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Based on public Medicaid payment data.

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
Monica Burton

67 Jacks Ln

$0.00 106 29
Andrew J Keith

149 Enterprise Dr

$38.37 106 76
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

Other Procedures in Somerset, KY