Average Medicaid Behavioral & Mental Health Therapy Payments in Portland, ME: $199.04
Avg. Paid
$199.04
Range
$23.04 – $1,721
Total Claims
231,478
Providers
26
Typical Payment Range
Typical Medicaid Behavioral & Mental Health Therapy payments fall between $52.14 and $116.48 per claim (median: $79.35). The top 10% of payments exceed $178.23.
Based on per-provider averages across all Medicaid claims in this category.
Psychotherapy and behavioral health services for mental health conditions, including individual therapy, group therapy, and family therapy.
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 Behavioral & Mental Health Therapy in Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Spurwink Services Incorporated
901 Washington Ave Ste 100 |
$199.92 | 142,040 | 8,317 |
|
Alexander George Katopis
3 Walker St |
$129.60 | 15,837 | 1,835 |
|
Mainehealth
165 Lancaster St |
$271.64 | 15,045 | 691 |
|
Maine Vocational Associates, Inc.
237 Oxford St |
$106.29 | 13,525 | 3,054 |
|
Karl D Parker
713 Stevens Ave |
$133.97 | 11,113 | 1,790 |
|
Katie Sankare
125 Presumpscot St |
$215.17 | 7,148 | 431 |
|
James M Pease
741 Warren Ave |
$286.52 | 6,929 | 554 |
|
Portland Public Schools
196 Allen Ave |
$171.85 | 4,862 | 473 |
|
Benjamin Strick
50 Monument Sq |
$257.64 | 2,582 | 1,488 |
|
Merrilee Dahm Larsen
53 Baxter Blvd Ste 3 |
$84.42 | 1,734 | 211 |
|
Sarah E. Tucker
165 Lancaster St |
$190.12 | 1,703 | 417 |
|
Ashlee Brooks
901 Washington Ave |
$169.78 | 1,649 | 576 |
|
Sandra J Aubelangella
144 State St |
$224.06 | 1,385 | 479 |
|
Allison Anne Morse
22 Bramhall St |
$497.86 | 1,337 | 625 |
|
Anne Elizabeth Brown
37 Andover Road |
$97.09 | 1,317 | 206 |
|
Spurwink Services Incorporated
62 Elm St |
$200.71 | 931 | 582 |
|
Casa, Inc.
741 Warren Ave |
$297.95 | 791 | 71 |
|
Natalie K Roberts-Reisinger
68 Bishop St Ste 3 |
$829.65 | 550 | 101 |
|
Genevieve Gardner
22 Bramhall St |
$1,721 | 412 | 185 |
|
Amber R Elliott
227 Congress St |
$91.05 | 197 | 61 |
|
Leah Burke
901 Washington Ave Ste 100 |
$404.00 | 166 | 12 |
|
Paula Gentile
901 Washington Ave Ste 100 |
$120.46 | 67 | 29 |
|
Emily H Morris
901 Washington Ave Ste 100 |
$163.22 | 63 | 56 |
|
Jennifer R A Johnson
216 Vaughan St |
$934.95 | 42 | 13 |
|
Holly Marie Cavna
165 Lancaster St |
$77.95 | 30 | 12 |
|
Care Lync Georgia, Llc
795 Congress St |
$23.04 | 23 | 12 |
What to Expect: Behavioral & Mental Health Therapy
Therapy sessions typically last 45-60 minutes. You'll meet with a licensed therapist to discuss your thoughts, feelings, and behaviors. Common approaches include cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and psychodynamic therapy. Sessions are usually weekly. Group therapy sessions are 60-90 minutes with 6-12 participants.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $108.55 | 78,677,933 | 13,968 |
| H2019 | Ther behav svc, per 15 min | $107.35 | 69,547,577 | 28,270 |
| H2014 | Skills train and dev, 15 min | $111.31 | 60,726,091 | 6,266 |
| H0036 | Comm psy face-face per 15min | $80.37 | 56,498,126 | 22,470 |
| H0032 | Mh svc plan dev by non-md | $122.09 | 20,015,725 | 13,104 |
| H2012 | Behav hlth day treat, per hr | $129.23 | 15,388,000 | 3,225 |
| H0035 | Mh partial hosp tx under 24h | $127.90 | 14,129,079 | 904 |
| H0031 | Mh health assess by non-md | $118.38 | 10,496,976 | 9,197 |
| H2020 | Ther behav svc, per diem | $165.09 | 7,996,240 | 4,688 |
| H2011 | Crisis interven svc, 15 min | $281.72 | 6,613,568 | 3,992 |
| H0037 | Comm psy sup tx pgm per diem | $183.46 | 5,103,231 | 382 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Behavioral & Mental Health Therapy cost in Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Behavioral & Mental Health Therapy in Portland, ME is $199.04 per claim, based on 231,478 claims from 26 providers. Typical payments fall between $52.14 and $116.48. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Behavioral & Mental Health Therapy in Portland, ME?
There are 26 Medicaid providers offering Behavioral & Mental Health Therapy related services in Portland, ME according to public payment data.
What is the price range for Behavioral & Mental Health Therapy in Portland, ME?
Medicaid reimbursement for Behavioral & Mental Health Therapy in Portland, ME ranges from $23.04 to $1,721 per claim, with an average of $199.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Behavioral & Mental Health Therapy in Other Cities
Washington, DC
Avg $86.63
8,402,752 claims · 1641 providers
Miami, FL
Avg $96.96
6,731,703 claims · 689 providers
Phoenix, AZ
Avg $123.66
4,416,857 claims · 474 providers
Clinton, MO
Avg $0.01
3,575,106 claims · 5 providers
Los Angeles, CA
Avg $203.16
3,345,905 claims · 251 providers
Columbus, OH
Avg $86.62
2,709,784 claims · 2349 providers
Cleveland, OH
Avg $95.38
2,548,278 claims · 2098 providers
Toledo, OH
Avg $95.61
2,310,766 claims · 1774 providers
Other Procedures in Portland, ME
Blood Work & Lab Tests
Avg $1.50
622,485 claims
Office Visit
Avg $36.14
593,977 claims
Home Health Visit
Avg $319.11
499,937 claims
Case Management Services
Avg $67.60
459,038 claims
Substance Abuse Treatment
Avg $116.83
397,924 claims
Emergency Room Visit
Avg $145.93
357,964 claims
X-Ray
Avg $10.50
304,258 claims
Ultrasound
Avg $41.00
223,352 claims