Average Medicaid Substance Abuse Treatment Payments in Georgetown, KY: $86.53
Avg. Paid
$86.53
Range
$16.58 – $192.78
Total Claims
39,052
Providers
15
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 Georgetown, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ashley Ann Sizemore
106 Osborne Way Ste B |
$57.53 | 26 | 26 |
|
Claire Elizabeth Lewis
2689 Frankfort Rd |
$16.88 | 38 | 33 |
|
Joann Carroll
1154A Lexington Rd |
$50.83 | 46 | 44 |
|
Heather Anne James
517 S Broadway St |
$16.58 | 115 | 65 |
|
Mitzi Finn
110 Roach St |
$51.83 | 354 | 328 |
|
Pinnacle Treatment Centers Ky-I, Llc
3107 Cincinnati Rd |
$192.78 | 388 | 45 |
|
Michelle Faith Muncy
168 Hemingway Pl |
$27.89 | 660 | 112 |
|
Patrick Young
110 E Main St Ste 103 |
$31.56 | 754 | 613 |
|
Jessica Elizabeth Duval
3107 Cincinnati Rd |
$34.94 | 1,618 | 262 |
|
Natasha Painter
110 Roach St |
$22.20 | 1,796 | 661 |
|
Melissa Renee Deaton
215 Montgomery Ave |
$109.49 | 2,013 | 717 |
|
Vinod Kumar Muniswamy
1140 Lexington Rd |
$48.81 | 2,126 | 2,021 |
|
Marisol C Clark
1138 Lexington Rd Ste 290 |
$55.02 | 2,349 | 2,244 |
|
Center For Comprehensive Services, Inc
103 Windsor Path |
$125.51 | 12,799 | 1,211 |
|
Kevin Downes
1140 Lexington Rd |
$77.41 | 13,970 | 2,494 |
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 Georgetown, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Georgetown, KY is $86.53 per claim, based on 39,052 claims from 15 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 Georgetown, KY?
There are 15 Medicaid providers offering Substance Abuse Treatment related services in Georgetown, KY according to public payment data.
What is the price range for Substance Abuse Treatment in Georgetown, KY?
Medicaid reimbursement for Substance Abuse Treatment in Georgetown, KY ranges from $16.58 to $192.78 per claim, with an average of $86.53. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Georgetown, KY
Office Visit
Avg $38.80
387,461 claims
Blood Work & Lab Tests
Avg $11.51
252,571 claims
Physical Therapy
Avg $62.52
143,272 claims
Emergency Room Visit
Avg $136.80
138,532 claims
Psychiatric Evaluation
Avg $65.14
95,489 claims
Vaccines & Immunizations
Avg $19.30
80,543 claims
Dental Cleaning & Exam
Avg $36.23
52,994 claims
Speech Therapy
Avg $36.04
48,687 claims