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 |
|---|---|---|---|
|
Amanda Durham
2250 Leestown Rd |
$27.67 | 12 | 12 |
|
Nicole Lally
961 Beasley St Ste 170 |
$57.40 | 12 | 12 |
|
Thomas Camilleri
1351 Newtown Pike Bldg 1 |
$29.16 | 15 | 13 |
|
Jared J Lee
190 W Lowry Ln Ste 200 |
$56.87 | 16 | 14 |
|
Amanda L Crabtree
1351 Newtown Pike |
$129.10 | 16 | 15 |
|
Joann Elizabeth Chavez-Holder
2250 Thunderstick Dr Ste 1104 |
$64.02 | 16 | 14 |
|
Elizabeth Anne Kinney
2400 Greatstone Pt Fl 2 |
$0.01 | 16 | 14 |
|
Brandie Lee Bruner
575 W Main St |
$0.00 | 17 | 12 |
|
Kaitlin Nicole Welch
2250 Thunderstick Dr |
$47.36 | 17 | 14 |
|
James Matthew Harris
900 Beasley St |
$68.88 | 18 | 18 |
|
Jessica Dawn Blackburn
3101 Richmond Rd |
$8.47 | 20 | 19 |
|
Lisa Nicholson
1351 Newtown Pike |
$47.72 | 24 | 20 |
|
Megan Perkins
655 E Loudon Ave |
$60.08 | 26 | 13 |
|
Susan Combs
576 E Third St |
$45.30 | 26 | 25 |
|
Laura Moore
401 Lewis Hargett Cir Ste 220 |
$110.25 | 27 | 26 |
|
Amber Celese Curry
1616 Harrodsburg Rd |
$54.27 | 28 | 25 |
|
Lon R Hays
245 Fountain Ct Ste 225 |
$15.23 | 31 | 21 |
|
Leila M Goodpaster
3205 Elk Lake Ct. |
$10.97 | 32 | 24 |
|
Tracey Maureen Caudell
575 W Main St |
$48.52 | 32 | 28 |
|
Vanja Pumpalovic
424 Lewis Hargett Cir Fl 2 |
$0.85 | 34 | 31 |
|
Phyllis Leigh
961 Beasley St Ste 170 |
$61.15 | 38 | 37 |
|
Tiffany D Arrows
600 Old Frankfort Cir |
$19.99 | 39 | 14 |
|
Virginia Redmon
120 Chrysalis Ct |
$11.17 | 41 | 25 |
|
Rebecca Lynn Host
1050 Chinoe Rd Ste 203 |
$26.89 | 44 | 30 |
|
Deshayna Rene Davis
2108 Call Dr |
$0.00 | 49 | 49 |
|
Heather Lauren Cornett
501 Darby Creek Rd Ste 7 |
$74.80 | 54 | 54 |
|
Cheryl Carter
535 Wellington Way Ste 330 |
$50.86 | 55 | 48 |
|
Marti S Burton
1589 Hill Rise Dr |
$9.91 | 56 | 39 |
|
Roman Alejandro Vasquez
1351 Newtown Pike Bldg 1 |
$274.24 | 58 | 38 |
|
Cascades Of The Bluegrass
500 Horton Ct |
$326.40 | 60 | 12 |
|
Rebecca Groves
2331 Fortune Dr Ste 225 |
$71.42 | 62 | 56 |
|
Mary Patricia Jarnagin
3150 Custer Dr Ste 203 |
$24.82 | 66 | 41 |
|
Keisa Fallin-Bennett
2195 Harrodsburg Rd Ste 125 |
$19.05 | 74 | 56 |
|
Aimee Whitley-Mau
230 N Limestone |
$56.69 | 80 | 70 |
|
Isaac Gray Manis
245 Fountain Ct Ste 225 |
$11.11 | 86 | 51 |
|
Tammy Mclain
340 Legion Dr Ste 28 |
$33.99 | 87 | 75 |
|
Amber Rayanna Layne
575 W Main St |
$61.38 | 91 | 50 |
|
Tammy Lynn Salvatore Berera
120 N Eagle Creek Dr |
$0.00 | 92 | 92 |
|
Deron Flinchum
1351 Newtown Pike Bldg 1 |
$43.03 | 95 | 41 |
|
Jacquelyn Marie White
2311 Fortune Dr Ste 201 |
$64.16 | 98 | 39 |
|
Ashley Rae Perkins
1420 N Broadway |
$10.17 | 102 | 68 |
|
Cristin Lynn Lesher
740 S Limestone Ste J233 |
$26.87 | 102 | 56 |
|
Lesley B Gifford
1351 Newtown Pike |
$48.04 | 115 | 12 |
|
Nathan B. Mayo
1351 Newtown Pike |
$43.66 | 129 | 88 |
|
Jerri L Campbell
1101 Veterans Dr |
$52.37 | 138 | 127 |
|
Rebecca M Howton
2220 Young Dr |
$112.48 | 141 | 24 |
|
April Marie Smith
2250 Thunderstick Dr Ste 1104 |
$49.30 | 142 | 122 |
|
Cheryl Marrs
1351 Newtown Pike |
$12.57 | 152 | 82 |
|
Da'Keisha Stevenson
1098 Oakwood Dr |
$29.12 | 153 | 131 |
|
Michele Boyle
900 Beasley St |
$59.27 | 156 | 146 |
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.
Substance Abuse Treatment in Other Cities
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Springfield, MA
Avg $20.44
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Baltimore, MD
Avg $107.97
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Avg $21.52
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Bronx, NY
Avg $38.59
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Avg $34.24
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Other Procedures in Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Physical Therapy
Avg $62.23
1,009,326 claims
Dental Cleaning & Exam
Avg $36.91
818,313 claims
CT Scan (Computed Tomography)
Avg $183.79
697,695 claims