Average Medicaid Substance Abuse Treatment Payments in Ellsworth, ME: $112.12
Avg. Paid
$112.12
Range
$43.73 – $138.12
Total Claims
139,145
Providers
25
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 Ellsworth, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark Kaplan
58 Laurel St |
$118.95 | 115,212 | 26,896 |
|
Sharon Carroll
70 Kingsland Xing |
$60.19 | 2,786 | 1,072 |
|
Jeffrey Mccarthy
64 Church St |
$101.38 | 2,535 | 880 |
|
Kerry Beth Shea
53 Church St |
$82.99 | 2,515 | 934 |
|
Ilene Julie Schneider
Community Health And Counseling Services |
$81.42 | 2,446 | 857 |
|
Jeanie Kay Mcpherson
194 Main St |
$92.18 | 1,831 | 675 |
|
Irene S Laney
5 School St |
$78.83 | 1,783 | 483 |
|
Kiana Marie Woodworth
52 Christian Ridge Rd |
$76.84 | 1,782 | 650 |
|
Kimberly Morrison
710 Bucksport Rd |
$75.59 | 1,555 | 669 |
|
Amanda Elliott
52 Christian Ridge Rd |
$81.91 | 1,487 | 544 |
|
Lisa Tobey Groo
406 State St Ste 2 |
$43.73 | 1,439 | 546 |
|
Tracey Tarr
710 Bucksport Rd |
$84.67 | 1,283 | 574 |
|
Michael William Curless
24 Birch Ave Ste A |
$66.36 | 689 | 222 |
|
Rebecca Hunter
95 Main St Ste 5 |
$92.70 | 624 | 200 |
|
Jan M Gee
53 Church St |
$103.76 | 298 | 104 |
|
Stacey G. Wood
415 Water St |
$62.62 | 248 | 100 |
|
Pamela Jean Gagnon Da Silva
198 Main St |
$95.18 | 154 | 49 |
|
Suzanne Costallos
710 Bucksport Rd |
$80.93 | 132 | 54 |
|
Heather K Gosselin
16 Kids Peace Way |
$138.12 | 77 | 24 |
|
Mica T. Slaven-Lamothe
710 Bucksport Rd |
$72.67 | 57 | 28 |
|
Scott Andrew Flagg
64 Church St |
$59.84 | 55 | 12 |
|
Katrina L Wescott
70 Kingsland Xing |
$112.73 | 46 | 12 |
|
Lynn Rae Carroll
415 Water St |
$83.06 | 38 | 12 |
|
Jennifer Morgan-Binns
194 Main St Ste 104 |
$73.00 | 37 | 12 |
|
Lori-Anne Hallett
710 Bucksport Rd |
$70.06 | 36 | 14 |
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 Ellsworth, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Ellsworth, ME is $112.12 per claim, based on 139,145 claims from 25 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 Ellsworth, ME?
There are 25 Medicaid providers offering Substance Abuse Treatment related services in Ellsworth, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Ellsworth, ME?
Medicaid reimbursement for Substance Abuse Treatment in Ellsworth, ME ranges from $43.73 to $138.12 per claim, with an average of $112.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Ellsworth, ME
Blood Work & Lab Tests
Avg $2.43
158,520 claims
Office Visit
Avg $42.72
53,263 claims
Emergency Room Visit
Avg $138.85
50,931 claims
Physical Therapy
Avg $30.05
50,439 claims
Urinalysis & Urine Tests
Avg $0.83
28,424 claims
Behavioral & Mental Health Therapy
Avg $301.71
26,710 claims
Prescription Medications
Avg $0.01
26,437 claims
Vaccines & Immunizations
Avg $10.80
22,920 claims