Average Medicaid Substance Abuse Treatment Payments in Biddeford, ME: $98.78
Avg. Paid
$98.78
Range
$0.00 – $210.78
Total Claims
154,685
Providers
81
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 Biddeford, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Kispert
235 Main St |
$160.81 | 27,863 | 6,944 |
|
Hannah Monaco
497 Elm St |
$39.10 | 7,789 | 2,431 |
|
Margaret Ellen Gonzalez
2 Springbrook Drive |
$108.85 | 7,629 | 2,116 |
|
Sundaram David Stanly
2 Springbrook Dr |
$63.35 | 7,226 | 3,307 |
|
Barbara Kathleen Hester
235 Main St Fl 2 |
$74.51 | 6,299 | 2,139 |
|
Wayne Colby Williams
314 Alfred St |
$104.95 | 5,944 | 2,128 |
|
Margaret Doherty
275 Main St Ste 205 |
$83.09 | 5,629 | 1,862 |
|
Melissa Marie Lebreton
2 Springbrook Dr |
$62.65 | 4,332 | 1,558 |
|
Erin M Mailman
188 West St |
$136.69 | 3,643 | 1,249 |
|
Glenn John Simpson
314 Alfred St |
$94.24 | 3,550 | 1,207 |
|
Patrick J. Mcgrath-Conwell
2 Springbrook Dr |
$90.81 | 3,469 | 1,256 |
|
Brian Holmes
314 Alfred St |
$164.44 | 3,370 | 1,017 |
|
Jessica Mayol
40 Main St Ste 13-210 |
$79.15 | 3,134 | 904 |
|
Kylie Findlay
314 Alfred St |
$94.67 | 2,598 | 807 |
|
Nora Mcelroy
46 Barra Rd Ste 201202 |
$79.84 | 2,582 | 847 |
|
Suzanne B Dionne
168 Prospect St |
$69.56 | 2,522 | 943 |
|
Michelle Ann Houser
275 Main St Ste 204 |
$83.83 | 2,519 | 850 |
|
Allison J Engelhardt
314 Alfred St |
$106.72 | 2,372 | 707 |
|
Meaghan L. Martin
180 Main St |
$82.45 | 2,166 | 635 |
|
Megan S Roemer
2 Springbrook Dr |
$64.67 | 2,077 | 821 |
|
Danielle Rachel Hazlett
180 Main St Fl 1 |
$74.51 | 2,036 | 656 |
|
Pamela Jean Kern
314 Alfred St |
$103.31 | 2,033 | 464 |
|
Scott A. Dobben
2 Springbrook Drive |
$49.95 | 1,915 | 840 |
|
Danae M Deveau
40 Main St Bldg 13 |
$70.51 | 1,880 | 661 |
|
Lyda M Brewer
9 Healthcare Dr |
$61.08 | 1,866 | 499 |
|
Richard M. Loffredo
2 Springbrook Dr |
$71.06 | 1,817 | 839 |
|
Sarah Dion
314 Alfred St |
$100.44 | 1,794 | 407 |
|
Madeline Lapointe
314 Alfred St |
$101.54 | 1,741 | 534 |
|
Michael R. Dee
235 Main St |
$65.41 | 1,669 | 796 |
|
Gary Duane Bingham
2 Springbrook Dr |
$76.24 | 1,652 | 776 |
|
Kathleen Walker
2 Springbrook Drive |
$67.38 | 1,625 | 286 |
|
Mallory Nicole Grobe
314 Alfred St |
$106.35 | 1,499 | 461 |
|
Adeena Vogel
235 Main St |
$110.36 | 1,468 | 318 |
|
Laura Kass
2 Springbrook Drive |
$94.75 | 1,432 | 470 |
|
Eva Behan Light
314 Alfred St |
$96.92 | 1,410 | 437 |
|
Maxwell Spanger
419 Alfred St |
$88.39 | 1,314 | 459 |
|
Berkeley Nappi
407 Alfred St |
$82.77 | 1,187 | 386 |
|
Kathryn Brandstein
419 Alfred St |
$88.66 | 1,173 | 385 |
|
Chantel Noel Madden
314 Alfred St |
$102.54 | 1,153 | 394 |
|
Melissa C Klemt
419 Alfred St |
$92.85 | 1,142 | 348 |
|
Nicole Yana Davis
180 Main St |
$98.21 | 1,118 | 359 |
|
Samantha Faith Guerra
235 Main St |
$87.18 | 1,082 | 320 |
|
Brittany D Mcdonald
314 Alfred St |
$101.57 | 1,058 | 374 |
|
Margo Kendrick Mahoney
314 Alfred St |
$97.74 | 1,055 | 380 |
|
Jacqueline Klock
314 Alfred St |
$83.53 | 922 | 351 |
|
Justin Clark Cialfi
6D Wellspring Road |
$73.61 | 899 | 358 |
|
Amber Breton
275 Main St |
$62.24 | 685 | 271 |
|
Amy Hoffman
40 Main St Bldg 13 |
$79.49 | 638 | 230 |
|
John Nelson
2 Springbrook Dr |
$84.40 | 613 | 270 |
|
Jenny Ingwersen
15 York St Bldg 19 |
$64.22 | 592 | 112 |
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 Biddeford, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Biddeford, ME is $98.78 per claim, based on 154,685 claims from 81 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 Biddeford, ME?
There are 81 Medicaid providers offering Substance Abuse Treatment related services in Biddeford, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Biddeford, ME?
Medicaid reimbursement for Substance Abuse Treatment in Biddeford, ME ranges from $0.00 to $210.78 per claim, with an average of $98.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Other Procedures in Biddeford, ME
Blood Work & Lab Tests
Avg $2.86
412,189 claims
Emergency Room Visit
Avg $127.05
170,953 claims
Office Visit
Avg $34.38
136,297 claims
Vaccines & Immunizations
Avg $9.47
105,299 claims
Physical Therapy
Avg $21.28
99,781 claims
EKG / ECG (Electrocardiogram)
Avg $3.52
65,692 claims
X-Ray
Avg $17.37
64,771 claims
Urinalysis & Urine Tests
Avg $0.51
58,558 claims