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
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Avg $20.44
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Baltimore, MD
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Avg $34.24
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Other Procedures in Johnson City, TN
Office Visit
Avg $41.00
1,254,454 claims
Blood Work & Lab Tests
Avg $6.13
810,124 claims
Ambulance Transport
Avg $19.77
356,576 claims
Non-Emergency Medical Transportation
Avg $5.44
345,590 claims
Emergency Room Visit
Avg $90.83
331,961 claims
Psychiatric Evaluation
Avg $39.41
315,792 claims
Home Health Visit
Avg $80.06
306,249 claims
Nursing Facility Care
Avg $9.59
243,361 claims