Average Medicaid Substance Abuse Treatment Payments in Fall River, MA: $23.69
Avg. Paid
$23.69
Range
$11.23 – $192.53
Total Claims
1,252,274
Providers
23
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 Fall River, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jesus Sosa
1010 S Main St |
$12.14 | 523,996 | 20,191 |
|
Stanley Street Treatment And Resources, Inc.
386 Stanley St |
$15.91 | 358,672 | 22,132 |
|
Family Service Association Of Greater Fall River, Inc.
151 Rock St |
$53.44 | 258,080 | 10,022 |
|
Peter D Martelly
400 Stanley St |
$11.23 | 60,269 | 2,511 |
|
Sharon Elizabeth Lafleur
1 North Main St |
$61.70 | 18,222 | 789 |
|
Wilfredo Feliciano
22 Front St |
$43.59 | 5,257 | 2,064 |
|
Crystal B. Cote- Campos
386 Stanley St |
$95.76 | 3,411 | 593 |
|
Frances Sokoll
1010 S Main St |
$45.72 | 3,043 | 2,084 |
|
Debra Lezama
1010 S Main St |
$45.03 | 3,000 | 2,446 |
|
Theresa Frederick
10 N Main St |
$43.79 | 2,423 | 1,908 |
|
Frances S Burroughs Houston
1010 S Main St |
$50.66 | 2,224 | 1,691 |
|
Gary L Roy
22 Front St |
$41.83 | 2,036 | 906 |
|
Bradford Whiting Lawrence
1010 S Main St |
$42.51 | 1,845 | 1,590 |
|
Theresa Kosch
386 Stanley St |
$87.52 | 1,792 | 281 |
|
John Costa
795 Middle St |
$49.57 | 1,616 | 1,297 |
|
Nkechi Wachuku
386 Stanley St |
$47.11 | 1,570 | 1,374 |
|
Lisa Gail Rogers
386 Stanley St |
$192.53 | 1,460 | 143 |
|
Nguyen Thao To Nguyen
795 Middle St |
$69.20 | 1,356 | 198 |
|
Elizabeth A Teves-Michael
1010 S Main St |
$44.80 | 1,130 | 977 |
|
Mary E Canha
386 Stanley St |
$95.21 | 369 | 84 |
|
Angela Jean Therrien
1010 S Main St |
$43.19 | 205 | 198 |
|
Amanda Marie Stennett
22 Front St |
$48.90 | 172 | 84 |
|
Gordon D, Andrade
22 Front St |
$43.46 | 126 | 76 |
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 Fall River, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Fall River, MA is $23.69 per claim, based on 1,252,274 claims from 23 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 Fall River, MA?
There are 23 Medicaid providers offering Substance Abuse Treatment related services in Fall River, MA according to public payment data.
What is the price range for Substance Abuse Treatment in Fall River, MA?
Medicaid reimbursement for Substance Abuse Treatment in Fall River, MA ranges from $11.23 to $192.53 per claim, with an average of $23.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $34.24
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Other Procedures in Fall River, MA
Office Visit
Avg $45.39
1,119,590 claims
Blood Work & Lab Tests
Avg $7.34
865,376 claims
Psychiatric Evaluation
Avg $83.13
393,458 claims
Dental Cleaning & Exam
Avg $38.23
302,060 claims
Case Management Services
Avg $59.12
287,270 claims
Emergency Room Visit
Avg $127.54
256,274 claims
Ambulance Transport
Avg $80.01
235,782 claims
Behavioral & Mental Health Therapy
Avg $123.36
214,033 claims