Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Lexington, KY: $82.19

Avg. Paid

$82.19

Range

$0.00 – $415.81

Total Claims

953,868

Providers

163

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 Lexington, KY

Provider	Avg. Paid	Claims	Patients
Stephen Burnham Lamb 436 W 2Nd St	$98.37	148,627	34,786
Richard Louis Wheeler 160 Moore Dr Ste 201	$42.47	108,326	6,926
Saeed Hamid 1021 Majestic Drive	$59.04	63,549	12,672
Ndt Care Services, Llc 2647 Regency Rd	$230.42	56,897	13,939
Latoya Burns Vaughn 1351 Newtown Pike	$49.79	45,906	4,186
Employment Solutions Inc 1084 Whipple Ct	$132.47	41,443	13,314
Jennifer Gross 3161 Custer Dr Ste 4	$92.24	35,210	8,017
Talana P Young 401 Lewis Hargett Cir Ste 220	$37.65	31,610	1,884
Tamara Mccauley Hurst 3201 Mist Lake Ct	$44.22	29,897	2,713
Stephanie M. Raglin 1524 Versailles Rd	$50.89	25,205	2,507
Andrea L Baker 740 S Limestone	$93.32	23,110	1,735
Christina Emery 2250 Leestown Rd Bldg 27-2	$42.35	20,670	3,230
Kelly Andrew Holland 300 E Main St Ste 310	$19.02	18,740	2,279
Ronald Clay Bibb 365 Waller Ave Ste 100	$73.58	18,368	1,011
Kimberly Roberts 366 Waller Ave Ste 103	$49.62	16,531	1,242
William Washington 1109 Centurian Rd	$37.64	15,784	975
Impactlex, Llc 500 Horton Ct	$415.81	15,708	3,393
Thomas William Howard, Iii 135 E Maxwell St Ste 401	$18.97	14,988	8,038
Tammy Lynn Stevens 1589 Hill Rise Dr	$109.95	13,202	1,329
Jennifer Anne Kirk 3050 Rio Dosa Dr	$121.37	13,002	2,043
David Thomas 600 Perimeter Dr Ste 125	$89.95	12,417	2,498
Center For Comprehensive Services, Inc 448 Lewis Hargett Cir	$211.95	10,456	1,736
Toni Nicole Webb 1101 Veterans Dr	$35.36	9,834	6,782
Christopher Todd Cox 149 Deweese St	$94.05	8,946	1,724
Lynn Nicole Thompson 1229 Colorado Rd	$31.31	7,036	1,436
Bryan Alan Hemrick 1351 Newtown Pike Bldg 1	$45.24	6,435	1,365
Michelle Kunick 3175 Custer Dr Ste 100	$41.48	6,402	795
Spencer Danielle Seese 340 Legion Dr Ste 28	$19.28	6,237	3,977
Peter A Coats 459 Marquis Ave	$23.08	5,918	2,232
James Campbell 501 Darby Creek Rd	$74.86	5,696	1,185
David Waters 409 W New Circle Rd	$37.51	5,411	1,412
Dominique Lashan Wilson 1351 Newtown Pike Bldg 1	$25.75	5,151	73
Brian Alan Greenlee 3470 Blazer Pkwy	$14.76	4,755	1,433
Katherine L. Pennington 3147 Custer Dr	$44.76	4,754	305
Amy H Ward 1382 Bull Lea Road	$13.43	4,684	1,134
Dede Stratton 271 W Short St Ste 508	$91.36	4,454	642
Terri J Powell 845 Lane Allen Rd	$20.43	4,341	2,319
Velva Reed-Barker 1351 Newtown Pike Bldg 1	$40.08	4,082	710
David Allen Gammon 3296 Ridgecane Rd	$5.10	3,967	1,880
Rallie Louise Mcallister 575 W Main St	$87.57	3,489	1,270
Cheryl A Jackson 570 E Main St	$38.21	3,204	766
Jarrod Chase 600 Perimeter Dr Ste 125	$110.32	3,095	1,158
Amber L Davis 190 W Lowry Ln Ste 200	$19.36	2,971	194
Corey Birch 503 Darby Creek Rd	$39.40	2,943	1,708
Dottie D Wheeler 1500 Leestown Rd	$31.54	2,502	1,700
Chelsea Jo Doyle 1701 Nicholasville Rd Ste 100	$60.80	2,372	2,116
Megan B Begley 101 N Eagle Creek Dr	$12.04	2,164	1,596
Maurey Lynnellen Walker 149 Deweese St	$114.56	2,158	341
Christopher Quentin Durham 1221 S Broadway	$7.17	2,101	952
Matthew Frye 1351 Newtown Pike Bldg 1	$25.36	2,085	1,167

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 Lexington, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Lexington, KY is $82.19 per claim, based on 953,868 claims from 163 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 Lexington, KY?

There are 163 Medicaid providers offering Substance Abuse Treatment related services in Lexington, KY according to public payment data.

What is the price range for Substance Abuse Treatment in Lexington, KY?

Medicaid reimbursement for Substance Abuse Treatment in Lexington, KY ranges from $0.00 to $415.81 per claim, with an average of $82.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Substance Abuse Treatment Payments in Lexington, KY: $82.19

Providers Offering Substance Abuse Treatment in Lexington, KY

What to Expect: Substance Abuse Treatment

Cost Components

Frequently Asked Questions

Substance Abuse Treatment in Other Cities

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Springfield, MA

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Worcester, MA

Bronx, NY

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Other Procedures in Lexington, KY

Blood Work & Lab Tests

Office Visit

Emergency Room Visit

X-Ray

Psychiatric Evaluation

Physical Therapy

Dental Cleaning & Exam

CT Scan (Computed Tomography)