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 |
|---|---|---|---|
|
Brian Tucker
149 Enterprise Dr |
$55.75 | 19 | 19 |
|
Amy Renee Oliver
600 Clifty St Ste 2 |
$62.83 | 21 | 19 |
|
Sarah Jarvis
600 Monticello St Ste 2 |
$63.13 | 22 | 20 |
|
Gwen Cowan West
201 E Mount Vernon St |
$41.22 | 23 | 13 |
|
Almeta Anne Mcglothlin
411 Crab Orchard Rd |
$59.44 | 28 | 28 |
|
Tina M Hamm
201 E Mount Vernon St |
$29.99 | 33 | 28 |
|
Kathrina Riley
130 Southern School Rd |
$22.90 | 40 | 27 |
|
Cynthia Jean Dishman
341 Bogle St Ste A |
$60.38 | 43 | 41 |
|
Lauren Elizabeth Ray
600 Monticello St Ste 2 |
$71.98 | 43 | 42 |
|
Elizabeth Godsey
600 Clifty St Ste 2 |
$55.69 | 47 | 40 |
|
Erin Blasko
50 Medpark Dr |
$0.00 | 50 | 50 |
|
Gina Paige Mcfadden
200 Belmont Ave |
$74.34 | 53 | 25 |
|
Kari Elise Mccormick
600 Clifty St Ste 2 |
$74.75 | 97 | 81 |
|
Danielle Neal
401 Bogle St |
$68.96 | 103 | 96 |
|
Monica Burton
67 Jacks Ln |
$0.00 | 106 | 29 |
|
Andrew J Keith
149 Enterprise Dr |
$38.37 | 106 | 76 |
|
Tiffany Roberts
600 Clifty St Ste 2 |
$68.82 | 110 | 110 |
|
Cassandra Gayle Caudill
30 Medpark Square Dr Ste 2&3 |
$43.29 | 150 | 148 |
|
Christina Lynn Wetjen-Briggs
480 E University Dr Ste 7A |
$34.76 | 173 | 118 |
|
Samantha L Wilson
671 W Hwy 80 |
$40.18 | 174 | 98 |
|
Debra Michelle Redden
259 Parkers Mill Rd |
$55.93 | 181 | 31 |
|
Sherry Dawn Maddox
3540 S Highway 27 Ste 4 |
$7.03 | 182 | 80 |
|
Misty R Goldson
600 Monticello St Ste 1 |
$56.71 | 219 | 189 |
|
Cynthia Colyer
149 Enterprise Dr |
$42.81 | 260 | 241 |
|
Nathan S Fisher
600 Clifty St Ste 2 |
$64.59 | 306 | 297 |
|
Heather Laurel Lawhorn
600 Clifty St Ste 2 |
$62.53 | 319 | 185 |
|
Jaime Lyn Helton
400 E Mount Vernon St Ste F |
$51.61 | 346 | 133 |
|
Jason Thayer
149 Enterprise Dr |
$52.83 | 357 | 274 |
|
Julie Erica Honeyman
200 Belmont Ave |
$85.85 | 504 | 104 |
|
Jada Gilmore Fisher
600 Clifty St Ste 2 |
$64.10 | 504 | 484 |
|
Kendra M Patton
200 Belmont Ave |
$49.09 | 618 | 562 |
|
Aaron Atwood
600 Clifty St Ste 2 |
$61.50 | 668 | 658 |
|
Letitia Holland-Cundiff
200 Belmont Ave |
$47.30 | 680 | 610 |
|
Terry Nelson
401 Bogle St |
$49.76 | 743 | 515 |
|
Connie Sue Cable
200 Belmont Ave |
$86.47 | 807 | 90 |
|
Christina Noe
149 Enterprise Dr |
$57.47 | 880 | 853 |
|
Cumberland Behavior Group, Llc
889 Hideaway Dr |
$131.58 | 880 | 533 |
|
Angela L Feese
341 Bogle Street |
$32.71 | 900 | 243 |
|
Stephanie Doss
149 Enterprise Dr |
$53.73 | 1,093 | 983 |
|
Shannon Tennille Smith
3540 S Highway 27 Ste 4 |
$58.47 | 1,257 | 557 |
|
Chasity Lee Prewitt
401 Bogle St |
$63.51 | 1,364 | 890 |
|
Kelly Mitchell
200 Belmont Ave |
$55.69 | 1,451 | 1,374 |
|
Casey Lynn Rose
401 Bogle St |
$61.22 | 1,855 | 1,248 |
|
Jason A Hicks
349 Bogle St |
$16.09 | 1,986 | 1,448 |
|
Shawn Douglas Crabtree
411 Crab Orchard Rd |
$24.92 | 2,137 | 183 |
|
Carla Marie Suttles
30 Medpark Square Dr Ste 2 |
$27.57 | 2,894 | 2,287 |
|
Kristi Baugh
259 Parkers Mill Rd |
$31.51 | 3,320 | 1,082 |
|
Wee Can Autism And Behavioral Consultation, Llc.
170 Prather Rd |
$276.93 | 3,601 | 407 |
|
Lake Cumberland Pediatric Therapy, Llc
67 Jacks Ln |
$264.76 | 3,742 | 679 |
|
Kasey Renee Compton
600 Monticello St |
$51.40 | 3,857 | 502 |
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 $20.44
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Avg $107.97
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Bronx, NY
Avg $38.59
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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