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Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Pikeville, KY: $43.54

Avg. Paid

$43.54

Range

$0.00 – $86.81

Total Claims

225,767

Providers

19

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 Pikeville, KY

Provider Avg. Paid Claims Patients
William T Fannin

9 Flora Street

 $41.48 151,378 11,516
John E. Pappas

255 Church St Ste 101

 $49.22 17,302 1,803
Lovonne Fleming-Richardson

111 Caroline Ave

 $48.67 10,843 8,069
James R. Hager

255 Church St Ste 101

 $37.90 8,725 6,323
Ashley Slone

9613 Millard Hwy

 $42.45 8,226 2,127
Alena Blackburn

384 N Mayo Trl

 $34.76 7,242 1,585
Mollie Music

126 Kati St

 $38.98 7,003 498
Paul L Maynard

3889 N Mayo Trl # 200

 $86.81 6,311 2,278
Angela Bush

484 Tollage Crk

 $51.13 2,654 446
Misty Renee' Comer

119 Weddington Branch Rd

 $45.83 1,463 1,162
Jessica Renee Miller

111 Caroline Ave

 $33.74 1,349 465
Martha E. Copley Coleman

118 River Dr

 $72.56 1,306 1,216
Brittany Elaine Hunsaker

149 Mount Chase Dr Apt C

 $55.07 941 852
Ahsen Ali Butt

238 Cassidy Blvd

 $15.12 581 314
Larry J Hatton

387 Town Mountain Rd Ste 101

 $74.29 119 115
Suzanne D Ford

50 Weddington Branch Rd Ste B

 $34.49 99 97
Whitney Allen

3911 N Mayo Trl

 $44.33 98 96
Jack Byron Crider

387 Town Mountain Rd

 $0.00 85 47
Nicole Elizabeth Isaac

255 Church St Ste 102B

 $8.88 42 35

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 Pikeville, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Pikeville, KY is $43.54 per claim, based on 225,767 claims from 19 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 Pikeville, KY?

There are 19 Medicaid providers offering Substance Abuse Treatment related services in Pikeville, KY according to public payment data.

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

Medicaid reimbursement for Substance Abuse Treatment in Pikeville, KY ranges from $0.00 to $86.81 per claim, with an average of $43.54. 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 Pikeville, KY

Office Visit

Avg $34.50

1,279,513 claims

Blood Work & Lab Tests

Avg $13.27

1,226,959 claims

Emergency Room Visit

Avg $104.28

349,778 claims

Psychiatric Evaluation

Avg $55.70

290,250 claims

X-Ray

Avg $36.48

249,058 claims

Urinalysis & Urine Tests

Avg $4.44

169,795 claims

Physical Therapy

Avg $23.66

158,566 claims

EKG / ECG (Electrocardiogram)

Avg $24.30

133,378 claims