Average Medicaid Substance Abuse Treatment Payments in Boston, MA: $47.20
Avg. Paid
$47.20
Range
$0.00 – $420.77
Total Claims
509,112
Providers
53
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 Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer Colleen Brown
881 Commonwealth Ave |
$0.00 | 14 | 14 |
|
Walter Henry Milliken
1010 Massachusetts Ave |
$60.40 | 28 | 16 |
|
Sheila Sablon Decastro
55 Fruit St |
$2.42 | 31 | 30 |
|
Amy Santana
399 Boylston St Ste 900 |
$53.77 | 35 | 16 |
|
Nicole Orit Langbaum
95 Berkeley St Fl 6 |
$16.53 | 38 | 14 |
|
Jenna Spinelli
185 Pilgrim Rd |
$0.00 | 40 | 40 |
|
Paola G Chapa Cerviatti
780 Albany St |
$83.41 | 41 | 15 |
|
Jacquelyn Marie Tenaglia
75 Arlington St Ste 500 |
$84.41 | 41 | 13 |
|
Armindo T Oliveira
95 Berkeley St Ste 600 |
$46.14 | 41 | 26 |
|
Bay Cove Human Services, Inc
66 Canal St |
$2.04 | 49 | 12 |
|
Catherine F Loomis
66 Canal St |
$40.03 | 83 | 51 |
|
Steward St. Elizabeth'S Medical Center Of Boston, Inc.
736 Cambridge St |
$88.74 | 84 | 12 |
|
Christoforos Iraklis Giakoumatos
100 Blossom St Ste 110 |
$354.42 | 102 | 87 |
|
Sophia A Bartone
101 Arch St |
$27.29 | 110 | 110 |
|
Jessica M Lacey
23 Bradston St |
$72.05 | 118 | 75 |
|
Ronald M. La Flash
99 Topeka St |
$38.88 | 135 | 71 |
|
Ximena Sanchez-Samper
55 Fruit St |
$420.77 | 141 | 25 |
|
South End Community Health Center Inc
1601 Washington Street |
$0.14 | 146 | 84 |
|
Steward St. Elizabeth'S Medical Center Of Boston, Inc.
736 Cambridge St |
$96.41 | 148 | 25 |
|
Jackie Peterson
399 Boylston St |
$40.19 | 153 | 80 |
|
Sara Villegas-Keech
75 Francis St |
$0.00 | 186 | 130 |
|
Angenette Burns
1 Washington Mall Ste 1021 |
$106.26 | 187 | 52 |
|
Stephanie Burgos Rodriguez
780 Albany St |
$69.27 | 197 | 101 |
|
Misty L Gobeil
150 S Huntington Ave |
$199.95 | 202 | 16 |
|
Natalie Lonstein
850 Harrison Ave |
$83.58 | 203 | 79 |
|
Mark Daniel Franciosa
1 Boston Medical Ctr Pl |
$8.97 | 221 | 217 |
|
David M Gunther
1601 Washington St |
$309.59 | 252 | 131 |
|
Philip Andrew Bower
443 Albany St |
$140.35 | 265 | 120 |
|
Kelsey Spratt
850 Harrison Ave |
$101.19 | 505 | 144 |
|
Rachel Beth King
1601 Washington St |
$10.02 | 637 | 97 |
|
Jessica Emma Spagnoli
23 Bradston St |
$51.64 | 671 | 376 |
|
Edwin R Raffi
185 Cambridge St Fl 2 |
$301.07 | 854 | 353 |
|
Andrea Cooke
1 Boston Medical Center |
$177.81 | 1,032 | 358 |
|
Boston Public Health Commission
774 Albany St |
$14.22 | 1,141 | 281 |
|
Boston University Psychiatry Associates, Inc.
1 Boston Medical Ctr Pl |
$1.95 | 1,521 | 1,023 |
|
Ivette Anez Martinez
99 Topeka St |
$40.70 | 1,905 | 723 |
|
Ernesto Arroyo
99 Topeka St |
$38.47 | 1,987 | 989 |
|
Vanessa Louise Loukas
801 Massachusetts Ave Ste 5B |
$1.01 | 2,091 | 1,038 |
|
Amaka F Philips
99 Topeka Street |
$36.82 | 3,044 | 1,163 |
|
Daniel Jeremiah Halloran
66 Canal St |
$43.36 | 3,424 | 514 |
|
Lily Anne Awad
251 Causeway St |
$35.39 | 5,150 | 951 |
|
Arbour Inc
49 Robinwood Ave |
$91.84 | 6,674 | 1,164 |
|
Clelia F Beltrame
774 Albany St |
$51.23 | 6,812 | 1,308 |
|
Robin L Reed
75 Francis St |
$10.39 | 8,324 | 390 |
|
James J Oconnell
780 Albany St |
$381.14 | 9,124 | 1,063 |
|
Jorge Finke
230 Bowdoin St |
$12.64 | 11,567 | 575 |
|
Jane T Schwartz
Beth Israel Deaconess Medical Center |
$3.42 | 19,590 | 712 |
|
Margaret E Bredin
66 Canal St |
$34.58 | 22,105 | 3,711 |
|
Heather Polidi
68 Harrison Ave Ste 605 |
$56.44 | 41,117 | 1,523 |
|
Zoe M Weinstein
801 Massachusetts Ave, Suite 5C |
$12.80 | 43,661 | 2,587 |
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 Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Boston, MA is $47.20 per claim, based on 509,112 claims from 53 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 Boston, MA?
There are 53 Medicaid providers offering Substance Abuse Treatment related services in Boston, MA according to public payment data.
What is the price range for Substance Abuse Treatment in Boston, MA?
Medicaid reimbursement for Substance Abuse Treatment in Boston, MA ranges from $0.00 to $420.77 per claim, with an average of $47.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims