Average Medicaid Substance Abuse Treatment Payments in Nashville, TN: $72.88
Avg. Paid
$72.88
Range
$0.00 – $302.34
Total Claims
228,351
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 Nashville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chandra S Krishnasastry
275 Cumberland Bnd |
$22.15 | 13 | 13 |
|
Victor W Isaac
3441 Dickerson Pike |
$166.04 | 25 | 18 |
|
Priya Patel-Shah
702 James Ave |
$41.27 | 28 | 12 |
|
Kimberly Michelle Freeman
310 25Th Ave N Ste 204 |
$40.01 | 31 | 14 |
|
Barry S Grimm
3601 The Vanderbilt Clinic |
$259.33 | 40 | 21 |
|
Emily N. Robinson
3601 The Vanderbilt Clinic |
$24.66 | 43 | 29 |
|
Louis Reginald Lerebours
1001 Capital Funds Ct |
$0.00 | 43 | 38 |
|
Lynn Manderson
2424 21St Ave S |
$94.72 | 49 | 26 |
|
Anthony Chuka Ekwo
391 Wallace Rd Ste 304 |
$107.84 | 51 | 12 |
|
Roger Starner Jones
4515 Harding Pike Ste 325 |
$246.42 | 67 | 42 |
|
Cortney Latoya O'Neal
1501 Woodland Pointe Dr |
$85.94 | 79 | 24 |
|
Aimee Lynn Romeo
7575 Cockrill Bend Blvd |
$268.67 | 93 | 68 |
|
Mending Hearts Inc
4305 Albion St |
$28.91 | 98 | 26 |
|
Laura Grace Grafham Knapp
2802 Bransford Ave |
$59.31 | 98 | 38 |
|
Mark R Chambers
3601 The Vanderbilt Clinic |
$142.20 | 105 | 51 |
|
Reesha Shah Sanghani
3601 Tvc |
$302.34 | 110 | 51 |
|
Andrea Suzanne Proctor
402 22Nd Ave N |
$256.94 | 111 | 67 |
|
Casey Foster
3310 Stockdale Ln |
$139.26 | 159 | 111 |
|
Kelsey Ann Choate
1915C Church St |
$250.94 | 211 | 131 |
|
Kandace Arlaud
1810 Albion St |
$238.47 | 213 | 110 |
|
Susan R Limbaugh
275 Cumberland Bnd |
$11.12 | 276 | 157 |
|
Darcy Diane Cockrill
275 Cumberland Bnd |
$17.70 | 278 | 166 |
|
Logan Butler
603 W Iris Dr |
$237.28 | 284 | 165 |
|
The Next Door, Inc.
402 22Nd Ave N |
$23.16 | 304 | 126 |
|
Gary Wayne Dodd
333 Commerce St |
$164.17 | 355 | 240 |
|
Ronald K Gilmer
310 25Th Ave North |
$21.41 | 370 | 59 |
|
Amber Olivia Lauer
4515 Harding Pike Ste 327 |
$254.22 | 403 | 229 |
|
Amy E Ward
926 Main St |
$6.95 | 411 | 93 |
|
Elizabeth Laberge
275 Cumberland Bnd |
$49.69 | 441 | 302 |
|
Karen Louise Golden
1005 D.B. Todd Jr Blvd |
$245.87 | 453 | 264 |
|
Stephen C Mory
402 22Nd Ave N |
$81.75 | 470 | 75 |
|
David Mark Stern
2740 Old Elm Hill Pike Ste 100 |
$175.45 | 470 | 138 |
|
Deborah K Jones
1105 16Th Ave S |
$40.96 | 511 | 349 |
|
Park Center
1935 21St Ave S |
$69.68 | 682 | 94 |
|
Jessica Lauren Young
3601 The Vanderbilt Clinic |
$279.92 | 769 | 379 |
|
Floyd A Richard
2201 Murphy Ave |
$0.00 | 805 | 469 |
|
Kenneth B Carter
330 23Rd Ave N Ste 250 |
$0.00 | 909 | 503 |
|
Paul Joseph Leonardi
3200 West End Ave |
$216.51 | 1,009 | 388 |
|
Harrison M Gray
2525 Perimeter Place Dr Ste 105 |
$21.08 | 1,051 | 654 |
|
Esiri Esin
1005 Dr Db Todd Jr Blvd |
$39.03 | 1,843 | 1,302 |
|
Mental Health Cooperative, Inc
275 Cumberland Bnd |
$12.99 | 2,863 | 2,084 |
|
Vincent Morelli
1005 Dr. D. B. Todd Blvd |
$57.05 | 3,060 | 350 |
|
Centerstone Of Tennessee, Inc.
1921 Ransom Pl |
$54.86 | 3,204 | 902 |
|
Ruchika Sonia Yusufji
300 Great Circle Rd |
$59.75 | 3,250 | 330 |
|
180 Health Partners , Inc
555 Marriott Dr Ste 315 |
$15.57 | 9,336 | 2,408 |
|
Middle Tennessee Treatment Centers, Llc
589 Stewarts Ferry Pike |
$81.60 | 10,015 | 1,941 |
|
David Patzer
4210 Dakota Ave |
$86.72 | 20,875 | 2,576 |
|
Vcphcs Ix, Llc
342 22Nd Ave N |
$105.95 | 62,128 | 13,100 |
|
Tennessee Mental Health Consumers' Association
955 Woodland St |
$53.21 | 99,859 | 11,800 |
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 Nashville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Nashville, TN is $72.88 per claim, based on 228,351 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 Nashville, TN?
There are 49 Medicaid providers offering Substance Abuse Treatment related services in Nashville, TN according to public payment data.
What is the price range for Substance Abuse Treatment in Nashville, TN?
Medicaid reimbursement for Substance Abuse Treatment in Nashville, TN ranges from $0.00 to $302.34 per claim, with an average of $72.88. 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 Nashville, TN
Blood Work & Lab Tests
Avg $8.25
7,785,390 claims
Case Management Services
Avg $197.77
5,117,343 claims
Office Visit
Avg $46.51
4,188,840 claims
Emergency Room Visit
Avg $115.01
1,887,270 claims
X-Ray
Avg $6.44
1,428,718 claims
Vaccines & Immunizations
Avg $12.95
1,374,325 claims
Urinalysis & Urine Tests
Avg $2.86
953,202 claims
Psychiatric Evaluation
Avg $58.51
924,083 claims