Average Medicaid Substance Abuse Treatment Payments in Madisonville, KY: $99.19
Avg. Paid
$99.19
Range
$18.16 – $153.13
Total Claims
21,467
Providers
11
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 Madisonville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Haastrup
912 N Kentucky Ave # A16 |
$153.13 | 10,913 | 1,885 |
|
Shellie Gary-Cheirs
108 South Main Street |
$62.44 | 3,363 | 778 |
|
Melody Scott
200 Clinic Dr |
$18.16 | 1,649 | 416 |
|
Doris G Murray
9 E Arch St |
$33.99 | 1,647 | 1,210 |
|
Lyle Edwards
200 Clinic Dr |
$22.56 | 1,357 | 432 |
|
Cara Holley
818 Clearview Dr |
$73.09 | 858 | 814 |
|
Jared Leet
200 Clinic Dr |
$73.44 | 497 | 477 |
|
Stephanie Brinkerhoff
9 E Arch St |
$29.92 | 443 | 221 |
|
Susan Reid
200 Clinic Dr |
$23.41 | 347 | 105 |
|
Stephanie Faith Brewster
1079 Thornberry Dr |
$26.86 | 232 | 160 |
|
Caitlin Beth Crockett Tapp
1079 Thornberry Dr Ste 203 |
$30.97 | 161 | 120 |
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 Madisonville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Madisonville, KY is $99.19 per claim, based on 21,467 claims from 11 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 Madisonville, KY?
There are 11 Medicaid providers offering Substance Abuse Treatment related services in Madisonville, KY according to public payment data.
What is the price range for Substance Abuse Treatment in Madisonville, KY?
Medicaid reimbursement for Substance Abuse Treatment in Madisonville, KY ranges from $18.16 to $153.13 per claim, with an average of $99.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $38.59
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Avg $34.24
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Other Procedures in Madisonville, KY
Office Visit
Avg $36.41
590,572 claims
Blood Work & Lab Tests
Avg $9.63
576,248 claims
Emergency Room Visit
Avg $147.72
166,082 claims
Physical Therapy
Avg $63.56
120,829 claims
Psychiatric Evaluation
Avg $50.66
108,347 claims
Urinalysis & Urine Tests
Avg $4.02
81,040 claims
Vaccines & Immunizations
Avg $17.25
72,928 claims
Dental Cleaning & Exam
Avg $33.22
64,974 claims