Average Medicaid Substance Abuse Treatment Payments in Prestonsburg, KY: $64.31
Avg. Paid
$64.31
Range
$8.38 – $129.83
Total Claims
347,061
Providers
96
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 Prestonsburg, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mountain Comprehensive Care Center, Inc.
104 S Front Ave |
$73.91 | 181,687 | 68,094 |
|
Jason Ray Jones
104 S Front Ave |
$62.93 | 18,089 | 2,776 |
|
Ashley Newman
104 S Front Ave |
$41.31 | 14,467 | 3,844 |
|
Kathy J Vallee
104 S Front Ave |
$63.60 | 13,951 | 1,427 |
|
Laura A. Pearson
104 S Front Ave |
$50.52 | 8,524 | 2,144 |
|
Georgia Ellis
104 S Front Ave |
$48.27 | 7,376 | 3,437 |
|
Cynthia Crase-Hicks
1184 S Lake Dr Ste 2 |
$24.81 | 7,102 | 1,139 |
|
Phyllis Coleman
104 S Front Ave |
$69.74 | 5,789 | 1,215 |
|
Janet Allen
104 S Front Ave |
$50.37 | 5,592 | 2,603 |
|
Maranda May
104 S Front Ave |
$66.08 | 5,116 | 2,319 |
|
Laurnea Vanderpool
104 S Front Ave |
$59.84 | 5,029 | 1,793 |
|
Robert Darrell Castle
104 S Front Ave |
$66.06 | 4,346 | 1,332 |
|
Richard Phillip Gantt
104 S Front Ave |
$93.45 | 3,872 | 790 |
|
Katrina Williams
104 S Front Ave |
$38.51 | 3,584 | 1,389 |
|
Ashley Butler
104 S Front Ave |
$47.05 | 3,525 | 1,229 |
|
Aaron Hackworth
104 S Front Ave |
$28.60 | 3,049 | 243 |
|
Jessica Briggs
104 S Front Ave |
$90.54 | 3,044 | 1,675 |
|
Maudella Grace Jones
154 N Lake Dr |
$20.73 | 2,989 | 1,146 |
|
Elizabeth Martin
104 S Front Ave |
$25.88 | 2,886 | 769 |
|
Jenny Darlene Martin
104 S Front Ave |
$36.59 | 2,635 | 671 |
|
Kelly Kelley
104 S Front Ave |
$75.87 | 2,552 | 2,465 |
|
Jack Kendrick
1709 Ky Route 321 Ste 3 |
$12.17 | 2,514 | 1,302 |
|
Tonya Johnson
104 S Front Ave |
$41.74 | 2,399 | 476 |
|
Aaron Smallwood
104 S Front Ave |
$129.83 | 2,148 | 524 |
|
Britta D Caudill
140 Frasure Hill Dr |
$14.85 | 1,993 | 301 |
|
Mary June Kubach
104 S Front Ave |
$14.97 | 1,892 | 169 |
|
Micca Nichole Ratliff
113 Oak Ridge Ct |
$31.74 | 1,873 | 1,327 |
|
Mary Ann Herald
104 S Front Ave |
$35.23 | 1,622 | 622 |
|
Richard A Word
104 S Front Ave |
$41.31 | 1,591 | 592 |
|
Sara Barnard
104 S Front Ave |
$26.94 | 1,502 | 370 |
|
Amye Casebolt
104 S Front Ave |
$45.78 | 1,474 | 413 |
|
Autumn Caddell
104 S Front Ave |
$88.35 | 1,463 | 274 |
|
Brandt Briggs
104 S Front Ave |
$56.83 | 1,381 | 590 |
|
Jessica R Cox
104 S Front Ave |
$74.81 | 1,059 | 937 |
|
Amy P. Fairchild
104 S Front Ave |
$90.43 | 1,028 | 289 |
|
Miriam Marshall
104 S Front Ave |
$56.70 | 984 | 618 |
|
Barbara D. Burgy
104 S Front Ave |
$57.63 | 976 | 756 |
|
Joshua Justice
104 S Front Ave |
$30.41 | 938 | 309 |
|
Jennifer Oneal Cavins
104 S Front Ave |
$38.58 | 917 | 340 |
|
Heather Nicole Bush
104 S Front Ave |
$84.49 | 909 | 382 |
|
Meagon Kathleen Keck
104 S Front Ave |
$65.00 | 866 | 486 |
|
Travis Copley
104 S Front Ave |
$60.08 | 791 | 238 |
|
Sabrina Grubbs
104 S Front Ave |
$85.62 | 663 | 381 |
|
Darlene Allen
104 S Front Ave |
$58.93 | 645 | 177 |
|
Charla White
104 S Front Ave |
$64.12 | 630 | 213 |
|
Jamie Dawn Kyzer
104 S Front Ave |
$87.00 | 586 | 209 |
|
James Adam Butler
104 S Front Ave |
$53.60 | 578 | 383 |
|
Bethany Johnson
104 S Front Ave |
$29.02 | 454 | 104 |
|
Angela Damron
104 S Front Ave |
$73.07 | 449 | 219 |
|
Laryn Shephard
104 S Front Ave |
$76.48 | 443 | 383 |
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 Prestonsburg, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Prestonsburg, KY is $64.31 per claim, based on 347,061 claims from 96 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 Prestonsburg, KY?
There are 96 Medicaid providers offering Substance Abuse Treatment related services in Prestonsburg, KY according to public payment data.
What is the price range for Substance Abuse Treatment in Prestonsburg, KY?
Medicaid reimbursement for Substance Abuse Treatment in Prestonsburg, KY ranges from $8.38 to $129.83 per claim, with an average of $64.31. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $94.34
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Springfield, MA
Avg $20.44
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Baltimore, MD
Avg $107.97
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Avg $37.53
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Avg $21.52
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Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Prestonsburg, KY
Psychiatric Evaluation
Avg $57.42
1,166,008 claims
Office Visit
Avg $36.84
889,997 claims
Blood Work & Lab Tests
Avg $10.88
539,849 claims
Home Health Visit
Avg $102.83
345,431 claims
Behavioral & Mental Health Therapy
Avg $150.21
341,524 claims
Physical Therapy
Avg $63.45
255,460 claims
Case Management Services
Avg $310.04
123,130 claims
Dental Cleaning & Exam
Avg $37.71
105,678 claims