Average Medicaid Substance Abuse Treatment Payments in Franklin, TN: $353.52
Avg. Paid
$353.52
Range
$0.00 – $1,684
Total Claims
98,192
Providers
16
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 Franklin, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bogdan Nowicki
101 Forrest Crossing Blvd Ste 105B |
$23.11 | 27 | 24 |
|
David Hughes Mccord
229 Poteat Pl |
$0.00 | 42 | 36 |
|
Sara Bomar
100 Covey Dr Ste 204 |
$277.45 | 981 | 528 |
|
Jerry Scott Wilson
2010 Quail Hollow Cir |
$133.56 | 1,112 | 673 |
|
Dederick Alan Yeargin
1881 General George Patton Dr |
$193.08 | 1,165 | 717 |
|
Noami Indeira Sudeen-Paschall
100 Covey Dr |
$52.72 | 1,388 | 879 |
|
Alex J Slandzicki
211 Cool Springs Blvd. |
$213.66 | 1,746 | 743 |
|
Bill Sekulovski
1325 W Main St |
$32.40 | 1,817 | 1,097 |
|
Nicholas Conley
143 Se Parkway Ct |
$40.67 | 2,426 | 1,062 |
|
Leslie Cole
1881 General George Patton Dr |
$33.81 | 3,304 | 2,002 |
|
William Rc Stewart
1881 General George Patton Dr |
$273.21 | 5,364 | 2,777 |
|
Indienne Rae Morrow
341 Cool Springs Blvd Ste 140 |
$5.73 | 5,693 | 2,543 |
|
Summit Bhc New Jersey, Llc
501 Corporate Centre Dr Ste 600 |
$1,684 | 12,563 | 7,277 |
|
Health Connect America, Inc
508 Autumn Springs Ct Ste 2A |
$90.00 | 19,163 | 4,473 |
|
Lucas E Wilmore
143 Se Parkway Ct |
$314.98 | 19,706 | 1,961 |
|
Michael Jude Ferri
2010 Quail Hollow Cir |
$127.24 | 21,695 | 3,021 |
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 Franklin, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Franklin, TN is $353.52 per claim, based on 98,192 claims from 16 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 Franklin, TN?
There are 16 Medicaid providers offering Substance Abuse Treatment related services in Franklin, TN according to public payment data.
What is the price range for Substance Abuse Treatment in Franklin, TN?
Medicaid reimbursement for Substance Abuse Treatment in Franklin, TN ranges from $0.00 to $1,684 per claim, with an average of $353.52. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Franklin, TN
Behavioral & Mental Health Therapy
Avg $92.87
1,141,017 claims
Case Management Services
Avg $20.09
930,698 claims
Office Visit
Avg $44.55
343,086 claims
Psychiatric Evaluation
Avg $68.99
272,378 claims
Speech Therapy
Avg $39.28
152,610 claims
Physical Therapy
Avg $34.84
136,334 claims
Blood Work & Lab Tests
Avg $3.63
121,647 claims
Dental Cleaning & Exam
Avg $29.23
118,480 claims