Average Medicaid Substance Abuse Treatment Payments in Somerset, KY: $133.37
Avg. Paid
$133.37
Range
$0.00 – $276.93
Total Claims
507,692
Providers
62
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 Somerset, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Applied Behavioral Advancements, Llc
196 Observation Pointe Dr |
$149.62 | 183,810 | 56,340 |
|
Theresa Lynn Rust
80 Highway 2227 |
$91.76 | 99,946 | 19,566 |
|
Brighter Futures Therapy Center, Llc
303 Second St |
$274.42 | 51,315 | 9,449 |
|
Turning Point Services
263 Wind Chime Dr |
$95.66 | 43,559 | 11,833 |
|
Jenna Ward Callahan
259 Parkers Mill Rd |
$49.05 | 28,869 | 3,585 |
|
Jennifer Dawn Wolfe
80 Highway 2227 |
$212.16 | 24,331 | 5,823 |
|
Lake Cumberland Regional Mhmr Board Outpatient
130 Southern School Rd |
$69.72 | 8,820 | 2,855 |
|
Leon Ellison
81 W Highway 80 Ste A |
$118.72 | 7,613 | 977 |
|
Linda Russell
3540 S Highway 27 Ste 4 |
$14.53 | 5,925 | 2,727 |
|
Somerset Mental Health, Psc
149 Enterprise Dr |
$73.81 | 5,359 | 1,988 |
|
Shanae Lucinda Carpenter
401 Bogle St., Suite 102 |
$57.01 | 4,916 | 2,479 |
|
Community Opportunities, Inc.
325 Clifty St |
$103.13 | 3,877 | 1,432 |
|
Kasey Renee Compton
600 Monticello St |
$51.40 | 3,857 | 502 |
|
Lake Cumberland Pediatric Therapy, Llc
67 Jacks Ln |
$264.76 | 3,742 | 679 |
|
Wee Can Autism And Behavioral Consultation, Llc.
170 Prather Rd |
$276.93 | 3,601 | 407 |
|
Kristi Baugh
259 Parkers Mill Rd |
$31.51 | 3,320 | 1,082 |
|
Carla Marie Suttles
30 Medpark Square Dr Ste 2 |
$27.57 | 2,894 | 2,287 |
|
Shawn Douglas Crabtree
411 Crab Orchard Rd |
$24.92 | 2,137 | 183 |
|
Jason A Hicks
349 Bogle St |
$16.09 | 1,986 | 1,448 |
|
Casey Lynn Rose
401 Bogle St |
$61.22 | 1,855 | 1,248 |
|
Kelly Mitchell
200 Belmont Ave |
$55.69 | 1,451 | 1,374 |
|
Chasity Lee Prewitt
401 Bogle St |
$63.51 | 1,364 | 890 |
|
Shannon Tennille Smith
3540 S Highway 27 Ste 4 |
$58.47 | 1,257 | 557 |
|
Stephanie Doss
149 Enterprise Dr |
$53.73 | 1,093 | 983 |
|
Angela L Feese
341 Bogle Street |
$32.71 | 900 | 243 |
|
Christina Noe
149 Enterprise Dr |
$57.47 | 880 | 853 |
|
Cumberland Behavior Group, Llc
889 Hideaway Dr |
$131.58 | 880 | 533 |
|
Connie Sue Cable
200 Belmont Ave |
$86.47 | 807 | 90 |
|
Terry Nelson
401 Bogle St |
$49.76 | 743 | 515 |
|
Letitia Holland-Cundiff
200 Belmont Ave |
$47.30 | 680 | 610 |
|
Aaron Atwood
600 Clifty St Ste 2 |
$61.50 | 668 | 658 |
|
Kendra M Patton
200 Belmont Ave |
$49.09 | 618 | 562 |
|
Jada Gilmore Fisher
600 Clifty St Ste 2 |
$64.10 | 504 | 484 |
|
Julie Erica Honeyman
200 Belmont Ave |
$85.85 | 504 | 104 |
|
Jason Thayer
149 Enterprise Dr |
$52.83 | 357 | 274 |
|
Jaime Lyn Helton
400 E Mount Vernon St Ste F |
$51.61 | 346 | 133 |
|
Heather Laurel Lawhorn
600 Clifty St Ste 2 |
$62.53 | 319 | 185 |
|
Nathan S Fisher
600 Clifty St Ste 2 |
$64.59 | 306 | 297 |
|
Cynthia Colyer
149 Enterprise Dr |
$42.81 | 260 | 241 |
|
Misty R Goldson
600 Monticello St Ste 1 |
$56.71 | 219 | 189 |
|
Sherry Dawn Maddox
3540 S Highway 27 Ste 4 |
$7.03 | 182 | 80 |
|
Debra Michelle Redden
259 Parkers Mill Rd |
$55.93 | 181 | 31 |
|
Samantha L Wilson
671 W Hwy 80 |
$40.18 | 174 | 98 |
|
Christina Lynn Wetjen-Briggs
480 E University Dr Ste 7A |
$34.76 | 173 | 118 |
|
Cassandra Gayle Caudill
30 Medpark Square Dr Ste 2&3 |
$43.29 | 150 | 148 |
|
Tiffany Roberts
600 Clifty St Ste 2 |
$68.82 | 110 | 110 |
|
Andrew J Keith
149 Enterprise Dr |
$38.37 | 106 | 76 |
|
Monica Burton
67 Jacks Ln |
$0.00 | 106 | 29 |
|
Danielle Neal
401 Bogle St |
$68.96 | 103 | 96 |
|
Kari Elise Mccormick
600 Clifty St Ste 2 |
$74.75 | 97 | 81 |
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 Somerset, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Somerset, KY is $133.37 per claim, based on 507,692 claims from 62 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 Somerset, KY?
There are 62 Medicaid providers offering Substance Abuse Treatment related services in Somerset, KY according to public payment data.
What is the price range for Substance Abuse Treatment in Somerset, KY?
Medicaid reimbursement for Substance Abuse Treatment in Somerset, KY ranges from $0.00 to $276.93 per claim, with an average of $133.37. 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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Portland, OR
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 Somerset, KY
Office Visit
Avg $36.93
986,284 claims
Psychiatric Evaluation
Avg $59.24
948,676 claims
Blood Work & Lab Tests
Avg $9.54
630,941 claims
Physical Therapy
Avg $97.34
524,540 claims
Home Health Visit
Avg $177.24
473,664 claims
Case Management Services
Avg $300.90
265,532 claims
Dental Cleaning & Exam
Avg $37.41
229,101 claims
Emergency Room Visit
Avg $132.80
221,462 claims