Average Medicaid Substance Abuse Treatment Payments in Brockton, MA: $18.01
Avg. Paid
$18.01
Range
$5.01 – $412.18
Total Claims
379,311
Providers
14
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 Brockton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heidi Ginter
176 Quincy Ave |
$14.30 | 192,568 | 12,040 |
|
Surjit S Maniktala
30 Meadowbrook Rd |
$10.10 | 101,507 | 5,339 |
|
David A Levy
180 Centre St |
$5.01 | 66,912 | 2,273 |
|
Teen Challenge New England Inc
1311 Main St |
$412.18 | 4,685 | 251 |
|
Paul Edward Allen
180 Centre St |
$38.91 | 3,704 | 1,815 |
|
South Bay Mental Health Center, Inc.
1115 West Chestnut Street |
$74.20 | 2,976 | 480 |
|
Deirdre Elaine Wise-Brown
180 Centre St |
$44.74 | 1,632 | 623 |
|
Valerie Miller
180 Centre St |
$42.93 | 1,528 | 759 |
|
James Edward Mccue
180 Centre St |
$35.49 | 1,452 | 523 |
|
Willie Alton Henry
180 Centre St |
$51.41 | 1,194 | 573 |
|
Diana Gaya
10 Meadowbrook Rd |
$42.53 | 732 | 601 |
|
Robert A Greenstein
235 N Pearl St |
$299.55 | 176 | 98 |
|
Elena Mascarenhas
231 Main St |
$325.95 | 173 | 110 |
|
Steward Good Samaritan Medical Center, Inc.
235 N Pearl St |
$397.00 | 72 | 15 |
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 Brockton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Brockton, MA is $18.01 per claim, based on 379,311 claims from 14 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 Brockton, MA?
There are 14 Medicaid providers offering Substance Abuse Treatment related services in Brockton, MA according to public payment data.
What is the price range for Substance Abuse Treatment in Brockton, MA?
Medicaid reimbursement for Substance Abuse Treatment in Brockton, MA ranges from $5.01 to $412.18 per claim, with an average of $18.01. 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 Brockton, MA
Blood Work & Lab Tests
Avg $3.21
2,196,106 claims
Psychiatric Evaluation
Avg $84.97
1,218,054 claims
Office Visit
Avg $67.28
1,041,113 claims
Behavioral & Mental Health Therapy
Avg $130.21
768,179 claims
Non-Emergency Medical Transportation
Avg $33.89
656,074 claims
Dental Cleaning & Exam
Avg $37.04
526,480 claims
Urinalysis & Urine Tests
Avg $2.95
424,203 claims
Home Health Visit
Avg $114.09
357,225 claims