Average Medicaid Substance Abuse Treatment Payments in Caribou, ME: $72.53
Avg. Paid
$72.53
Range
$0.00 – $110.95
Total Claims
49,359
Providers
29
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 Caribou, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Healing Hearts Llc
7 Prospect St |
$0.00 | 20 | 18 |
|
Carl J Gallagher
2 Armco Ave |
$64.94 | 93 | 37 |
|
Kelly H Scott
43 Hatch Dr Ste 310 |
$38.58 | 146 | 117 |
|
Bracal Kilian
128 Sweden St Ste 1 |
$110.95 | 183 | 78 |
|
Esther E. Cyr
7 Hatch Dr |
$62.89 | 189 | 81 |
|
Rebekah Ann Hunt
43 Hatch Dr Ste 310 |
$57.63 | 420 | 180 |
|
Lela L Lyons
2 Armco Ave |
$64.56 | 502 | 286 |
|
Kassidie F Shaw
43 Hatch Dr Ste 310 |
$17.27 | 544 | 192 |
|
Merry Bragg
27 Birdseye Ave |
$96.56 | 630 | 264 |
|
Melanie A Tompkins
43 Hatch Dr |
$72.28 | 664 | 271 |
|
Julie J Blackstone
43 Hatch Dr Ste 310 |
$70.62 | 720 | 422 |
|
Anna M. Hale
24 Sweden St |
$81.54 | 1,102 | 513 |
|
Andrea Chasse
43 Hatch Dr Ste 310 |
$74.89 | 1,178 | 409 |
|
Gail M Donovan
128 Sweden St Ste 2 |
$55.52 | 1,302 | 603 |
|
Tressa L. Philbrook
35 Liberty St |
$82.60 | 1,402 | 581 |
|
Jon Mark Hamlin
20 Old Van Buren Rd |
$79.42 | 1,649 | 573 |
|
Misty L Belanger
43 Hatch Dr Ste 310 |
$26.31 | 1,666 | 732 |
|
Sarah E Corbett
43 Hatch Dr Ste 310 |
$24.72 | 1,887 | 711 |
|
James Cyr
7 Hatch Dr Ste 120 |
$88.40 | 1,922 | 724 |
|
Kellie L Miller
2 Armco Ave |
$77.63 | 1,975 | 860 |
|
Megan Doody
43 Hatch Dr Ste 310 |
$73.60 | 2,211 | 908 |
|
Erica M Cyr
43 Hatch Dr Ste 310 |
$24.79 | 2,311 | 1,345 |
|
Anne Swanson
559 Sweden St |
$81.47 | 2,422 | 1,066 |
|
Travis C Durepo
658 Main St Ste 1 |
$95.42 | 2,463 | 736 |
|
Cindy Marie Barker
27 Birdseye Ave |
$84.62 | 2,554 | 968 |
|
Christine C Lapointe
43 Hatch Dr Ste 310 |
$63.42 | 2,822 | 1,102 |
|
Danyelle Marie Cyr
20 Old Van Buren Rd |
$86.09 | 4,001 | 1,296 |
|
Sherry Pelletier
27 Birdseye Ave |
$80.60 | 4,135 | 1,375 |
|
Mary White
92 Bennett Dr |
$81.77 | 8,246 | 2,287 |
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 Caribou, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Caribou, ME is $72.53 per claim, based on 49,359 claims from 29 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 Caribou, ME?
There are 29 Medicaid providers offering Substance Abuse Treatment related services in Caribou, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Caribou, ME?
Medicaid reimbursement for Substance Abuse Treatment in Caribou, ME ranges from $0.00 to $110.95 per claim, with an average of $72.53. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $20.44
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Avg $107.97
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Avg $21.52
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Avg $38.59
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Avg $34.24
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Other Procedures in Caribou, ME
Blood Work & Lab Tests
Avg $0.30
162,351 claims
Home Health Visit
Avg $82.22
154,117 claims
Office Visit
Avg $22.49
109,960 claims
Emergency Room Visit
Avg $34.03
58,488 claims
Physical Therapy
Avg $16.59
38,737 claims
Durable Medical Equipment (DME)
Avg $27.94
21,901 claims
Urinalysis & Urine Tests
Avg $0.08
21,796 claims
X-Ray
Avg $4.63
19,734 claims