Average Medicaid Substance Abuse Treatment Payments in Knoxville, TN: $102.27
Avg. Paid
$102.27
Range
$0.00 – $310.00
Total Claims
239,535
Providers
47
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 Knoxville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Donna Gail Mckenzie
318 N Forest Park Blvd |
$310.00 | 12 | 12 |
|
Keri Jane Mcfarlane
10810 Parkside Dr Ste 108 |
$291.76 | 17 | 13 |
|
Martin Phan Eason
2911 Essary Dr Ste 200 |
$23.11 | 21 | 12 |
|
Morris A Barocas
10810 Parkside Dr |
$310.00 | 28 | 13 |
|
Anne Brouha
2018 Western Ave |
$11.33 | 36 | 26 |
|
Nicole Elizabeth Taylor
205 W Springdale Ave |
$297.34 | 48 | 39 |
|
Michelle Renee Mackey
5743 Western Ave |
$0.00 | 49 | 24 |
|
Lauren T Rezek
7310 Antoinette Way Apt 314 |
$0.00 | 53 | 53 |
|
Stacey Craig
5917 Rutledge Pike |
$15.27 | 55 | 39 |
|
Katheryn Elizabeth La Grange
2018 Western Ave |
$7.09 | 63 | 54 |
|
Amanda Cordelia Piercy
6908 Hospitality Cir |
$178.91 | 66 | 39 |
|
Phillip Jay Seifert
900 E Oak Hill Ave |
$96.80 | 119 | 65 |
|
Katherine Lynn Mccrotty
2805 W Governor John Sevier Hwy |
$14.48 | 126 | 64 |
|
Helen Ross Mcnabb Center
200 Tech Center Dr |
$30.68 | 133 | 89 |
|
Mei-Fung Kerley
2001 Highland Ave |
$15.54 | 156 | 111 |
|
Bruce Edgar Campbell
5724 Western Ave |
$181.74 | 167 | 58 |
|
Stephanie Strunz Keller
8712 Asheville Hwy |
$149.80 | 168 | 98 |
|
Michelle Ann Everly
4409 Central Avenue Pike # 102103 |
$31.63 | 169 | 120 |
|
Emily Katherine Harrell
6626 Old Central Avenue Pike |
$17.67 | 220 | 110 |
|
Susan Elaine Webb
9330 Parkwest Blvd |
$13.07 | 243 | 137 |
|
Wellness Ambulatory Care Inc.
6624 Central Avenue Pike |
$85.38 | 280 | 82 |
|
Darlene Elizabeth Sherman
2018 Western Ave |
$106.83 | 308 | 118 |
|
Franklin Ryan Farmer
2001 Highland Ave |
$160.29 | 338 | 248 |
|
Randolph M Lowry
501 20Th St |
$59.78 | 405 | 224 |
|
Kristin R Mckamey
5724 Western Ave |
$106.59 | 511 | 255 |
|
Lorin G Holst
930 Adell Ree Park Ln |
$0.69 | 607 | 225 |
|
Fred G. Wenger
1924 Alcoa Hwy |
$95.68 | 698 | 87 |
|
John Edmund Murphy
5310 Ball Camp Pike |
$19.76 | 905 | 571 |
|
James T Harrison
8712 Asheville Hwy |
$134.36 | 1,294 | 623 |
|
Parkwest Medical Center
9352 Parkwest Blvd |
$20.10 | 1,448 | 474 |
|
Jean Nicholas Mcguire
2001 Highland Ave |
$219.80 | 2,091 | 883 |
|
Richard W Greene
7003 Buddy J Ln |
$216.50 | 2,136 | 1,015 |
|
Randy Edward Durbin
2001 Highland Ave |
$65.98 | 2,214 | 1,486 |
|
Hillary Paige Martin
4405 Central Avenue Pike Ste 103 |
$81.50 | 2,738 | 497 |
|
Ila Ann Gray
201 West Springdale Ave. |
$77.99 | 2,943 | 1,049 |
|
Jennifer Lynn Anderson
2805 W Governor John Sevier Hwy |
$151.25 | 3,070 | 1,163 |
|
Glenn R Peterson
9301 Parkwest Boulevard |
$143.37 | 3,104 | 1,682 |
|
Teri Lea Hunter
1018 Orchid Dr |
$75.35 | 3,399 | 593 |
|
Stephen C Davis
9330 Park West Blvd |
$93.31 | 3,747 | 555 |
|
Clifford Davidson
7328 Middlebrook Pike |
$31.47 | 4,374 | 2,612 |
|
Paul Michael Mccurry
2014 Still Water Ln |
$226.70 | 4,704 | 2,296 |
|
Amanda Lin Mills
4303 Central Avenue Pike |
$81.32 | 6,671 | 1,207 |
|
Audrey Marcelle Smith
4409 Central Avenue Pike # 102103 |
$224.21 | 7,447 | 3,245 |
|
Richard E Poehlein
7328 Middlebrook Pike |
$11.29 | 17,967 | 8,411 |
|
Kris D Houser
212 S Peters Rd |
$93.68 | 19,344 | 2,341 |
|
Drd Management, Inc
626 Bernard Ave |
$106.67 | 64,762 | 13,546 |
|
Drd Management, Inc
412 Citico |
$106.28 | 80,081 | 16,947 |
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 Knoxville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Knoxville, TN is $102.27 per claim, based on 239,535 claims from 47 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 Knoxville, TN?
There are 47 Medicaid providers offering Substance Abuse Treatment related services in Knoxville, TN according to public payment data.
What is the price range for Substance Abuse Treatment in Knoxville, TN?
Medicaid reimbursement for Substance Abuse Treatment in Knoxville, TN ranges from $0.00 to $310.00 per claim, with an average of $102.27. 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 Knoxville, TN
Office Visit
Avg $45.18
3,462,740 claims
Blood Work & Lab Tests
Avg $4.36
3,232,027 claims
Case Management Services
Avg $11.55
1,534,932 claims
Emergency Room Visit
Avg $112.38
1,231,223 claims
Ambulance Transport
Avg $34.35
1,208,594 claims
Speech Therapy
Avg $48.14
1,179,507 claims
X-Ray
Avg $5.65
1,112,380 claims
Psychiatric Evaluation
Avg $54.43
1,063,759 claims