Abuse Treatment in Florence, KY ranges from $0.00 to $304.04 per claim, with an average of $70.02. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $14.18
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Phoenix, AZ
Avg $94.34
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Springfield, MA
Avg $20.44
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Baltimore, MD
Avg $107.97
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Portland, OR
Avg $37.53
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Worcester, MA
Avg $21.52
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Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Florence, KY
Office Visit
Avg $42.62
658,073 claims
Blood Work & Lab Tests
Avg $17.61
499,082 claims
Physical Therapy
Avg $76.56
254,129 claims
Vaccines & Immunizations
Avg $17.85
163,500 claims
Emergency Room Visit
Avg $220.04
133,893 claims
Psychiatric Evaluation
Avg $70.31
120,667 claims
Dental Cleaning & Exam
Avg $36.71
103,695 claims
Chiropractic Care
Avg $15.24
101,670 claims