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Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Johnson City, TN: $85.80

Avg. Paid

$85.80

Range

$0.00 – $303.62

Total Claims

151,247

Providers

49

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 Johnson City, TN

Provider Avg. Paid Claims Patients
Catalyst Health Solutions,Llc

1018 Chase Dr

$37.98 32,372 19,243
Susan Gilman

2112 N Roan St Ste 300

$49.50 29,395 24,225
Clinton Allen Musil

109 West Watauga Avenue

$82.00 23,906 3,245
Timothy Scott Smyth

1018 Chase Dr

$155.44 8,128 4,583
Joseph Vincent Pinyard

880 Boones Station Rd

$303.62 6,743 2,022
Rebecca Dian Greenway

2408 Susannah St Ste 1

$28.41 6,087 4,389
Jeremy Vincent Pinyard

516 W Oakland Ave

$238.32 4,285 1,868
Stephen D Loyd

325 N State Of Franklin Rd

$105.44 4,098 1,782
Jerome J Cohan

1018 Chase Dr

$92.81 3,373 2,146
Charla Barefield Bacon

1018 Chase Dr

$65.00 2,928 1,831
Matthew John Caffrey

102 N Broadway St

$164.71 2,815 1,623
Zachary A. Hammons

1018 Chase Dr

$47.78 2,677 1,536
Lauren Berry

1018 Chase Dr

$50.61 2,113 1,260
Kimberly Dawn Lilley

1018 Chase Dr

$79.50 2,019 1,269
Meghan Marie Hollier

1018 Chase Dr

$122.92 1,620 944
Anna S Vaneaton

3114 Browns Mill Rd

$83.62 1,442 1,126
Michael Todd Wilkerson

3114 Browns Mill Rd

$148.57 1,405 547
Michelle L Arwood

2 Professional Park Dr Ste 21

$21.72 1,312 1,045
Amanda Lane Mccurry

1276 Gilbreath Dr

$187.07 1,308 1,035
Marianne E Filka

2408 Susannah St Ste 1

$202.27 1,217 630
Amanda Crawford

2700 S Roan St Ste 105

$87.71 1,198 211
David E Brown

109 W Watauga Ave

$54.59 1,053 637
Brianne Leigh Fender Dunning

1018 Chase Dr

$178.25 772 385
Pamela Kay Morong

2408 Susannah St Ste 1

$36.51 758 441
Jennifer Stuart Miller

3915 Bristol Hwy Ste 101

$42.44 754 549
East Tennessee Recovery, Pllc

2408 Susannah St Ste 1

$19.44 708 536
Jeanne Lynne Lewis

403 N State Of Franklin Rd

$20.57 702 412
Chambless Rand Johnston

2408 Susannah St

$90.30 488 236
Matthew Shawn Thomas

3114 Browns Mill Rd

$214.17 472 263
Erin R Brewer Ross

303 Med Tech Pkwy Ste 100

$184.57 471 204
Jennifer C. Wisdom-Schepers

3114 Browns Mill Rd

$222.47 466 224
Alicia Merie Caffrey

102 N Broadway St

$96.50 458 414
Emmalea Elizabeth Johnston

2408 Susannah St Ste 1

$79.29 435 322
Jared W Pack

2408 Susannah St Ste 1

$16.47 427 220
Andrew Nathan Brown

378 Marketplace Dr Ste 5

$35.36 401 328
Kent Steven Wright

301 Med Tech Pkwy Ste 120

$19.65 347 256
Jordan Danielle Conley

2408 Susannah St Ste 1

$24.15 332 279
Kelli Morrison

Veterans Way

$25.52 304 197
Haley Cantrell Adkins

3114 Browns Mill Rd

$171.95 290 223
Seth Clayton Thompson

108 Furches Dr Apt 14

$62.05 261 201
Pyung Suh

401 E Main St

$19.70 203 159
James Emerson Sheffey

2306 Knob Creek Rd

$74.44 174 86
Ankur Bhargava

525 W Oakland Ave Ste 1

$282.11 148 102
Ca'Lantrica Hunt

2408 Susannah St Ste 1

$29.91 104 76
Kalene Ardt

208 E Unaka Ave

$0.00 104 39
Donald Lentz Henson

3114 Browns Mill Rd

$75.81 73 31
Jennifer D Judy

2700 S Roan St Ste 300A

$21.33 45 37
Robert Calvin Perry

2408 Susannah St

$121.50 34 34
Carrie N. Lingerfelt

2151 Century Ln

$24.00 22 17

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 Johnson City, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Johnson City, TN is $85.80 per claim, based on 151,247 claims from 49 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 Johnson City, TN?

There are 49 Medicaid providers offering Substance Abuse Treatment related services in Johnson City, TN according to public payment data.

What is the price range for Substance Abuse Treatment in Johnson City, TN?

Medicaid reimbursement for Substance Abuse Treatment in Johnson City, TN ranges from $0.00 to $303.62 per claim, with an average of $85.80. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Substance Abuse Treatment in Other Cities

Other Procedures in Johnson City, TN